<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medjournal</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Medical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1818-426X</issn><publisher><publisher-name>Белорусский государственный медицинский университет</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.51922/1818-426X.2024.2.37</article-id><article-id custom-type="elpub" pub-id-type="custom">medjournal-115</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ И ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS AND LECTURES</subject></subj-group></article-categories><title-group><article-title>Оценка эффективности тренировки динамической координации у пациентов с инфарктом головного мозга</article-title><trans-title-group xml:lang="en"><trans-title>Assessment of the effectiveness of dynamic coordination training in patients with brain infarction</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лукашевич</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Lukashevich</surname><given-names>U. A.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пономарев</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Ponomarev</surname><given-names>V. V.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Губкин</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Gubkin</surname><given-names>S. V.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тарасевич</surname><given-names>М. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Tarasevich</surname><given-names>M. I.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Малков</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Malkov</surname><given-names>S. A.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Выблова</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Vyblova</surname><given-names>E. V.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>Медицинский центр «ЭЛАР» г. Минск</institution><country>Belarus</country></aff><aff xml:lang="ru" id="aff-2"><institution>Институт повышения квалификации и переподготовки кадров здравоохранения УО «Белорусский государственный медицинский университет»</institution><country>Belarus</country></aff><aff xml:lang="ru" id="aff-3"><institution>УО «Белорусский государственный медицинский университет»</institution><country>Belarus</country></aff><aff xml:lang="ru" id="aff-4"><institution>УЗ «2 городская клиническая больница г. Минска»</institution><country>Belarus</country></aff><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>18</day><month>06</month><year>2025</year></pub-date><volume>0</volume><issue>2</issue><fpage>37</fpage><lpage>45</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Лукашевич В.А., Пономарев В.В., Губкин С.В., Тарасевич М.И., Малков С.А., Выблова Е.В., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Лукашевич В.А., Пономарев В.В., Губкин С.В., Тарасевич М.И., Малков С.А., Выблова Е.В.</copyright-holder><copyright-holder xml:lang="en">Lukashevich U.A., Ponomarev V.V., Gubkin S.V., Tarasevich M.I., Malkov S.A., Vyblova E.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://medjournal.ejournal.by/jour/article/view/115">https://medjournal.ejournal.by/jour/article/view/115</self-uri><abstract><p>Вопросы медицинской реабилитации пациентов после мозговой катастрофы остаются актуальными по ряду социально-экономических аспектов. Цель исследования состояла в изучении влияния комплексного лечения и медицинской реабилитации пациентов с инфарктом головного мозга основанного на новом методе тренировки динамической координации. В исследовании приняло участие 62 пациента с установленным диагнозом инфаркт головного мозга, рандомизированные в контрольную (n = 29) и основную (n = 33) исследовательские группы. Всем участникам исследования до начала лечения и после его окончания проводилось клиническое тестирование с применением клинических шкал. Для выполнения новой реабилитационной методики в основной группе применялась роботизированная экзоплатформа собственной разработки. В результате клинической апробации установлено, что новый метод повышает эффективность программы комплексной терапии на 37 % (р = 0,008), за счет улучшения функции ходьбы, а также нейромышечных скелетных и связанных с движением функций (OR = 1,37; 95 %CI: 1,1–1,78).