Issue 3 (189), article 4

DOI:https://doi.org/10.15407/kvt189.03.061

Kibern. vyčisl. teh., 2017, Issue 3 (189), pp.

Vovk М.І., PhD (Biology), Senior Researcher,
Head of Bioelectrical Control & Medical Cybernetics Department
e-mail: dep140@irtc.org.ua
Kutsyak A.А., PhD (Engineering), Researcher, Bioelectrical Control & Medical Cybernetics Department
e-mail: spirotech85@ukr.net
Lauta A.D., PhD (Medicine), Senior Researcher,
Bioelectrical Control & Medical Cybernetics Department
Ovcharenko М.А., Junior Researcher,
Bioelectrical Control & Medical Cybernetics Department
e-mail: ovcharenko-marina@i.ua
International Research and Training Center for Information Technologies and Systems of the NAS of Ukraine and Ministry of Education and Science of Ukraine,
Acad. Glushkova av., 40, Kiev, 03680, Ukraine

INFORMATION SUPPORT OF RESEARCHES ON THE DYNAMICS OF MOVEMENT RESTORATION AFTER THE STROKE

Introduction. The results of clinical testing of the innovative technology TRENAR® confirmed its effectiveness in motor and speech recovery after a stroke. The main advantage of the technology that enables a more efficient motor and speech recovery is advanced training programs, based on different methods. This allows one to select individual approach to the rehabilitation process. In order to determine a personalized recovery plan it is necessary to develop criteria to quantify motor recovery dynamics.
The purpose of the research is to determine criteria for separately quantifying recovery dynamics in proximal and distal parts of the upper and lower extremities, as well as to perform an integral quantitative assessment of the severity of motor function disorders after a stroke.
Results. The method for quantitative estimation of the effectiveness of motor function rehabilitation after a stroke was developed.
One special feature of the technique is separate quantitative assessment of the motor function deficit dynamics of the affected lower and upper extremities, their proximal and distal sections, including fine motor skills, according to basic and additional criteria. The technique allows us to study the contribution of these indicators to the integral quantitative evaluation of the effectiveness of motor recovery during rehabilitation process. The technique has successfully passed pilot clinical trials during the studies of motor function recovery dynamics after a stroke when innovative technology TRENAR® for motor training / recovery was used. It is intended for informational support of medical decision-making when devising an individual plan for the rehabilitation of motor and speech functions after a stroke.
Conclusion. The method for quantitative assessment of motor function recovery dynamics forms the basis for assessing the effectiveness of rehabilitation processes in patients after a stroke and for developing individual plans for rehabilitation. It serves as the digital informational support for physicians and will be essential for developing mobile applications for smartphones and tablets that can be used during the rehabilitation process.
Keywords: quantitative assessment, criteria, rehabilitation, effectiveness, stroke, motor functions, speech, disorders.

Download full text (ua)!

REFERENCES

  1. Kolenko Ph.H., Stetsenko A.V., Stetsenko N.N. Optimization of the rehab process during cerebral stroke. Herald Sumy State University. Series Medicine. 2007. № 2. P. 61–66
    (in Russian).
  2. Vovk M.I. New opportunities for movement and speech rehabilitation. Kibernetika i vyčislitelnaâ tehnika. 2016. Iss.186. P. 78–93 (in Russian).
  3. 3. The way to treat speech desorders: pat. UA, A61N 1/36, no. 111388, claimed 03.06.2014, publshed 25.04.2016, Bulletin no 18 (in Ukrainian).
  4. Stolyarova L.H., Tkachova H.R. Rehabilitation of patients with post-stroke motor disorders. M.: Medicine, 1978. 216 p. (in Russian).
  5. Belova A.N., Prokopenko S.V. Neurorehabilitation. M., 2010. 1288 p. (in Russian).
  6. Vinnychuk S.M. Vascular diseases of the brain and spinal cord. K.: Naukova Dumka, 1999. 114 p. (in Ukrainian).
  7. Vilenskyi B.S. Stroke: prevention, diagnosis and treatment. SPb.: Publishing house” Foliant”, 2002. 397 p. (in Russian).
  8. Dolgova N.Yu., Vorontsov S.A., Kirichenko O.V., Makarova I.Yu. Rehabilitation treatment of neurological patients in a sanatorium. The Kremlin medicine. Clinical Herald. 2013, №4. P. 53–56 (in Russian).
  9. Belova A.N., Schepetova O.N. Scales, tests and questionnaires in medical rehabilitation M.: Antidor, 2002. 440 p. (in Russian).
  10. Kadykov A.S., Chernikova L.A., Shakhparonova N.V. Rehabilitation of Neurological Patients. М.: MEDpress-inform, 2008. 560 p. (in Russian).
  11. Smychek V.B., Ponomareva E.N. Craniocerebral injury (clinic, treatment, examination, rehabilitation). Mn.: Research Institute of ME and R, 2010. 430 p. (in Russian).
  12. Samsonova V., Barnikova I.E., Krestinina A.A. Non-invasive methods for evaluating the composition of muscle fibers. News of the Chernigiv National Pedagogical University. Ser.: Pedagogical science. Physical education and sport. Chernigiv, 2014. Vol. 118 (1). P. 323–326 (in Russian).
  13. Vovk M.I., Peleshok S.R., Galian E.B., Ovcharenko M.A. Method for assessing motor and sensory speech disorders. Collection of articles of the scientific and information center “Znanie” on the basis of the XI international correspondence scientific-practical conference: “The development of science in the XXI century” 3 part, Kharkov: a collection with articles (standard level, academic level).: Scientific and Information Center “Knowledge”, 2016. P. 70–76.

Received 9.06.2017