ABSTRACT

INTRODUCTION. The use of computer technologies in the medical rehabilitation of patients with cerebral infarction and intracerebral hemorrhage makes it possible to effectively influence the processes of restoration and compensation of impaired functions. Virtual reality technologies affect the recovery process, as well as cognitive functions through active multimodal sensory afferentation of the gaming virtual space.

AIM. To assess the dynamics of neurological deficit in post-stroke patients during the medical rehabilitation in and virtual reality environment.

MATERIAL AND METHODS. The study involved 37 patients (23 women and 14 men) with MI and ICH with established coordination disorders, average age 48±3.9 years, of which 12 patients were in the early recovery period, 25 patients were in the late recovery period). Moreover, 59 patients with post-stroke pain syndrome, average age 58.5±9.94 years. All patients underwent a course of medical rehabilitation based on multimodal afferent influence. Efficacy was assessed using stabilometry, vestibulometry, the Berg, Beck, Spielberg-Hanin scale, visual analogue scale "VAS", PainDetect questionnaire.

RESULT AND DISCUSSION. A significant improvement in statokinesiogram parameters according to stabilometry data established after a course of medical rehabilitation with multimodal afferent influence of the reality environment. A decrease from 42 [31;47] points to 30 [29;40] points (p<0.05) in the level of personal loudness according to the Spielberg-Khanin’s questionnaire was revealed. The intensity of post-stroke pain significantly decreased on the VAS’s scale (p<0.05).

CONCLUSION. The results obtained demonstrate the possibilities and prospects of using multimodal afferent stimuli from the virtual reality environment in the rehabilitation of motor and cognitive functions in post-stroke patients.

KEYWORDS: medical rehabilitation, coordination disorders, cerebral infarction, intracerebral hemorrhage, virtual reality

*For correspondence: Irina P. Maryenko, Dr. Sci. (Med.), Associate Professor, Chief Researcher of the State Institution, Republican Scientific and Practical Center of Neurology and Neurosurgery, Minsk, Belarus, e-mail:iramaryenko@gmail.com

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ADDITIONAL INFORMATION

Irina P. Maryenko, Dr. Sci. (Med.), Associate Professor, Chief Researcher of the State Institution, Republican Scientific and Practical Center of Neurology and Neurosurgery, Minsk, Belarus. E-mail: iramaryenko@gmail.com. ORCID: https://orcid.org/0000-0002-2992-9281

Maria P. Mozheiko, Cand. Sci. (Biol.), Researcher of the Neurological Department of the State Institution “Republican Scientific and Practical Center of Neurology and Neurosurgery”, Minsk, Belarus. E-mail: maria.rehabilitation@gmail.com. ORCID: https: //orcid.org/0000-0002-0471-9747

Natalya N. Usova, Cand. Sci. (Med.), Associate Professor, Head of the Department of Neurology and Neurosurgery with Courses in Medical Rehabilitation, Psychiatry and FPKiP, Gomel State Medical University, Gomel, Belarus. E-mail: nata_usova@mail.ru. ORCID: https://orcid.org/0000-0003-2575-4055

Alexander V. Borisenko, Cand. Sci. (Med.), Leading Researcher, Neurological Department, Republican Scientific and Practical Center of Neurology and Neurosurgery, Minsk, Belarus. E-mail: mila-med@tut.by

Author contributions. All authors confirm the compliance of their authorship, according to the international criteria of the ICMJE (all authors made a significant contribution to the development of the concept, conduct of the study and preparation of the article, read and approved the final version before publication). Maryenko I.P. — idea formation, goal formulation and task setting, text editing; Mozheiko M.P. —analysis and description of the results and research methods; Usova N.I. — analysis of literary sources, description of results; Borisenko A.V. — analysis of literary sources, introduction.

Funding. This study not supported by any external sources of funding.

Disclosure. The authors declare that they have no competing interests.

The content is available under the Creative Commons Attribution 4.0 License.

©2024. Irina P. Maryenko, Maria P. Mozheiko, Natalya N. Usova, Alexander V. Borisenko