FIELD: medicine.
SUBSTANCE: invention relates to medicine, specifically to neurology, and can be used in rehabilitation measures in patients with motor disorders. Versions of the method of rehabilitation by means of conducting physical therapy sessions with feedback are disclosed. In the first version, feedback in the process of exercise therapy is carried out by means of partial immersion of the subject in a virtual environment by means of a non-contact infrared sensor, while on the screen of a monitor a third person immersion is created in front of the subject, specifically the visibility of the repetition of movements by the character, performed by the subject in reality. In the second version, feedback is carried out by completely immersing the subject in a virtual environment through virtual reality glasses or a virtual reality helmet or a room with panoramic screens, while in front of the subject the effect of immersion from the first person is created. Session is divided into 3 parts first – exercises aimed at restoring the motor function of the hand, second – movements, aimed at restoring the motor function of the leg and static balance, third – exercises aimed at restoring coordination of the upper and lower extremities in space. During the physical therapy exercises, the level of the patient's initial motor activity is assessed by drawing the arm to the side with the maximum possible amplitude, raising the arm in front of the patient with the maximum possible amplitude, leading and bringing the raised hand to the sides to determine the right and left boundaries, the maximum possible flexion and extension of the arm in the elbow joint, flexion of the hip and knee in front of the patient with the maximum possible amplitude, moving the leg to the side with the maximum possible amplitude, tilting the body to the right and left, forward and backward, taking it as 100 %. Upon its achievement during the exercise, the required level of activity is raised by 10 % or more relative to the initial level, thereby realising virtual sensory stimulation. Duration of one session of therapeutic exercise is no more than 45 minutes.
EFFECT: method provides effective restoration of motor activity due to enhanced virtual feedback through immersion in virtual reality, from both the third and first person, and the use of a virtual environment for targeted motor training.
2 cl, 2 ex
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Authors
Dates
2018-02-26—Published
2017-03-30—Filed