</p></abstract><trans-abstract xml:lang="en"><p>The issues of medical rehabilitation of patients after the brain disaster remain relevant in a number of socio-economic aspects. The purpose of the study was to study the effect of complex treatment and medical rehabilitation of patients with a heart attack of the brain based on the new method of training dynamic coordination. The study was attended by 62 patients with a diagnosis of cerebral infarction, randomized in the control (n = 29) and the main (n = 33) research groups. All participants in the study before the start of treatment and after its completion, clinical testing using clinical scales was carried out. To perform a new rehabilitation technique for dynamic coordination training, a robotic exoplatform was used. As a result of clinical testing, it was established that the new method increases the effectiveness of the complex therapy program regulated by the standards of medical care by 37 % (p = 0.008), due to significant effects on the state of walking and neuromuscular skeletal and associated movement functions (OR = 1.37; 95 %CI: 1.1–1.78).</p></trans-abstract><kwd-group xml:lang="ru"><kwd>адаптивная кинезитерапия</kwd><kwd>инфаркт головного мозга</kwd><kwd>медицинская реабилитация</kwd><kwd>роботизированная экзоплатформа</kwd><kwd>эффективность реабилитации</kwd></kwd-group><kwd-group xml:lang="en"><kwd>adaptive kinesitherapy</kwd><kwd>brain heart attack</kwd><kwd>medical rehabilitation</kwd><kwd>robotic exoplatform</kwd><kwd>rehabilitation effectiveness</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Béjot, Y., Daubail B., Jacquin A., Durier J., Osseby G. V., Rouaud O., Giroud M. Trends in the incidence of ischaemic stroke in young adults between 1985 and 2011: the Dijon Stroke Registry / J Neurol Neurosurg Psychiatry. – 2014. – Vol. 85(5). – P. 509–513. https://doi.org/10.1136/jnnp-2013-306203.</mixed-citation><mixed-citation xml:lang="en">Béjot, Y., Daubail B., Jacquin A., Durier J., Osseby G. V., Rouaud O., Giroud M. Trends in the incidence of ischaemic stroke in young adults between 1985 and 2011: the Dijon Stroke Registry / J Neurol Neurosurg Psychiatry. – 2014. – Vol. 85(5). – P. 509–513. https://doi.org/10.1136/jnnp-2013-306203.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Mozaffarian, D., Benjamin E. J., Go A. S. et al. Heart disease and stroke statistics-2015 update: a report from the American Heart Association // Circulation. – 2015. – Vol. 131(4). – P. e29–322. https://doi.org/10.1161/CIR.0000000000000152.</mixed-citation><mixed-citation xml:lang="en">Mozaffarian, D., Benjamin E. J., Go A. S. et al. Heart disease and stroke statistics-2015 update: a report from the American Heart Association // Circulation. – 2015. – Vol. 131(4). – P. e29–322. https://doi.org/10.1161/CIR.0000000000000152.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Mackay, J., Mensah G. Atlas of heart disease and stroke. – Geneva: World Health Organization, 2004. – P. 112.</mixed-citation><mixed-citation xml:lang="en">Mackay, J., Mensah G. Atlas of heart disease and stroke. – Geneva: World Health Organization, 2004. – P. 112.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">World Health Organization: World Health Statistics 2008. – Geneva, Switzerland: WHO Press, 2008. – 180 p.</mixed-citation><mixed-citation xml:lang="en">World Health Organization: World Health Statistics 2008. – Geneva, Switzerland: WHO Press; 2008. – 180 p.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">van Duijnhoven, H. J., Heeren A., Peters M. A., Veerbeek J. M., Kwakkel G., Geurts A. et al. Effects of Exercise Therapy on Balance Capacity in Chronic Stroke: Systematic Review and Meta-Analysis // Stroke. – 2016. – Vol. 47. – P. 2603–10. https://doi.org/10.1161/STROKEAHA.116.013839</mixed-citation><mixed-citation xml:lang="en">van Duijnhoven, H. J., Heeren A., Peters M. A., Veerbeek J. M., Kwakkel G., Geurts A. et al. Effects of Exercise Therapy on Balance Capacity in Chronic Stroke: Systematic Review and Meta-Analysis // Stroke. – 2016. – Vol. 47. – P. 2603–10. https://doi.org/10.1161/STROKEAHA.116.013839</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Mehrholz, J., Pohl M. Electromechanical-assisted gait training after stroke: a systematic review comparing end- effector and exoskeleton devices. Journal of Rehabilitation Medicine. – 2012. – Vol. 44, № 3. – P. 193–199. https:/doi.org/10.2340/16501977-0943</mixed-citation><mixed-citation xml:lang="en">Mehrholz, J., Pohl