Rehabilitation of patients after stroke using biofeedback and a multidisciplinary approach

Elena  Zharova; Elena  Vershinina; Anastasia  Bondarenko; Olga Titova; Natalya  Vlasova; Anna Oleynik; Victoria  Nezdorovina; Konstantin  Abramov

doi:10.21638/spbu11.2022.201

Authors

Elena Zharova Almazov Medical National Research Centre, 2, ul. Akkuratova, St Petersburg, 197341, Russian Federation
Elena Vershinina Pavlov Institute of Physiology of the Russian Academy of Sciences, 6, nab. Makarova, St Petersburg, 199034, Russian Federation
Anastasia Bondarenko Almazov Medical National Research Centre, 2, ul. Akkuratova, St Petersburg, 197341, Russian Federation
Olga Titova Almazov Medical National Research Centre, 2, ul. Akkuratova, St Petersburg, 197341, Russian Federation
Natalya Vlasova Almazov Medical National Research Centre, 2, ul. Akkuratova, St Petersburg, 197341, Russian Federation
Anna Oleynik Almazov Medical National Research Centre, 2, ul. Akkuratova, St Petersburg, 197341, Russian Federation
Victoria Nezdorovina Almazov Medical National Research Centre, 2, ul. Akkuratova, St Petersburg, 197341, Russian Federation
Konstantin Abramov Almazov Medical National Research Centre, 2, ul. Akkuratova, St Petersburg, 197341, Russian Federation

DOI:

https://doi.org/10.21638/spbu11.2022.201

Abstract

The high prevalence of vascular diseases of the brain (mainly as a result of atherosclerotic vascular lesions) makes the problem of rehabilitation of patients with motor disorders, poststroke disorder of higher mental functions — one of the most relevant in modern medicine. Up to 80 % of stroke patients have persistent neurological deficits. About a quarter of these cases are profound disabilities with loss of self-care. The most complete restoration of functions lost after a stroke can be achieved within the first year after the onset of an acute cerebrovascular accident. At the same time, despite the successes of modern neurorehabilitation,
up to 80 % of stroke patients remain disabled. In this regard, the timely provision of adequate emergency medical care for stroke and full-fledged rehabilitation are among the most important tasks of the healthcare system, clinical neurology and neurosurgery. In this article, for use in the system of complex rehabilitation, a biofeedback method on the Pablo apparatus and sessions with a psychologist are proposed. The obtained positive effect is shown in the results of the study and can be proposed for practical use in specialized clinics.

Keywords:

stroke, rehabilitation, biofeedback, psychotherapy

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References

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