Use of the principle of proprioceptive correction in the restoration of voluntary movements in the paralyzed arm in patients in the late recovery and residual post-stroke periods.

A specially developed proprioceptive correction costume was used for the restoration of motor functions in the proximal parts of the upper limb in central paralysis syndrome in patients in the late recovery and residual post-stroke states. The costume is a logical continuation of the Adeli and Gravistat proprioceptive correction systems, directed to restoring balance and gait in post-stroke patients. The costume consists of a waistcoat and cuffs connected by a system of elastic bands fixed around the shoulder and forearm of the paralyzed upper limb. Controlling the tension in the elastic bands allows a regime of "facilitated" work to be created, with increased loading of active movements in the proximal parts of the paralyzed arm. The effectiveness of using the proprioceptive correction costume in restoring voluntary movements in the upper limb was demonstrated during the treatment of 23 patients in the late recovery and residual post-stroke periods. In most patients, treatment resulted in significant decreases in the extent of paralysis in the arm and produced recovery rates greater than those seen in the control group. Use of the proprioceptive correction costume in the neurorehabilitation complex is advised for restoration of voluntary movements in the arms of stroke patients.

[The use of the proprioceptive correction principle in the restoration of conscious movements in the patient's paretic arm in the late restorative and residual periods of stroke].

A specially designed suit for proprioceptive correction is offered for the restoration of motor functions in the proximal parts of the upper extremity in the central paresis syndrome at the late restorative and residual periods of stroke. The suit is a logical continuation of the proprioceptive correction systems Adeli, Gravistat aimed at the restoration of equilibrium and walking in post-stroke patients. It consists of a waistcoat, cuffs connected with a system of elastics which are fixed around the upper arm and arm of the paretic upper extremity. The regulation of the tension of elastics allows to create the regimes of "facilitated" work and increased exertion during active movements in the proximal parts of a paretic arm. The effectiveness of the use of the proprioceptive correction suit for restoration of conscious movements in the upper extremity has been proved in 23 patients in the late restorative and residual periods of stroke. As a result of the treatment, most of the patients showed reliable reduction of paresis expression in the arm, the rate of restoration exceeded the indexes in the control group. It is expedient to use the proprioceptive correction suit in the complex of neurorehabilitation measures for restoration of conscious movements in an arm of the post-stroke patient.