METHOD OF REHABILITATION OF PATIENTS WITH POST-STROKE DISTURBANCES Russian patent published in 2019 - IPC A61H1/00 A61H23/00 A61M21/00 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely neurology, and can be used in rehabilitation of patients with postinsultaneous cerebral disorders. That is ensured by exercising on an exoskeletal hand controlled by a brain-computer interface. 3 cycles of training day for 10 minutes each cycle are performed. On the monitor screen, a mental task is set for imagining opening of the right, left hand and relaxation process. For this purpose, in the centre of the monitor there is a circle for concentration of attention and 3 arrows, which represent the right and left hand and rest. If imagining motion, hands should remain immobile. Further, the skill of kinesthetic hand motion imagination is fixed in occupations with a speech therapist, in which the patient speaks out the evaluation of its action in dynamics, selecting words, forming phrases for characterizing their actions. After occupying the speech therapist, training is immediately carried out on a stabilometric platform with biological feedback for 3–5 minutes, using visual and auditory canals during the training, for this purpose, patient, being on stabilometric platform in front of monitor and moving his body relative to feet, must combine its pressure centre (PC), demonstrated to him on screen in form of cursor with target, holding PC in centre of target or moving it. Then, continuing classes on stabilometric platform, at the same time lessons are conducted with speech therapist, in which patient first comments on his actions on stabilometric platform for 3–5 minutes, and then same occupation is continued in question-response form for 7–10 minutes. That is followed by prescribing a vibration therapy at frequency of 10–100 Hz for 10–15 minutes in the form of an alternating vibration of arms and legs every second day. In 1–2 hours cognitive trainings are carried out using computer programs or desktop visual material in the form of solving problems on account, memory, constructive-spatial thinking, attention for 15–30 minutes. General course is 8–10 procedures.

EFFECT: method provides effective neurorehabilitation by potentiating effects of brain processes accompanying complex multimodal stimulation, reducing cognitive and motor deficits, reducing the duration of rehabilitation treatment and improving the resocialisation process following a stroke.

1 cl, 2 ex