Neurological features in the early recovery period of stroke and rehabilitation tactics

Alexander E. Barulin , Anzhelika E. Klauchek , Olga V. Kurushina

For citation:

Abstract

Stroke remains a global problem worldwide and requires comprehensive innovative approaches to rehabilitation. In order to achieve optimal treatment results, it is necessary to take into account the complex nonlinear process of recovery after acute cerebrovascular accident. This article describes the current elements of rehabilitation with proven effectiveness and the directions of rehabilitation efforts at different periods of stroke.
Keywords: stroke, muscle strengthening exercises, mirror therapy, mental training, transcranial magnetic stimulation, virtual reality.

References

1. Feigin VL, Stark BA, Jonson CO, et al. Global, regional, and national burden of stroke and its risk factors, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Neurol. 2021;20:795-820. DOI: 10. 1016/S1474-4422(21)00252-0
2. Freytes IM, Sullivan M, Schmitzberger M, et al. Types of stroke-related deficits and their impact on family caregiver’s depressive symptoms, burden, and quality of life. Disabil Health J. 2021;14:101019. DOI: 10.1016/j.dhjo.2020.101019
3. Qureshi A, Swain N, Aldabe D, Hale L. Exploring challenges affecting resilience in carers of stroke survivors: a qualitative descriptive study. Disabil Rehabil. 2023;45:3696-704. DOI: 10.1080/09638288. 2022.2135774
4. Li S. Stroke recovery is a journey: prediction and potentials of motor recovery after a stroke from a practical perspective. Life. 2023;13:2061. DOI: 10.3390/life13102061
5. Owolabi MO, Thrift AG, Mahal A, et al. Primary stroke prevention worldwide: translating evidence into action. Lancet Public Health. 2022;7:e74-85. DOI: 10.1016/S2468-2667(21)00230-9
6. Chimatiro GL, Rhoda AJ. Scoping review of acute stroke care management and rehabilitation in low and middle-income countries. BMC Health Serv Res. 2019;19:789. DOI: 10.1186/s12913-019-4654-4
7. Carmichael ST, Kathirvelu B, Schweppe CA, Nie EH. Molecular, cellular and functional events in axonal sprouting after stroke. Exper Neurol. 2017;287:384-94.
8. Marzolini S, Robertson AD, Oh P, et al. Aerobic training and mobilization early post-stroke: cautions and considerations. Front Neurol. 2019;10:1187. DOI: 10.3389/fneur.2019.01187
9. van der Vliet R, Selles RW, Andrinopoulou ER, et al. Predicting Upper Limb Motor Impairment Recovery after Stroke: A Mixture Model. Ann Neurol. 2020;87(3), 383-93.
10. Stinear CM. Prediction of motor recovery after stroke: Advances in biomarkers. Lancet Neurol. 2017;16:826-36. doi: 10.1016/S1474-4422(17)30283-1
11. Hawe RL, Scott SH, Dukelow SP. Taking proportional out of stroke recovery. Stroke. 2018;50:204-11.
12. Hope TMH, Friston K, Price CJ, et al. Recovery after stroke: Not so proportional after all? Brain. 2019;142:15-22.
13. Курушина О.В., Барулин А.Е., Рязанцева С.В., Сарай Р.С. Диагностика и лечение нарушений когнитивных функций. Вестник Волгоградского государственного медицинского университета. 2014;3(51):136-9. EDN SQJTCP.
Kurushina O.V., Barulin A.E., Ryazantseva S.V., Sarai R.S. Diagnosis and treatment of cognitive function disorders. Bulletin of the Volgograd State Medical University. 2014;3(51):136-9. EDN SQJTCP (in Russian).
14. Bonkhoff AK, Hope T, Bzdok D, et al. Bringing proportional recovery into proportion: Bayesian modelling of post-stroke motor performance. Brain. 2020;143(7):2189-206.
15. Войтенков В.Б., Mally J., Скрипченко Н.В., Карташев А.В. Нейропластичность и феномен диашиза при поражении центральной нервной системы. Неврологический журнал. 2016;21(4):188-93. DOI: 10.18821/1560-9545-2016-21-4-188-193
