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Motor neurorehabilitation in patients with epileptic seizures: limitations of methods with proven efficacy in stroke

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Patients with epilepsy may require a neurorehabilitation aid particularly due to developing motor alterations related to stroke, sequelae of traumatic brain injury, multiple sclerosis and  other brain damage. Modern neurorehabilitation approaches  directly or indirectly affect neuroplastic processes altering cerebral cortex excitability, stimulate the afferentation systems,  and result in fatigue and may act as factors provoking seizures or  aggravated epilepsy. In addition, developing seizures may  temporarily coincide but unrelated to the neurorehabilitation  activities: e.g., while omitting antiepileptic drug administration,  sleep deprivation or long-term stress occurring to patient etc. Here we present a review on recent studies aimed at  investigating epilepsy triggers by aligning them with the factors  of interventions used in motor rehabilitation. We also emphasize  the safety data for routine use of the main neurorehabilitation methods as well as propose actions to reduce the risk of developing epileptic seizure.

About the Authors

R. Kh. Lyukmanov
Research Center of Neurology
Russian Federation

Roman Kh. Lyukmanov, MD, PhD, Researcher, Department of Neurorehabilitation and Physiotherapy

Scopus Author ID: 57188594033

WoS ResearcherID: X-5954-2019

RSCI SPIN-code: 2148-6716

80 Volokolamskoye shosse, Moscow 125367

A. A. Rimkevichus
Research Center of Neurology
Russian Federation

Anastasiya А. Rimkevichus, Neurologist, Department of Neurorehabilitation and Physiotherapy

RSCI SPIN-code: 9502-3261

80 Volokolamskoye shosse, Moscow 125367

E. V. Shalimanova
Research Center of Neurology
Russian Federation

Elena V. Shalimanova, Neurologist, 2nd Neurological Department

80 Volokolamskoye shosse, Moscow 125367

K. V. Voronkova
Pirogov Russian National Research Medical University; Central Clinical Hospital, Russian Academy of Sciences
Russian Federation

Kira V. Voronkova, Dr. Med. Sc., Professor; Association of Epileptologists and Patients; Center for Study of Problems of a  Falling Patient in Medicine

RSCI SPIN-code: 1636-7627

1 Ostrovityanov Str., Moscow 117997

1а Litovskiy Blvd., Moscow 117593

N. A. Suponeva
Research Center of Neurology
Russian Federation

Natalya A. Suponeva, Dr. Med. Sc., Corresponding Member of Russian Academy of Sciences, Senior Researcher, Head of
Department of Neurorehabilitation and Physiotherapy

RSCI SPIN-code: 3223-6006

80 Volokolamskoye shosse, Moscow 125367

М. А. Piradov
Research Center of Neurology
Russian Federation

Mikhail A. Piradov, Dr. Med. Sc., Academician of Russian Academy of Sciences, Director

Scopus Author ID: 7003731802

WoS ResearcherID: B-4407-2012

RSCI SPIN-code: 2860-1689

80 Volokolamskoye shosse, Moscow 125367


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For citation:

Lyukmanov R.K., Rimkevichus A.A., Shalimanova E.V., Voronkova K.V., Suponeva N.A., Piradov М.А. Motor neurorehabilitation in patients with epileptic seizures: limitations of methods with proven efficacy in stroke. Epilepsy and paroxysmal conditions. 2021;13(1):51-64. (In Russ.)

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