Principles and global experience of applying robotic rehabilitation technologies in patients after stroke

Королева, Е. С.; Алифирова, В. М.; Латыпова, А. В.; Чебан, С В; Отт, В А; Brazovskii, Konstantin; Толмачев, И. В.; Бразовская, Н. Г.; Сёмкина, А А; Катаева, Н. Г.

doi:10.20538/1682-0363-2019-2-223-233

Cited by 4 publications

(2 citation statements)

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“…В последнее время для коррекции двигательных функций человека и помощи пациентам в социальной адаптации широко используются роботизированные устройства. Основным принципом реабилитации при использовании таких устройств является двигательное научение [15]. Наиболее физиологически адекватным средством реабилитации при двигательных нарушениях считают экзоскелеты, непосредственно управляющие движениями в суставах конечностей [16].…”

Section: применение роботизированных устройств для коррекции ходьбыunclassified

“…Большинство ИМК, управляющих движением внешнего технического устройства, в качестве ментальных задач используют воображение движений в ответ на внешнюю команду. Управление таким ИМК является эффективной процедурой восстановления двигательных функций у постинсультных и посттравматических больных [15].…”

Section: интерфейсы «мозг -компьютер» и их использование для реабилитunclassified

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Rehabilitation possibilities for children with cerebral palsy through the use of robotic devices and biofeedback

et al. 2020

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Среди заболеваний нервной системы главной причиной детской инвалидности является детский церебральный паралич [1, 2]. В Российской Федерации распространенность зарегистрированных случаев ДЦП составляет 2,2-3,3 случая на 1 000 новорожденных [3]. В современной литературе ДЦП характеризуют как группу непрогрессирующих синдромов, широко варьирующих по этиологии, манифестации клинических проявлений, их тяжести и прогнозу, обусловленных нарушением развития или повреждением двигательных центров головного мозга ребенка в антенатальном, интранатальном или неонатальном пе

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Section: применение роботизированных устройств для коррекции ходьбыunclassified

Section: интерфейсы «мозг -компьютер» и их использование для реабилитunclassified

Rehabilitation possibilities for children with cerebral palsy through the use of robotic devices and biofeedback

et al. 2020

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Activation of sensorimotor integration processes with a brain-computer interface

Rubakova

Ivanova

Bulatova

2021

BRSMU

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A BCI-controlled hand exoskeleton activates neuroplasticity mechanisms, promoting motor learning. The contribution of perception to this phenomenon is understudied. The aim of this study was to assess the impact of sensorimotor integration on the effectiveness of neurorehabilitation based on the learning of a hand opening movement by stroke patients using BCI and to investigate the effect of ideomotor training on spasticity in the paretic hand. The study was conducted in 58 patients (median age: 63 (22; 83) years) with traumatic brain injury, ischemic (76%) or hemorrhagic (24%) stroke in the preceding 2 (1.0; 12.0) months. The patients received 15 (12; 21) ideomotor training sessions with a BMI-controlled hand exoskeleton. Hand function was assessed before and after rehabilitation on the Fugl–Meyer, ARAT, Frenchay, FIM, Rivermead, and Ashworth scales. An increase in muscle strength was observed in 40% of patients during flexion and extension of the radiocarpal joint and in 29% of patients during the abduction and adduction of the joint. Muscle strength simultaneously increased during the abduction and adduction of the radiocarpal joint (p < 0.004). Ideomotor training is ineffective for reducing spasticity because no statistically significant reduction in muscle tone was detected. Improved motor performance of the paretic hand was positively correlated with improvements in daily activities. Motor training of the paretic hand with a robotic orthosis activates kinesthetic receptors, restores sensation and improves fine motor skills through better sensorimotor integration.

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The Results of Targeted Training in the Rehabilitation of Patients with a Combination of Motor and Speech Disorders

Yastrebtseva,

Biryukov,

Belova

et al. 2023

Bulletin of Rehabilitation Medicine

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AIM. To evaluate the effectiveness of using a rehabilitation glove in patients with central paresis of the arm and motor aphasia due to ischemic stroke, and also to study the rate of motor production in the upper limb in these patients. MATERIALS AND METHODS. We examined 49 patients with hemiparesis and motor aphasia in the early recovery period of ischemic stroke in the left middle cerebral artery. Depending on the fact of conducting training with the use of a rehabilitation glove, patients were randomly distributed into two groups (1, where this training option was implemented, and 2 — without it), comparable in the severity of motor and speech disorders. Within each of them, patients were additionally divided into subgroups, depending on the degree of paresis in the distal part of the affected upper limb: L-mild (in group 1L — 18 people, 2L — 16) and U-moderate (in group 1U — 8, and 2U — 7 patients). On days 1 and 10 of training, all patients underwent functional testing. Treatment and rehabilitation were carried out according to the order of care. Patients of groups 1L and 1U additionally received a course of 10 sessions, including 2 exercises of 15 minutes each for a paretic arm 5 times a week. RESULTS. Patients of groups 1L and 1U demonstrated statistically significant improvements in the Medical Research Committee Scale, the ARAT Arm Motor Activity Test, the Wasserman Speech Impairment Rating Scale, and the Montreal Cognitive Function Rating Scale. According to amplitude indicators, there was a tendency towards their increase in all groups. A decrease in the number of errors and an increase in the percentage of correct task completion accompanied the development of a motor act. They stabilized in patients with mild paresis of the hand by 5–6 sessions and in patients with moderate paresis by 6–7 sessions. CONCLUSION. In patients with mild to moderate paresis of the right hand in combination with motor aphasia in the early recovery period of ischemic stroke, when using a rehabilitation glove, there was an improvement in the strength and motor activity of the paretic hand, cognitive functions and speech. Stabilization of task performance indicators should be taken into account when determining the duration of training and timely correction of the motor rehabilitation program.

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Principles and global experience of applying robotic rehabilitation technologies in patients after stroke

Cited by 4 publications

References 45 publications

Rehabilitation possibilities for children with cerebral palsy through the use of robotic devices and biofeedback

Rehabilitation possibilities for children with cerebral palsy through the use of robotic devices and biofeedback

Activation of sensorimotor integration processes with a brain-computer interface

The Results of Targeted Training in the Rehabilitation of Patients with a Combination of Motor and Speech Disorders

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