EFFICACY OF COMPLEX NEUROREHABILITATION OF PATIENTS WITH A POST-STROKE ARM PARESIS WITH THE USE OF A BRAIN-COMPUTER INTERFACE+EXOSKELETON SYSTEM
| Autor: | A. A. Frolov, E. V. Biryukova, P. D. Bobrov, M. E. Kurganskaya, O. G. Pavlova, A. A. Kondur, L. G. Turbina, S. V. Kotov |
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| Jazyk: | ruština |
| Rok vydání: | 2016 |
| Předmět: | |
| Zdroj: | Alʹmanah Kliničeskoj Mediciny, Vol 44, Iss 3, Pp 280-286 (2016) |
| Druh dokumentu: | article |
| ISSN: | 2072-0505 2587-9294 |
| DOI: | 10.18786/2072-0505-2016-44-3-280-286 |
| Popis: | Background: Rehabilitation of patients with poststroke motor disorders with the use of a brain-computer interface (BCI)+exoskeleton may raise the rehabilitation to a new high-tech level and allow for an effective correction of the post-stroke dysfunction. Aim: To assess the efficacy of BCI+exoskeleton procedures for neurorehabilitation of patients with post-stroke motor dysfunction. Materials and methods: The study included 40 patients with a history of cerebral stroke (mean age 59±10.4 years, 26 male and 14 female). Thirty six of them had had an ischemic stroke and 4, a hemorrhagic stroke from 2 months to 4 years before the study entry. All patients had a various degree post-stroke hemiparesis predominantly of the arm. The main group patients (n=20), in addition to conventional therapy, had 10 sessions (3 times daily) of BCI+exoskeleton. The BCI recognized the hand ungripping imagined by the patient and, by a feedback signal, the exoskeleton exerted the passive movement in the paretic arm. The control group patients (n=10) had 10 BCI+exoskeleton sessions without imaginary movements, and the exoskeleton functioned in a random mode. The comparison group included 10 patients who received only standard treatment. Results: At the end of rehabilitation treatment (day 14), all study groups demonstrated an improvement in the function of the paretic extremity. There was an improvement of functioning and daily activities in the main group, compared to the control and the comparison groups: the change in the modified Rankin scale score was 0.4±0.1, 0.1±0.1 and 0±0.2 (p |
| Databáze: | Directory of Open Access Journals |
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