THE EFFECT OF PSYCHOMOTOR THERAPY ON FUNCTIONAL RECOVERY IN POST-ISCHEMIC STROKE REHABILITATION: A LITERATURE REVIEW

Authors

  • Maftuna Bakhtiyor qizi Ibodulloyeva
  • Zarifboy Rajabovich Ibodullayev

Keywords:

ischemic stroke, neurorehabilitation, psychomotor therapy, neuroplasticity, sensorimotor integration, task-oriented therapy, proprioceptive neuromuscular facilitation, constraint-induced movement therapy, robot-assisted rehabilitation.

Abstract

This literature review is devoted to the analysis of contemporary approaches applied in post-stroke rehabilitation. It highlights the global epidemiological and social significance of stroke and emphasizes that stroke remains one of the leading neurological conditions causing long-term functional limitations. The review summarizes theoretical perspectives on stroke pathogenesis, neuroplasticity, sensorimotor integration, and mechanisms underlying recovery of the central nervous system. In addition, the effectiveness of task-oriented therapy, proprioceptive neuromuscular facilitation, constraint-induced movement therapy, and robot-assisted rehabilitation has been examined.

The analysis indicates that psychomotor therapy may contribute to improvements in balance, coordination, and motor control; however, its comprehensive effects on motor, cognitive, and psychoemotional functioning remain insufficiently investigated. Furthermore, a lack of clinical studies addressing this therapeutic approach within the Central Asian population has been identified.

References

Albaret, J.-M., & Soppelsa, R. (2010). Précis de rééducation de la motricité manuelle (2e éd.). Marseille, France: Solal. pp. 11–27, 64–92, 145–168

Alonso-Béker, S., & Ragon, I. (2024). Méthode de recherche en psychomotricité. Louvain-la-Neuve, Belgium: De Boeck Supérieur. pp. 17–34, 56–78, 121–139

Dildora Khaydarova, Alibek Samadov. Optimization of neuroprotective therapy for ischemic stroke in the acute period. Журнал неврологии и нейрохирургических исследований. 2021/10/17

Ayerbe, L., Ayis, S., Wolfe, C. D. A., & Rudd, A. G. (2014). Natural history, predictors and outcomes of depression after stroke: A systematic review and meta-analysis. British Journal of Psychiatry, 202(1), 14–21. https://doi.org/10.1192/bjp.bp.111.107664

Khaydarova Dildora Kadirovna, Samadov Alibek Uktamovich. Current issues in the development of neuroprotective therapy in ischemic stroke. International Scientific Research Journal (WoS) 2021

Adler, S. S., Beckers, D., & Buck, M. (2014). PNF in practice: An illustrated guide (4th ed.). Springer.

Dildora K Khaydarova. Сlinical implications of epidemiological and risk factor models for stroke in CKD. Central Asian Journal of Medicine. 2026/1/28. Р-154-156

American Heart Association/American Stroke Association. (2016). Guidelines for adult stroke rehabilitation and recovery. Stroke, 47(6), e98–e169. https://doi.org/10.1161/STR.0000000000000098

Cramer, S. C., Sur, M., Dobkin, B. H., et al. (2011). Harnessing neuroplasticity for clinical applications. Brain, 134(6), 1591–1609. https://doi.org/10.1093/brain/awr039

Dirnagl, U., Iadecola, C., & Moskowitz, M. A. (1999). Pathobiology of ischemic stroke: An integrated view. Trends in Neurosciences, 22(9), 391–397. https://doi.org/10.1016/S0166-2236(99)01401-0

Dromerick, A. W., Lang, C. E., Birkenmeier, R., et al. (2009). Very early constraint-induced movement during stroke rehabilitation (VECTORS): A single-center RCT. Neurology, 73(3), 195–201. https://doi.org/10.1212/WNL.0b013e3181ab2b27

European Stroke Organisation. (2021). Guidelines for stroke management and rehabilitation. European Stroke Journal, 6(2), I–LXII. https://doi.org/10.1177/23969873211012121

GBD 2019 Stroke Collaborators. (2021). Global, regional, and national burden of stroke and its risk factors, 1990–2019. The Lancet Neurology, 20(10), 795–820. https://doi.org/10.1016/S1474-4422(21)00252-0

Gallese, V., & Sinigaglia, C. (2011). What is so special about embodied simulation? Trends in Cognitive Sciences, 15(11), 512–519.

Gallagher, S. (2005). How the body shapes the mind. Oxford University Press. pp. 24-56.