Voitenkov V.B., Molly J., Skripchenko N.V., Kartashev A.V. Neuroplasticity and the phenomenon of dialysis in central nervous system lesions. Neurological Journal. 2016;21(4):188-93. DOI: 10.18821/1560-9545-2016-21-4-188-193 (in Russian).
16. de Oliveira RA, de Andrade DC, Machado AG, Teixeira MJ. Central poststroke pain: somatosensory abnormalities and the presence of associated myofascial pain syndrome. BMC Neurol. 2012;12:89. DOI: 10.1186/1471-2377-12-89
17. Ансаров Х.Ш., Курушина О.В., Барулин А.Е., Куракова Е.А. Цефалгии в остром периоде инсульта. Российский журнал боли. 2015;1(46):84. EDN WAATWY
Ansarov H.S., Kurushina O.V., Barulin A.E., Kurakova E.A. Cephalgia in the acute period of stroke. The Russian Journal of Pain. 2015;1(46):84. EDN WAATWY (in Russian).
18. Seidel PM, Seidel GK. Stroke rehabilitation In: S Hans, ed. Extracranial carotid and vertebral artery disease. Cham: Springer, 2018:279-92.
19. Langhorne P, Bernhardt J, Kwakkel G. Stroke rehabilitation. Lancet. 2011;377:1693-702. DOI: 10.1016/S0140-6736(11)60325-5
20. Boyd LA, Hayward KS, Ward NS, et al. Biomarkers of stroke recovery: consensus-based core recommendations from the stroke recovery and rehabilitation roundtable. Int J Stroke. 2017;12:480-93. DOI: 10.1177/1747493017714176
21. Todhunter-Brown A, Baer G, Campbell P, et al. Physical rehabilitation approaches for the recovery of function and mobility following stroke. Cochrane Database Syst Rev. 2014;2014:CD001920. DOI: 10.1002/ 14651858.CD001920.pub3
22. Hatem SM, Saussez G, della Faille M, et al. Rehabilitation of Motor Function after Stroke: A Multiple Systematic Review Focused on Techniques to Stimulate Upper Extremity Recovery. Front Hum Neurosci. 2016;10:442. DOI: 10.3389/fnhum.2016.00442
23. Bajaj S, Butler AJ, Drake D, Dhamala M. Functional organization and restoration of the brain motor-execution network after stroke and rehabilitation. Front Hum Neurosci. 2015;9:173. DOI: 10.3389/fnhum.2015.00173
24. Lefaucheur JP, Aleman A, Baeken C, et al. Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS): An update (2014-2018). Clin Neurophysiol. 2020;31(5):1168-9.
25. Червяков А.В., Пойдашева А.Г., Коржова Ю.Е. и др. Ритмическая транскраниальная магнитная стимуляция в неврологии и психиатрии. Журнал неврологии и психиатрии им. С.С. Корсакова. 2025;115(12):7-18. DOI: 10.17116/jnevro20151127-18
Cherviakov A.V., Poydasheva A.G., Korzhova J.E., et al. Repetitive trans-cranial magnetic stimulation in neurology and psychiatry. S.S. Korsakov Journal of Neurology and Psychiatry. 2015;115(12):7-18. DOI: 10.17116/jnevro20151127-18 (in Russian).
26. Rothwell JC. Can motor recovery in stroke be improved by non-invasive brain stimulation? Adv Exp Med Biol. 2016;957:313-23.
27. Stagg CJ, Johansen-Berg H. Studying the effects of transcranial direct-current stimulation in stroke recovery using magnetic resonance imaging. Front Hum Neurosci. 2013;7:857.
28. Nettekoven C, Volz LJ, Kutscha M, et al. Dose-Dependent Effects of Theta Burst rTMS on Cortical Excitability and Resting-State Connectivity of the Human Motor System. J Neurosci. 2014;34(20):6849-59.
29. Dobkin BH, Dorsch A. New evidence for therapies in stroke rehabilitation. Curr Atheroscler Rep. 2013;15(6):331. DOI: 10.1007/s11883-013-0331-y

Портал CON-MED.RU:
https://con-med.ru/magazines/klinicheskiy_razbor_v_obshchey_meditsine/klinicheskiy_razbor_v_obshchey_meditsine-04-2025/nevrologicheskie_osobennosti_v_rannem_vosstanovitelnom_periode_insulta_i_taktika_reabilitatsii/

For citation: Barulin A.E., Klauchek A.E., Kurushina O.V. Neurological features in the early recovery period of stroke and rehabilitation tactics. Clinical review for general practice. 2025; 6 (4): 6–10 (In Russ.). DOI: 10.47407/kr2025.6.4.00587

All accepted articles publish licensed under a Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.

Clinical review for general practice