M. Electromechanical-assisted gait training after stroke: a systematic review comparing end- effector and exoskeleton devices / Journal of Rehabilitation Medicine. – 2012. – Vol. 44, № 3. – P. 193–199. https://doi.org/10.2340/16501977-0943</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Tse, T., Carey L., Cadilhac D., Koh G. C., Baum C. Application of the World Stroke Organization health system indicators and performance in Australia, Singapore, and the USA // Int J Stroke. – 2016. – Vol. 11(8). – Р. 852–859. https://doi.org/10.1177/1747493016660104</mixed-citation><mixed-citation xml:lang="en">Tse, T., Carey L., Cadilhac D., Koh G. C., Baum C. Application of the World Stroke Organization health system indicators and performance in Australia, Singapore, and the USA // Int J Stroke. – 2016. – № 11(8). – Р. 852–859. https://doi.org/10.1177/1747493016660104</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Virani, S. S., Alonso A., Aparicio H. J., Benjamin E. J. et al. Heart disease and stroke statistics – 2021 update: a report from the American heart association / Circulation. – 2021. – Vol. 143(8). – P. 254–743. https://doi.org/10.1161/CIR.0000000000000950</mixed-citation><mixed-citation xml:lang="en">Virani, S. S., Alonso A., Aparicio H. J., Benjamin E. J. et al. Heart disease and stroke statistics – 2021 update: a report from the American heart association / Circulation. – 2021. – Vol. 143(8). – P. 254–743. https://doi.org/10.1161/CIR.0000000000000950</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Tashiro, S., Mizuno K., Kawakami M., Takahashi O. et al. Neuromuscular electrical stimulation-enhanced rehabilitation is associated with not only motor but also somatosensory cortical plasticity in chronic stroke patients: an interventional study // Therapeutic Advances in Chronic Disease. – 2019. – № 10. – P. 1–13. https://doi.org/10.1177/2040622319889259</mixed-citation><mixed-citation xml:lang="en">Tashiro, S., Mizuno K., Kawakami M., Takahashi O. et al. Neuromuscular electrical stimulation-enhanced rehabilitation is associated with not only motor but also somatosensory cortical plasticity in chronic stroke patients: an interventional study // Therapeutic Advances in Chronic Disease. – 2019. – № 10. – P. 1–13. https://doi.org/10.1177/2040622319889259</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Benjamin, E. J., Virani S. S., Callaway C. W., Chamberlain A. M. et al. Heart disease and stroke statistics – 2018 update: a report from the American heart association / Circulation. – 2018. – Vol. 137. – P. 67–492. https://doi.org/10.1161/CIR.0000000000000558</mixed-citation><mixed-citation xml:lang="en">Benjamin, E. J., Virani S. S., Callaway C. W., Chamberlain A. M. et al. Heart disease and stroke statistics – 2018 update: a report from the American heart association / Circulation. – 2018. – Vol. 137. – P. 467–492. https://doi.org/10.1161/CIR.0000000000000558</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Saunders, D. H., Sanderson M., Hayes S., Johnson L. et al. Physical fitness training for stroke patients (Review) / Cochrane Database of Systematic Reviews. – 2020. – № 3. – Р. CD003316. https://doi.org/10.1002/14651858.CD003316.pub7</mixed-citation><mixed-citation xml:lang="en">Saunders, D. H., Sanderson M., Hayes S., Johnson L. et al. Physical fitness training for stroke patients (Review) / Cochrane Database of Systematic Reviews. – 2020. – № 3. – P. CD003316. https://doi.org/10.1002/14651858.CD003316.pub7</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Martino, C. A., Bonnì S., Pellicciari M. C., Giorgi F., Caltagirone C., Koch G. Health-related quality of life (HRQoL) after stroke: positive relationship between lower extremity and balance recovery / Top Stroke Rehabilitation. – 2020. – № 10. – P. 1–7. https://doi.org/10.1080/10749357.2020.1726070</mixed-citation><mixed-citation xml:lang="en">Martino, C. A., Bonnì S., Pellicciari M. C., Giorgi F., Caltagirone C., Koch G. Health-related quality of life (HRQoL) after stroke: positive relationship between lower extremity and balance recovery / Top Stroke Rehabilitation. – 2020. – № 10. – P. 1–7. https://doi.org/10.1080/10749357.2020.1726070</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Bruni, M. F., Melegari C., De Cola M. C., Bramanti A., Bramanti P., Calabrò R. S. What does best evidence tell us about robotic gait