Rehabilitation of Upper Limbs After Stroke

Prior to the study, an assessment of the reliability, reproducibility and validity of the devices among stroke individuals will be carried out.

The research will be conducted among people who have suffered a stroke in the late period.

The subjects will be allocated, by random selection, to two groups:

The study group will complete a conventional rehabilitation program supplemented with biofeedback exercises using the Pablo Tyromotion device.

The control group will participate in conventional rehabilitation without biofeedback exercises.

Patients will undergo ongoing rehabilitation at the Donum Corde Rehabilitation and Medical Care Center (four weeks). The first examination will be performed on the day of admission, the second on the day of discharge, and the third (control) one month after discharge, during a follow-up visit.

Measurements will be performed three times for all participants:

* assessment of hand and finger muscle strength * calculated body mass index (BMI) * proprioceptive testing (mirror test, Thumb Location Test) * rehabilitation outcome assessment * functional capacity - Barthel Index, ADL * Ashworth muscle tone (spasticity) * hand dexterity using the Box and Blocks test * hand grip function according to the Frenchay scale * motor function of the hand and upper limb according to the Fugl-Meyer Motor Assessment Scale for Upper Extremity

• Hand grip strength [Срок оценки: First examination - before the start of the rehabilitation program]
• Hand grip strength [Срок оценки: Second examination - at the end of the three-week program]
• Hand grip strength [Срок оценки: Third study (flow-up) - month after Rehabilitation Center discharge, during a follow-up visit]
• pinching strength of the fingers [Срок оценки: First examination - before the start of the rehabilitation program]
• pinching strength of the fingers [Срок оценки: Second examination - at the end of the three-week program]
• pinching strength of the fingers [Срок оценки: Third study (flow-up) - month after Rehabilitation Center discharge, during a follow-up visit]
• Assessment of functional status was assessed using the Barthel Index. The subjects could score the maximum of 100 points. [Срок оценки: First examination - before the start of the rehabilitation program]
• Assessment of functional status was assessed using the Barthel Index. The subjects could score the maximum of 100 points. [Срок оценки: Second examination - at the end of the three-week program]
• Assessment of functional status was assessed using the Barthel Index. The subjects could score the maximum of 100 points. [Срок оценки: Third study (flow-up) - month after Rehabilitation Center discharge, during a follow-up visit]
• Manual skills, assessed with Box and Blocks test; [Срок оценки: First examination - before the start of the rehabilitation program]
• Manual skills, assessed with Box and Blocks test; [Срок оценки: Second examination - at the end of the three-week program]
• Manual skills, assessed with Box and Blocks test; [Срок оценки: Third study (flow-up) - month after Rehabilitation Center discharge, during a follow-up visit]