Background. The significance of this study becomes more relevant due to the higher incidence and complication of dysphagia in patients with severe brain damage as a result of stroke, traumatic brain injury, and other diseases and injuries. Purpose The study aimed to assess the effectiveness of the new stimulating method - "passive-active logopedic cryomassage" for restoring impaired swallowing function (dysphagia) in patients with severe brain injury, used in the system of speech therapy measures at the early stage of rehabilitation in the neurointensive care unit. Methods. The study involved 96 patients with dysphagia caused by severe brain damage, who received speech therapy assistance aimed at restoring the impaired swallowing function in a system of early rehabilitation measures carried out in a neurorehabilitation department. The severity of dysphagia was evaluated using an integrative assessment of swallowing function scale. Results. The practice of using the new method developed in combination with thermal and tactile stimulation: "passive-active logopedic cryomassage" indicated its higher efficiency in comparison with the traditionally used methods of speech therapy stimulation. In the course of this study, there were three categories of patients: patients with a rapid positive effect, patients with a delayed effect, and patients with no apparent positive effects. There was an analysis of all possible causes of different therapeutic effects. Conclusion. This new method of combined thermal and tactile stimulation - "passive-active logopedic cryomassage" can be recommended with all its indications and contraindications for widespread use in the clinical practice assisting speech therapists in the restoration of impaired swallowing function in patients with severe brain injury

Among the innovative technologies of medical care for citizens with impaired consciousness, a special place is occupied by the technology of mobile rehabilitation service (MRS), with the help of which a wide range of patients are served at home, and their relatives and friends receive extensive counseling. The practice of the Federal State Budgetary Institution Federal Scientific and Clinical Center for Resuscitation and Rehabilitation indicates the high efficiency of mobile rehabilitation in this category of patients. Positive experience can be developed, incl. due to the use of telemedicine after completion of the main rehabilitation course. The methodology, in which online sessions and consultations are conducted using video conferencing technology, can significantly increase the territorial coverage of MRS patients, and ensure the continuity of rehabilitation. A special place is given to the interaction of a speech therapist with patients and their relatives, in the framework of which the course of medical and social rehabilitation is continuing. It is stated that the use of telemedicine contributes to the development of remote rehabilitation of handicapped patients with impaired consciousness at home. The accumulated experience allows us to recommend the extensive use of a combination of technologies of MPC and telemedicine, thereby greatly expanding the rehabilitation potential of a significant number of patients at home. It seems expedient to scale up and replicate the experience of MRS FNKC RR within the framework of medical rehabilitation institutions in the country, as well as to raise discussion about the possibilities of expanding the practice of distance counseling and receptions to other stages of mobile rehabilitation.