Технология компьютерной стабилографии с биологической обратной связью в процессе реабилитации пациентов с парапротеинемической полинейропатией

Алексей Александрович Яковлев; Артем Сергеевич Лелёкин; Андрей Геннадьевич Смочилин; Мария Васильевна Яковлева; Роман Андреевич Гапешин; Елена Сергеевна Тарабанова

doi:10.21638/11701/spbu11.2018.205

Authors

Алексей Александрович Яковлев Pavlov First St. Petersburg State Medical University, 6–8, ul. Lʼva Tolstogo, St. Petersburg, 197022, Russian Federation ; North-Western State Medical University named after I. I. Mechnikov, 41, Kirochnaya ul., St. Petersburg, 191015, Russian Federation
Артем Сергеевич Лелёкин Pavlov First St. Petersburg State Medical University, 6–8, ul. Lʼva Tolstogo, St. Petersburg, 197022, Russian Federation
Андрей Геннадьевич Смочилин Pavlov First St. Petersburg State Medical University, 6–8, ul. Lʼva Tolstogo, St. Petersburg, 197022, Russian Federation;St. Petersburg State University, 7–9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation
Мария Васильевна Яковлева Pavlov First St. Petersburg State Medical University, 6–8, ul. Lʼva Tolstogo, St. Petersburg, 197022, Russian Federation
Роман Андреевич Гапешин Pavlov First St. Petersburg State Medical University, 6–8, ul. Lʼva Tolstogo, St. Petersburg, 197022, Russian Federation
Елена Сергеевна Тарабанова Pavlov First St. Petersburg State Medical University, 6–8, ul. Lʼva Tolstogo, St. Petersburg, 197022, Russian Federation

DOI:

https://doi.org/10.21638/11701/spbu11.2018.205

Abstract

The paper presents the experience of using the technology of computer stabilometry with biologic feedback in the rehabilitation of patients with paraproteinemic polyneuropathy. In the process of observation of 16 patients with clinical manifestations of peripheral neuropathy associated with paraproteinemia, verified by neurological exam, electroneuromyography, and laboratory tests, demonstrated diagnostic and rehabilitation efficiency in the use of stabilometric systems in the evaluation of neurological deficit and the process restoring balance equilibrium, coordination of movements and sensitivity. Received a statistically significant improvement in the balance of equilibrium in the form of a lower coefficient of Romberg
from 670 to 295 % (p<0,05) on the background of drug therapy (neurometabolic drugs and vitamins) and a course of ten workout routines on stabiloplatform. In addition, the proven data on improvement of motor and sensory function in patients with paraproteinemic peripheral neuropathy at the end of rehabilitation technology computer stabilometry with biologic feedback was achieved.

Keywords:

computer stabilography, paraproteinemic polyneuropathy, monoclonal gammapathy of undetermined significance, biofeedback, the coefficient of Romberg

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References

Литература

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