Objective: to study the transformation of arbitrary small motor motions into automated (which form the basis of self-service skills) in the process of restorative education of patients who underwent ischemic stroke. Materials and methods: the material of the study is a sample of patients who underwent ischemic stroke, hemispheric localization (53 people). As a method, a complex of neuropsychological tests, hardware methods of diagnostics and restorative training were used. Results: The dynamics of restoration of small motor motions in automated actions that make up self-care skills for patients who underwent ischemic stroke, regardless of the lateralization profile and hemispheric localization of the lesion focus, is characterized by self-sufficient precision performance of automated small-engine actions that constitute self- service skills. It is established that there is no degeneration of the formed skills in time, provided it is used periodically; as well as a positive motivation to use the formed skills of self-service.