Petrova L V, Kostenko E V, Pogonchenkova I V, Rylsky A V, Kamchatnov P R
Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine, Moscow, Russia.
Pirogov Russian National Research Medical University, Moscow, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2023;123(3. Vyp. 2):58-67. doi: 10.17116/jnevro202312303258.
To evaluate the effectiveness of a comprehensive rehabilitation program with the inclusion of programmable FES and BFB-stabilometric training in patients with post-stroke statolocomotor disorders in the late recovery period of ischemic stroke (IS).
The study included 120 patients in the late recovery period of IS, 57 women and 63 men, average age 58.4±6.4 years. The duration of the stroke was 228.59±31.9 days. The main group (MG) included 30 patients who underwent FES and BFB-stabilometric training. Comparison group 1 (CG1, =30) received computer stabilometric training with BFB. Comparison group 2 (CG2, =30) received FES. The control group (CG3, =30) received a standard rehabilitation program. MR programs were carried out for all patients in the amount of 15 procedures every other day (5 weeks).
The complex of rehabilitation measures with the inclusion of FES and BFB-stabilometric training significantly improve the function of walking in the form of restoration of the motor stereotype by the 5th week of the study, which was confirmed by neurological scales and stabilometry data.
The inclusion of FES and BFB-stabilometric training methods in the rehabilitation process leads to earlier motor adaptation of the patient, restoration of impaired balance function and quality of life, which is associated with an increase in plastic and associative processes of the brain.
评估在缺血性中风（IS）恢复期后期，包含可编程功能性电刺激（FES）和生物反馈平衡训练（BFB）的综合康复计划对中风后静态运动障碍患者的有效性。
该研究纳入了120例IS恢复期后期的患者，其中女性57例，男性63例，平均年龄58.4±6.4岁。中风病程为228.59±31.9天。主要组（MG）包括30例接受FES和BFB平衡训练的患者。比较组1（CG1，n = 30）接受带有BFB的计算机平衡训练。比较组2（CG2，n = 30）接受FES。对照组（CG3，n = 30）接受标准康复计划。所有患者均每隔一天进行15次康复程序（共5周）。
在研究的第5周，包含FES和BFB平衡训练的综合康复措施通过恢复运动刻板印象，显著改善了步行功能，这在神经学量表和平衡测量数据中得到了证实。
在康复过程中纳入FES和BFB平衡训练方法可使患者更早地实现运动适应，恢复受损的平衡功能和生活质量，这与大脑可塑性和联想过程的增加有关。
