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Aim. To study the biomechanical peculiarities of orthopedic disorders in patients after cerebral stroke and estimate possibilities for their correction. Materials and methods. One hundred and thirty two persons in the late rehabilitation period after the cerebral stroke were examined. The state of loco-motor system biomechanics was assessed, using the rehabilitation complexes “TRUST-M” and “ST-150”. Results. The late rehabilitation period of stroke was characterized by decrease in walking rate and time, rise in step cycle. Speed of movement was disturbed. Combined pain, spasticity, contracture and functional asymmetry of the extremities length determined the formation of individual variant of patient’s pathological locomotor stereotype. When implementing correlation analysis, marked correlation between the severity of orthopedic disorders and the asymmetry of pelvis and extremities length was detected. To correct biomechanical disorders, it was recommended to use complex orthopedic treatment by means of prosthetic-orthopedic devices, which permitted to move and provided stable holding of extremity segments in the desired position. Conclusion. 1. Biomechanical indices characterize the severity of orthopedic pathology in the late rehabilitation period following cerebral stroke. 2. Biomechanical disorders are connected with decreased walking rate and time, raised step cycle, impaired speed of movement. 3. Timely biomechanical orthopedic diagnosis and adequacy of applying prosthetic-orthopedic devices guarantee efficiency of rehabilitation measures in patients after cerebral stroke.

The stabilometric results reflect the stages of the formation of the persistent pathological static/locomotor stereotype and compensatory mechanisms for the low extremity dysfunction.

Prolonged observations of 157 children with spastic forms of childhood cerebral palsy (CCP) were used to construct a mathematical regression model for motor development in relation to the severity of the course and outcome of the condition. Mathematical relationships were established reflecting dysneuroontogenesis of the suprasegmental regulatory systems. Data obtained from complex electroencephalogram and electroneuromyogram studies, along with assessments of autonomic nervous system function, demonstrated a role for intra-and intersystem disintegration of the limboreticular complex in decreases adaptive capacity and rehabilitation potential of patients with CCP. This was used to identify the principles of a pathogenetically based adaptive-regulatory approach to the rehabilitation of this category of patients, based on the need to correct the functional state of non-specific brain systems to create the neurodynamic suprasegmental and segmental adaptive-energetic and adaptive-immunoregulatory prerequisites for forming and supporting specific psychomotor functions.