METHOD FOR ASSESSING RESPONSE TO SURGICAL MANAGEMENT IN PATIENTS SUFFERING FROM MOTOR DISTURBANCES Russian patent published in 2014 - IPC A61B5/103 

FIELD: medicine.

SUBSTANCE: examined individual is tested prior to and after a surgical management, on a stabilographic platform; stabilographic values are read, recorded, processed and analysed using computer-assisted techniques. Frontal and sagittal coordinates obtained prior to and after the surgical management are used to determine parametric and visual changes in shapes: a three-dimensional histogram of the occurrence frequency of certain length and rate intervals; two-dimensional histogram of the occurrence frequency of a certain length interval, the occurrence frequency of certain rates for all intervals and for each length separately; a diagram of an interval rate and length dispersion, a departure of which from normal values characterises a degree of motor disturbances; change values and directions describing improving or deteriorating the patient's bone-articular, muscular and nervous conditions; that is ensured by drawing the above histograms and diagrams to determine their shape, statistical parameters and structural characteristics. The results prior to and after the surgical management are compared. The variations of the size and positions of the value ranges, the change directions, as well as the visual changes of histogram and diagram shapes are stated to describe the responses to the surgical management. The nervous changes are described by shape variations of the three-dimensional histogram surface related to the interval lengths. Reducing the range of intervals testifies to functional insufficiency of the nervous system in general, while the absence of the intervals of a certain length, or a disturbed bell-shaped shape of the histograms of the rates therefor testifies to the absence of closed reflex rings with respective periods of cycles or their pathological reconstruction. The muscular changes are described by the variations of rate dispersion ranges for all intervals, and for specific discrete lengths; reducing the ranges for all intervals in relation to the norm testifies to the muscular deficiency. The bone-articular changes are described by reducing or increasing an asymmetry of the three-dimensional histogram shape in general or displacing the middle rate variation ranges from a zero value for the certain length intervals; the asymmetry testifies to a bone-articular pathology.

EFFECT: method enables the fast and objective assessment of the consequences of the surgical management for a specific patient from the point of view of motor disturbance correction in general, as well as variations of the bone-articular, muscular and nervous system functioning.

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