Biofeedback in Rehabilitation for People with Traumatic Spinal Cord Injury

Бодрова, Р А; Zakamyrdina, A.D.

doi:10.31550/1727-2378-2019-161-6-31-35

2019

DOI: 10.31550/1727-2378-2019-161-6-31-35

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Biofeedback in Rehabilitation for People with Traumatic Spinal Cord Injury

Р А Бодрова¹,

A.D. Zakamyrdina²

Abstract: Цель исследования: оценка возможностей технологий с биологической обратной связью (БОС) у пациентов с травматической болезнью спинного мозга (ТБСМ), занимающихся адаптивной физической культурой (АФК). Дизайн: рандомизированное исследование. Материалы и методы. Обследованы 48 мужчин в возрасте 25,8 ± 2,1 года с ТБСМ (поясничный уровень повреждения, давность травмы от 1,5 года до 6 лет). В группе 1 (n = 18) проводили стандартную терапию, активную механотерапию с БОС под контролем электромиографии (ЭМГ) мышц верх… Show more

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Cited by 2 publications

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Diagnostic Errors of Spinal Cord Injuries in Children with Combined Trauma on the example of Clinical Cases

Novoselova

Ponina

Попова

et al. 2021

Bulletin of Rehabilitation Medicine

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Diagnostic errors of spinal cord injuries with combined trauma in children are facilitated by the patient’s age, which does not allow foran adequate neurological assessment of motor and sensitive disorders, a reduced state of consciousness in severe traumatic brain injury,the lack of modern methods of neuroimaging in primary hospitals, insufficient qualifications and experience of medical personnel. Aim. To demonstrate outcomes of diagnostic errors in traumatic spinal cord injury in children on clinical examples of two patients. Material and methods. The object of observation was children with severe combined trauma, whose post-traumatic spinal cord injurywas missed in the primary hospital. To diagnose the current condition, the following were used: clinical examination with a neurologicalassessment on the ASIA scale, assessment of motor functioning, laboratory monitoring, instrumental examination, ultrasoundmonitoring, X-ray, MRI, CT, CT densitometry, ECG, echocardiography, USDG. In addition, neuropsychological assessment was made so to evaluate cortical functions and to reveal consequences of traumatic brain injury. Results. The cause of errors in the diagnostics of spinal cord injury in children is the underestimation of state severity due to the combinedtype of injury or small age of the child. Conclusion. The experience of the multidisciplinary team of specialists in the diagnosis and medical rehabilitation of children withspinal cord injury missed in the primary hospital indicates the need to conduct a full-fledged neurological examination, CT accordingto the “head to toe” program and MRI, even if there is a slight suspicion of the spinal cord damage.Underestimation of the severity of the child’s condition with concomitant trauma, including spinal cord injury, leads to the deprivationnot only in the motor function restoration, but also to deterioration in the quality of life of the family and to the problems associatedwith patient’s integration into society.

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Diagnostic Errors of Spinal Cord Injuries in Children with Combined Trauma on the example of Clinical Cases

Novoselova

Ponina

Попова

et al. 2021

Bulletin of Rehabilitation Medicine

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Psychophysiological technologies using the biofeedback method: an analytical review

Kostenko,

Kotelnikova,

Pogonchenkova

et al. 2024

Bulletin of Rehabilitation Medicine

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INTRODUCTION. There is high prevalence of post-stroke motor and neuropsychological disorders. However, they are usually considered without interrelation with each other, and rehabilitation methods are also considered in the context of a monodomain effect on specific functions. AIM. To analyze the available scientific evidence on the role of psychophysiological technologies with biofeedback in clinical medicine and medical rehabilitation. MATERIALS. 50 sources were analyzed, 25 of which are high-level evidence-based articles (randomized controlled trials, meta-analyses, systematic reviews) published in databases Elibrary.ru, Medline, Web of Science, PubMed and Scopus for the period of 2009–2024. RESULTS. The complex effect of the BFB method on the physical symptoms and psychological state of patients, as well as the possibility of using physiological indicators for adaptive biofeedback, has been studied. The greatest amount of evidence is available about the positive effect of technology using BFB on the psychoemotional state of patients and the state of the cardiovascular system. Significant results were obtained when using BFB-electromyographic-training in the complex therapy of headache and related emotional disorders. All studies have a high level of reliability of evidence and credibility of recommendations. Great progress has been made in the development of innovative psychophysiological technologies, including the use of hardware and software complexes, electroencephalography and neurointerfaces. CONCLUSION. Psychophysiological technologies with BFB demonstrate effectiveness in the rehabilitation of patients with psychosomatic disorders, borderline conditions and a number of neurological diseases (headache, epilepsy, spinal injury, stroke). Further research is needed to form an evidence base, clarify the mechanisms of action and algorithms of prescriptions, taking into account the physiological and psychological component of the therapeutic or rehabilitation process.

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Biofeedback in Rehabilitation for People with Traumatic Spinal Cord Injury

Cited by 2 publications

References 9 publications

Diagnostic Errors of Spinal Cord Injuries in Children with Combined Trauma on the example of Clinical Cases

Diagnostic Errors of Spinal Cord Injuries in Children with Combined Trauma on the example of Clinical Cases

Psychophysiological technologies using the biofeedback method: an analytical review

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