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  • Оценка эффективности тренировки динамической координации у пациентов с инфарктом головного мозга

Оценка эффективности тренировки динамической координации у пациентов с инфарктом головного мозга

В.А. Лукашевич, В.В. Пономарев, С.В. Губкин, М.И. Тарасевич, С.А. Малков, Е.В. Выблова Медицинский центр «ЭЛАР» г. Минск, Институт повышения квалификации и переподготовки кадров здравоохранения УО «Белорусский государственный медицинский университет», УО «Белорусский государственный медицинский университет», УЗ «2 городская клиническая больница г. Минска»
DOI:  https://doi.org/10.51922/1818-426X.2024.2.37
2024 №2 | Лекции
Аннотация
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Вопросы медицинской реабилитации пациентов после мозговой катастрофы остаются актуальными по ряду социально-экономических аспектов. Цель исследования состояла в изучении влияния комплексного лечения и медицинской реабилитации пациентов с инфарктом головного мозга основанного на новом методе тренировки динамической координации. В исследовании приняло участие 62 пациента с установленным диагнозом инфаркт головного мозга, рандомизированные в контрольную (n = 29) и основную (n = 33) исследовательские группы. Всем участникам исследования до начала лечения и после его окончания проводилось клиническое тестирование с применением клинических шкал. Для выполнения новой реабилитационной методики в основной группе применялась роботизированная экзоплатформа собственной разработки. В результате клинической апробации установлено, что новый метод повышает эффективность программы комплексной терапии на 37 % (р = 0,008), за счет улучшения функции ходьбы, а также нейромышечных скелетных и связанных с движением функций (OR = 1,37; 95 %CI: 1,1–1,78).

Ключевые слова:
адаптивная кинезитерапия, инфаркт головного мозга, медицинская реабилитация, роботизированная экзоплатформа, эффективность реабилитации
Assessment of the effectiveness of dynamic coordination training in patients with brain infarction

The issues of medical rehabilitation of patients after the brain disaster remain relevant in a number of socio-economic aspects. The purpose of the study was to study the effect of complex treatment and medical rehabilitation of patients with a heart attack of the brain based on the new method of training dynamic coordination. The study was attended by 62 patients with a diagnosis of cerebral infarction, randomized in the control (n = 29) and the main (n = 33) research groups. All participants in the study before the start of treatment and after its completion, clinical testing using clinical scales was carried out. To perform a new rehabilitation technique for dynamic coordination training, a robotic exoplatform was used. As a result of clinical testing, it was established that the new method increases the effectiveness of the complex therapy program regulated by the standards of medical care by 37 % (p = 0.008), due to significant effects on the state of walking and neuromuscular skeletal and associated movement functions (OR = 1.37; 95 %CI: 1.1–1.78).

Keywords
adaptive kinesitherapy, brain heart attack, medical rehabilitation, robotic exoplatform, rehabilitation effectiveness

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