PHYSICAL REHABILITATION OF MOTOR DYSFUNCTION OF MALES WITH ISCHEMIC STROKE RECEIVING IN-PATIENT TREATMENT WITH THE USE OF ROBOTIC TECHNOLOGIES

The purpose – refinement of the process of physical rehabilitation during in-patient treatment of individuals who survived an ischemic stroke. Materials and methods. 20 males aged 42 to 63 who survived an ischemic stroke participated in the research. The research was carried out on the basis of the rehabilitation center of FSB Military hospital (Moscow). Rehabilitation of neurologic patients was provided through the implementation of ErigoPro system – a verticalizer table with the integrated robotic orthopedic device and synchronized functional electrostimulation. All settings and monitoring of therapy process were carried out in real time, using friendly ErigoPro interface on the touch screen of the computer. The following research methods were used in order to determine the efficiency of physical rehabilitation process for the individuals who survived an ischemic stroke: goniometry (determination of amplitude of movements in a knee joint); test for determination of movements’ performance rate; FIM measure of functional independence reflecting the quality of life. Results. It is revealed that the level of life quality of reconvalescents of the main group training in accordance with the offered technique is significantly higher (р ≤ 0.05) in comparison with the same parameter of the control group that is reflected in survey results on FIM measure of functional independence. After completion of an experiment, we observed reliable (р ≤ 0.05) improvement of indicators of movements’ volume in both groups, but the main group demonstrated more pronounced changes of parameters (volume increased by 67.9%), than the control group did (by 24.8%). It can be explained by the implementation of our technique. Motion therapy together with stimulation of a paretic limb with the ErigoPro system helps to restore not only standard walking indicators, but also a normal stereotype (pattern) of walking. When analyzing indicators of movements’ performance rate we can observe reliable (р ≤ 0.05) improvement of a functional state of musculoskeletal and neuromuscular system in the main group by 143% and in control group by 42%. It can be explained by implementation of motion therapy using "ErigoPro" robotic technologies which substantially compensates the lack of movements. Conclusion. Application of the developed methods through robotic technologies of the ErigoPro system made it possible to reduce the terms of restoration of muscle strength, volume, speed and coordination of movements of males who survived an ischemic stroke, and it also increased the quality of life that resulted in the social readaptation of reconvalescents.

1. Akimov, G.A. Nachalnye proiavleniia sosudistykh zabolevanii golovnogo mozga [Early evidence of brain vascular diseases]. Saint-Petersburg, Medicine Publ., 2003, 224 p.
2. Popadiukha, Iu. A., Lazareva E. B. [Application of the “Amadeo” robotic complex for restoring and developing fine motor skills of a hand of patients with diseases of orthopedic, trauma and neurological profile]. Sovremennye zdorovesberegaiushchie tekhnologii [Contemporary health protecting technologies], 2017, no. 1, pp. 149-161.
3. Mineeva, A. B., Nikitina, Ia. S. Kognitivnye rasstroistva u postinsultnykh bolnykh [Cognitive disorders of post-stroke patients]. 72-ia mezhvuzovskaya (VII Vserossiiskaia) itogovaia nauchnaia studencheskaia konferentsiia s mezhdunarodnym uchastiem [72nd University (VII All-Russian) Final Student Science Conference with international participation], 2018, pp. 161.
4. Sabbakhova, A. F. Primenenie robotizirovannykh kompleksov v reabilitatsii patsientov [Application of robotic complexes in the rehabilitation of patients]. XXX Vserossiiskaia nauchno-tekhnicheskaia konferentsiia studentov, molodykh uchenykh i spetsialistov [XXX All-Russian Conference on Science and Techniques for students, young scientists and professionals]. Riazanskii gosudarstvennyi radiotekhnicheskii universitet [Riazan State Radio Engineering University], 2017, pp. 563-566.
5. Stoliarova, L. G., Kadykov, A. S., Golland, E. B. [Principles of organization of rehabilitation treatment of neurological patients]. Voprosy organizatsii vosstanovitelnogo lecheniia bolnykh i invalidov [Issues of the organization of rehabilitation treatment of patients and disabled people]. Moscow, 2012, pp. 14-20.
6. Olkowski, B.F., Devine, M.A., Slotnick, L.E. et al. Safety and feasibility of an early mobilization program for patients with aneurismal subarachnoid hemorrhage. Phys. Ther., 2013, pp. 208–215.
7. Ayelet, Dunsky. Fishbein Pavel, YeshayahuHutzler. Dual-task training using virtual reality: influence on walking and balance in three post stroke survivors. Olimpiiskii sport i sport dlia vsekh [Olympic sport and sport for all], 2016, pp. 555-558.