{"id":2034,"date":"2025-06-25T15:35:19","date_gmt":"2025-06-25T15:35:19","guid":{"rendered":"https:\/\/journal.nncf.kz\/?p=2034"},"modified":"2025-06-25T15:35:19","modified_gmt":"2025-06-25T15:35:19","slug":"modern-rehabilitation-methods-for-patients-with-motor-impairments-after-stroke-systematic-review","status":"publish","type":"post","link":"https:\/\/journal.nncf.kz\/en\/modern-rehabilitation-methods-for-patients-with-motor-impairments-after-stroke-systematic-review\/","title":{"rendered":"MODERN REHABILITATION METHODS FOR PATIENTS WITH MOTOR IMPAIRMENTS AFTER STROKE: SYSTEMATIC REVIEW"},"content":{"rendered":"

MODERN REHABILITATION METHODS FOR PATIENTS WITH MOTOR IMPAIRMENTS AFTER STROKE:
\nSYSTEMATIC REVIEW
\nT.T. Kispayeva1, A.Sh. Izbassarova2, M.S. Amirbekova1, Zh.B.Ospanova1,3, Sh.S. Kaliyeva1,
\nR.Zh. Toiynbekova1, G.A. Nurlybayeva2, T.S.Zhunussova1
\n1Karaganda Medical University, Karaganda, Kazakhstan 2S.D. Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan 3Rehabilitation center “Neuron”, Karaganda, Kazakhstan
\nIntroduction. Stroke is a leading cause of long-term disability worldwide, frequently resulting in persistent motor
\ndeficits, particularly affecting upper limb function and fine motor skills. Traditional rehabilitation methods such as
\nphysical and occupational therapy have limitations in intensity, adaptability, and accessibility. In recent years,
\ninnovative technologies including robotic devices, virtual reality (VR), and mirror therapy have shown promise in
\nenhancing neuroplasticity and functional recovery.
\nObjective. This review aims to analyze the effectiveness of modern rehabilitation approaches for restoring motor
\nfunction in post-stroke patients.
\nMaterials and Methods. A systematic literature review was conducted in accordance with PRISMA guidelines.
\nDatabases searched included PubMed, Cochrane Library, Embase, ERIC, Scopus, and Web of Science. Studies
\npublished between 2015 and 2025 were included, focusing on randomized controlled trials, systematic reviews,
\nand meta-analyses involving motor rehabilitation post-stroke.
\nResults. Robotic-assisted devices (e.g., ReHand glove) demonstrated significant improvements in motor function,
\ngrip strength, and performance. Mirror therapy was found to be an effective, low-cost intervention for enhancing
\nhand and lower limb function, especially when combined with task-specific training and neuromodulation
\ntechniques. VR-based therapy improved patient engagement, coordination, and ADL performance, particularly
\nwhen integrated into conventional programs.
\nDiscussion. While no single method ensures full recovery, a combination of traditional and modern strategies
\nyields the best outcomes. Robotic systems are highly effective but limited by cost and availability. VR and mirror
\ntherapy are scalable solutions that enhance motivation and neuroplasticity.
\nConclusion. Fine motor recovery after stroke is achievable through multimodal rehabilitation programs that
\nintegrate advanced technologies with conventional care. Future research should focus on long-term outcomes,
\ncost-effectiveness, and the development of patient-centered protocols. The strategic use of robotic, virtual, and
\nvisual-feedback-based methods holds great potential to transform neurorehabilitation into a m<\/p>\n

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