rehabilitation in stroke patients: a systematic review and meta-analysis // Journal of Clinical Neuroscience. – 2018. – Vol. 48. – Р. 11–17. https://doi.org/10.1016/j.jocn.2017.10.048</mixed-citation><mixed-citation xml:lang="en">Bruni, M. F., Melegari C., De Cola M. C., Bramanti A., Bramanti P., Calabrò R. S. What does best evidence tell us about robotic gait rehabilitation in stroke patients: a systematic review and meta-analysis // Journal of Clinical Neuroscience. – 2018. – Vol. 48. – P. 11–17. https://doi.org/10.1016/j.jocn.2017.10.048</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Laufer, Y., Elboim-Gabyzon M. Does sensory transcutaneous electrical stimulation enhance motor recovery following a stroke? A systematic review / Neurorehabil Neural Repair. – 2011. – Vol. 25. – Р. 799–809. https://doi.org/10.1177/1545968310397205</mixed-citation><mixed-citation xml:lang="en">Laufer, Y., Elboim-Gabyzon M. Does sensory transcutaneous electrical stimulation enhance motor recovery following a stroke? A systematic review / Neurorehabil Neural Repair. – 2011. – Vol. 25. – P. 799–809. https://doi.org/10.1177/1545968310397205</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Stoller, O., de Bruin E. D., Knols R. H., Hunt K. J. Effects of cardiovascular exercise early after stroke: systematic review and meta-analysis // BMC Neurol. – 2012. – № 12. – Р. 45.</mixed-citation><mixed-citation xml:lang="en">Stoller, O., de Bruin E. D., Knols R. H., Hunt K. J. Effects of cardiovascular exercise early after stroke: systematic review and meta-analysis // BMC Neurol. – 2012. – № 12. – Р. 45.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Nicholson, S., Sniehotta F., Van Wijck F., Greig C. A., Johnston M., McMurdo M. E. T., Dennis M., Mead G. E. A systematic review of perceived barriers and motivators to physical activity after stroke // Int J Stroke. – 2013. – № 8. – Р. 357–364.</mixed-citation><mixed-citation xml:lang="en">Nicholson, S., Sniehotta F., Van Wijck F., Greig C. A., Johnston M., McMurdo M. E. T., Dennis M., Mead G. E. A systematic review of perceived barriers and motivators to physical activity after stroke // Int J Stroke. – 2013. – № 8. – Р. 357–364.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Mackay-Lyons, M., Thornton M., Ruggles T., Che M. Non-pharmacological interventions for preventing secondary vascular events after stroke or transient ischemic attack. Cochrane Database Syst Rev. – 2013. – № 3. – P. CD008656.</mixed-citation><mixed-citation xml:lang="en">Mackay-Lyons, M., Thornton M., Ruggles T., Che M. Non-pharmacological interventions for preventing secondary vascular events after stroke or transient ischemic attack // Cochrane Database Syst Rev. – 2013. – № 3. – P. CD008656.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Takatori, K., Matsumoto D., Okada Y., Nakamura J., Shomoto K. Effect of intensive rehabilitation on physical function and arterial function in community-dwelling chronic stroke survivors // Top Stroke Rehabil. – 2012. – Vol. 19. – Р. 377–383.</mixed-citation><mixed-citation xml:lang="en">Takatori, K., Matsumoto D., Okada Y., Nakamura J., Shomoto K. Effect of intensive rehabilitation on physical function and arterial function in community-dwelling chronic stroke survivors // Top Stroke Rehabil. – 2012. – Vol. 19. – P. 377–383.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Mehrholz, J. Electromechanical-assisted gait training after stroke: a systematic review comparing end-effector and exoskeleton devices / J. Mehrholz, M. Pohl // Journal of Rehabilitation Medicine. – 2012. – Vol. 44, № 3. – P. 193–199.</mixed-citation><mixed-citation xml:lang="en">Mehrholz, J. Electromechanical-assisted gait training after stroke: a systematic review comparing end-effector and exoskeleton devices / J. Mehrholz, M. Pohl // Journal of Rehabilitation Medicine. – 2012. – Vol. 44, № 3. – P. 193–199.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">The effect of a task-oriented training on trunk control ability, balance and gait of stroke patients / B. H. Kim // J Phys Ther Sci. – 2012. – Vol. 24. – P. 519–522.</mixed-citation><mixed-citation xml:lang="en">The effect of a task-oriented training on trunk control ability, balance and gait of stroke patients / B. H. Kim // J Phys Ther Sci. – 2012. – Vol. 24. – P. 519–522.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
