DOI:https://doi.org/10.15407/kvt186.04.078
KVT, 2016, Issue 186, pp.78-94
UDС 615.47; 004.9
NEW OPPORTUNITIES FOR MOVEMENT AND SPEECH REHABILITATION
International Research and Training Center for Information Technologies and Systems of National Academy of Sciences of Ukraine and Ministry of Education and Science of Ukraine, Kiev, Ukraine
Introduction. Movement training is one of the main factors to mobilize person’s reserves at movement restoration.
The purpose of this article is to show the role of new bioinformatics technology and digital medical devices, original methods, programs and techniques of movement training of the limbs and fine motor hand, to restore motor and speech functions in patients after stroke.
Results. The bioinformatics technology TRENAR® for motor and speech rehabilitation is presented. The technology uses various programs (models) and methods for forced and voluntary movement training that are based on special EMG signals processing and their transformation into informative visual and sound signals, that define movements. Structural – functional models of damaged motor area of the cortex reorganization aimed at motor control restoration according to movement training programs “Synthesis” (artificially synthesized programs of electric stimulation), “Donor” (programs are based on voluntary contractions of healthy muscles of a patient), “Biotraining” (Biofeedback method) are described. The technology is implemented in two electronic devices of digital medicine Trenar-01 and Trenar-02. New method and technology to restore speech on the basis of original techniques of fine motor hand training and technology TRENAR® are described. The results of clinical testing of technology in motor and speech restoration of patients after the stroke are presented.
Conclusion. The main benefits of the technology TRENAR® which lead to an increase in efficiency of motor and speech rehabilitation are as follows: advanced range of training programs, based on different methods, original techniques of fine motor hand training allows one to select individual approach to rehabilitation process.
Keywords: bioinformatics technology, digital medicine, electronic devices, programmed electric stimulation, biofeedback, rehabilitation, movement, hand, speech, stroke, individual approach.
Reference
1 Belova A.N., Prokopenko S.V. Neurorehabilitation. 3th ed. Moscow, 2010, 1288 p. (in Russian).
2 Aleev L., Vovk M., Gorbanev V. & others. “Mioton” in motor control. Kiev, 1980, 142 p. (in Russian).
3 Aleev L. S., Vovk M.I. Functional electrostimulation with myofeedback in movement rehabilitation. Proc. “5th International Muscle Symposium” (May 19-21, 2000, Viena, Austria). Viena, 2000, pp.69-70.
4 Gritsenko V.I., Kotova A. B., Vovk M. I. & others. Information technology in Biology and Medicine. Lecture course. Kiev, 2007, pp. 285-340 (in Ukrainian).
5 Vovk M.I. Bioinformatic technology of movements control as the direction of biological and medical cybernetics. Kibernetika i vycislitel’naa tehnika, 2013, No 174, pp. 56–70. (in Russian).
6 Gritsenko V.I., Vovk M.I. “TENAR” – innovational technology of movements restoring Materials of the International scientific – practical forum ” The Science and Business – a basis of development of economy ” . Dnepropetrovsk, 2012, pp.204-206. (in Russian).
7 Hunter P. Peckham, Kevin L. Kilgore, “Challenges and Opportunities in Restoring Function after Paralyses. IEEE Trans. Biomed. Eng.2013, Vol. 60, No .3, pp. 602-609.
8 Romanov S.P. Neurophysiological mechanisms of motor functions homeostasis / Doctor in Biology: specialty. 03.00.13. St. Petersburg, 1989, 443 p. (in Russian).
9 Anohin P.K. The Sketches on Physiology of Functional Systems. M.: Medicine, 1975, 447 p. (in Russian).
10 The method of Motor Control of a Person. Patent 41 795 Ukraine. 10.06.2009. (in Ukrainian).
11 Electrical stimulator. Patent. 32376 Ukraine: 12 .05. 2008. (in Ukrainian).
12 The Inventor’s Certificate on author’s product right 26 836 Ukraine. The Device for Electrical Stimulation with Biocontrol Trenar-01. The Technique for Using / M. Vovk, V. Ivanov, A. Shevchenko / 09.12.2008. (in Ukrainian).
13 Vovk M., Gorbanev V., Shevchenko A. The Inventor’s Certificate on author’s product right 37243 Ukraine. The Device for Electrical Stimulation with Biofeedback Trenar-02. The Technique for Using . 04.03.2011. (in Ukrainian).
14 Koltsova M.M. Motor activity and development of the child’s brain functions. Moscow: “Pedagogika”, 1973. 143 p. (in Russian).
15 Vovk M.I. , Galyan Ye. B. Restoring of motor component of speech based on muscle movement control. Theoretical grounding . Kibernetika i vycislitel’naa tehnika, 2012, Is. 167, pp.51-60. (in Russian).
16 16. The way to treat speech desorders. UA, A61N 1/36, no. 111388, 2016.(in Ukrainian).
17 Halverson H. M. The acquisition of skill in infancy. Journal of Genetic Psychology. 1933, Vol. 43, pp. 3-48. https://doi.org/10.1080/08856559.1933.10533118
18 Vovk M.I. , Galyan Ye. B. Organization of Intelligent Hand Movements Control to Restore Speech. Kibernetika i vycislitel’naa tehnika, 2016, Is. 184, pp.25-43. (in Russian).
19 Galyan Ye.B. Specialized software module of speech rehabilitation technology, architecture and functional interaction of its components. Control Systems and Machines, 2014, No 6, pp. 52-58. (in Russian).
20 Vovk M.I., Peleshok S.R., Galyan Ye.B. & others The method of assessment of motor and sensory speech disorders. Collected papers of scientific-information center “Knowledge” based on XI International correspondence scientific-practical conference: “The development of science in the XXI century” part 3. Kharkiv: collected papers. D, 2016, pp. 70-76. (in Russian).
Received 03.10.2016