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

• Published in: Èpilepsiâ i paroksizmalʹnye sostoâniâ (Online) Vol. 13; no. 1; pp. 51 - 64
• Main Authors: Lyukmanov, R. Kh, Rimkevichus, A. A., Shalimanova, E. V., Voronkova, K. V., Suponeva, N. A., Piradov, М. А.
• Format: Journal Article
• Language: English; Russian
• Published: IRBIS LLC 23.04.2021
• Subjects: contraindications in epilepsy; epilepsy; hemiparesis; neurorehabilitation; stroke
• ISSN: 2077-8333; 2311-4088
• DOI: 10.17749/2077-8333/epi.par.con.2021.043

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.