Gonzalez-Hoelling, S., et al. (2024). The effects of rhythmic auditory stimulation on functional ambulation after stroke: A systematic review. [Journal/PMC article]. https://pmc.ncbi.nlm.nih.gov/articles/PMC10799424/

Kleindorfer, D. O., et al. (2021). 2021 guideline for the prevention of stroke in patients with stroke and transient ischemic attack. Stroke, 52(7), e364–e467. https://doi.org/10.1161/STR.0000000000000375

Kwakkel, G., Kollen, B., & Krebs, H. (2008). Effects of robot-assisted therapy on upper limb recovery after stroke: A systematic review. Neurorehabilitation and Neural Repair, 22(2), 111–121. https://doi.org/10.1177/1545968307305457

Kleim, J. A., & Jones, T. A. (2008). Principles of experience-dependent neural plasticity: Implications for rehabilitation after brain damage. Journal of Speech, Language, and Hearing Research, 51(1), S225–S239. https://doi.org/10.1044/1092-4388(2008/018)

Langhorne, P., Bernhardt, J., & Kwakkel, G. (2011). Stroke rehabilitation. The Lancet, 377(9778), 1693–1702. https://doi.org/10.1016/S0140-6736(11)60325-5

Luria, A. R. (1973). The working brain: An introduction to neuropsychology. New York: Basic Books. pp 12-19, 21-25, 34-40.

Mehrholz, J., Pohl, M., Platz, T., Kugler, J., & Elsner, B. (2018). Electromechanical and robot-assisted arm training for improving activities of daily living after stroke. Cochrane Database of Systematic Reviews, 9, CD006876. https://doi.org/10.1002/14651858.CD006876.pub5

Pollock, A., Farmer, S. E., Brady, M. C., et al. (2014). Interventions for improving upper limb function after stroke. Cochrane Database of Systematic Reviews, 11, CD010820. https://doi.org/10.1002/14651858.CD010820.pub2

Pireyre, C., & Michel, F. (2019). Psychomotor therapy and neurorehabilitation: Clinical perspectives. Annals of Physical and Rehabilitation Medicine, 62(4), 261–267. https://doi.org/10.1016/j.rehab.2019.03.005

Shumway-Cook, A., & Woollacott, M. H. (2017). Motor control: Translating research into clinical practice (5th ed.). Wolters Kluwer. pp 13-20, 37-45.

Shu, Y., et al. (2022). Effect of dual-task training on gait and balance in stroke patients: An updated meta-analysis. [Journal—PubMed record]. https://pubmed.ncbi.nlm.nih.gov/35363622/

Shah, S. R., et al. (2022). Effectiveness of pelvic proprioceptive neuromuscular facilitation techniques on trunk stability and gait parameters in stroke patients: [Review/clinical evidence]. [LWW journal page]. https://journals.lww.com/mjdy/fulltext/2022/15040/effectiveness_of_pelvic_proprioceptive.9.aspx

Su, J.-W., Stafford, M., Kontopantelis, E., et al. (2025). Post-stroke psychological therapy services and outcomes: A national record-linkage study. npj Stroke, 1(4). https://doi.org/10.1038/s44325-025-00023-9

Taub, E., Uswatte, G., & Pidikiti, R. (1999). Constraint-induced movement therapy: A new family of techniques with broad application to physical rehabilitation. Journal of Rehabilitation Research and Development, 36(3), 237–251.

Virani, S. S., et al. (2023). Heart disease and stroke statistics—2023 update. Circulation, 147(8), e93–e621. https://doi.org/10.1161/CIR.0000000000001123

World Stroke Organization. (2022). Global stroke fact sheet 2022. https://www.world-stroke.org

Ward, N. S. (2017). Restoring brain function after stroke - Bridging the gap between animals and humans. Nature Reviews Neurology, 13(4), 244–255. https://doi.org/10.1038/nrneurol.2017.34

Winstein, C. J., Stein, J., Arena, R., et al. (2016). Guidelines for adult stroke rehabilitation and recovery. Stroke, 47(6), e98–e169. https://doi.org/10.1161/STR.0000000000000098

Wade, D. T., & Halligan, P. W. (2017). The biopsychosocial model of illness. Clinical Rehabilitation, 31(8), 995–1004.

Wilson, M. (2002). Six views of embodied cognition. Psychonomic Bulletin & Review, 9(4), 625–636.

Winstein, C. J., Stein, J., Arena, R., et al. (2015). Guidelines for adult stroke rehabilitation and recovery: A guideline for healthcare professionals. Stroke, 47(6), e98–e169. https://doi.org/10.1161/STR.0000000000000098

Zhang, L., et al. (2024). Cognitive-motor dual-task training on gait and balance in stroke patients: Meta-analytic report and trial sequential analysis of randomized clinical trials. Journal of NeuroEngineering and Rehabilitation. https://doi.org/10.1186/s12984-024-01507-6

Zhang, M., et al. (2025). Global burden and risk factors of stroke in young adults. Journal of the American Heart Association.

Zeiler, S. R., & Krakauer, J. W. (2013). The interaction between training and plasticity after stroke. Current Opinion in Neurology, 26(6), 609–616. https://doi.org/10.1097/WCO.0000000000000025

Published

2026-03-24