METHOD OF MULTIMODAL CORRECTION OF MOTOR AND COGNITIVE DISORDERS IN PATIENTS WHO HAVE SUFFERED ISCHEMIC STROKE Russian patent published in 2024 - IPC A61H1/00 A61N1/36 A61H39/00 A63F13/285 

FIELD: medicine; restorative medicine; physical rehabilitation medicine; neurology.

SUBSTANCE: invention can be used in the complex rehabilitation of patients who have suffered ischemic stroke (IS) in the early and late recovery periods. First, training is used on a stabilometric platform with biofeedback on the support reaction using visual and auditory analyzers. Next, functional programmable electrical stimulation of the neuromuscular apparatus is carried out using Trust M gait simulator hardware and software complex, Nevrokor LLC (Russia). Next, in case of mild paresis of the muscles of the upper limb and moderate paresis without a significant increase in muscle tone, object-manipulative activity training is carried out to restore fine movements of the hand on SensoRehab glove-simulator (SensoMed, Russia), in case of severe and moderate paresis of the upper limb — using Exohand-2 neural interface with EEG recording (Android Technology, Russia). The course is finished with cognitive-motor training with dual and triple tasks in a virtual environment. The course of multimodal rehabilitation of patients in the early and late recovery periods of ischemic stroke includes 15 visits, 2–3 times a week, lasting 2–3 hours. Between techniques, the patient is given a mandatory rest for 15–20 minutes with blood pressure monitoring and tele-ECG monitoring.

EFFECT: method ensures an increase in the effectiveness of rehabilitation by developing a multimodal program for the restoration of motor, cognitive, and psychological deficits in patients in the early and late recovery periods of IS, as well as an increase in motor activity by the time of completion of outpatient rehabilitation, an improvement in emotional and cognitive status, an increase in the ability to self-care, and quality of life, optimization of the process of social integration of patients into a socially useful environment.

6 cl, 2 ex