Zaborova Victoria, Fesyun Anatoly, Gurevich Konstantin, Oranskaya Alevtina, Rylsky Alexey, Kryuchkova Kira, Malakhovskiy Vladimir, Shestakov Dmitry
Department of Sports Medicine and Medical Rehabilitation, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia; Sports Adaptology Laboratory, Moscow Institute of Physics and Technology (National Research University), Moscow Region, Dolgoprudniy.
FSBI "National Medical Research Center for Rehabilitation and Resortology" Ministry of Public Health of Russia, Moscow.
Eur J Transl Myol. 2021 Oct 1;31(4):9360. doi: 10.4081/ejtm.2021.9360.
Balance disorders are complications of stroke survivors. Aim of this study was the establish effectiveness of the biofeedback approach. In this intervention study 245 patients with early diagnosis of acute disturbance of cerebral circulation (ADCC) were examined. Patients able to move independently were treated by standard conservative ADCC therapy on an outpatient approach, but they continued to have problems with coordination of movement in upright position. Then they were submitted to an increasing physical activity based on five sessions of biofeedback, i.e., a complex rehabilitation of patients with motor pathology "Trust-M" according to TU 9442-001-63704475-2010. Mobility rates were assessed using a web camera. Patients' quality of life was evaluated by SF-36 questionnaire and the Hospital Anxiety and Depression Scale (HADS). All parameters were recorded before and after 5 sessions of biofeedback. After treatment, the stability indicators improved and all patients showed a significant increase in motion rate and quality of life. At the same time, the severity of pain and of depression and anxiety decreased. Negative correlations of average strength between the quadrant and patient HADS scaling rates were obtained. In conclusion, our work shows effectiveness of the biofeedback technique for correcting coordination in stroke survivors.
平衡障碍是中风幸存者的并发症。本研究的目的是确定生物反馈疗法的有效性。在这项干预研究中,对245例早期诊断为急性脑循环障碍(ADCC)的患者进行了检查。能够独立活动的患者采用门诊标准保守ADCC疗法进行治疗,但他们在直立位时的运动协调仍存在问题。然后,他们接受了基于五节生物反馈的增加体力活动的治疗,即根据TU 9442 - 001 - 63704475 - 2010对运动病理学患者进行“Trust - M”综合康复治疗。使用网络摄像头评估活动率。通过SF - 36问卷和医院焦虑抑郁量表(HADS)评估患者的生活质量。在五节生物反馈治疗前后记录所有参数。治疗后,稳定性指标得到改善,所有患者的活动率和生活质量均显著提高。同时,疼痛、抑郁和焦虑的严重程度降低。获得了象限平均力量与患者HADS评分率之间的负相关性。总之,我们的工作表明生物反馈技术在纠正中风幸存者的协调能力方面是有效的。