ssmuБюллетень сибирской медициныBulletin of Siberian Medicine1682-03631819-3684Siberian State Medical University, the Ministry of Healthcare of the Russian Federation10.20538/1682-0363-2019-2-223-233ssmu-2321Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEW AND LECTURESПринципы и опыт применения роботизированных реабилитационных технологий у пациентов после инсультаPrinciples and global experience of applying robotic rehabilitation technologies in patients after strokehttps://orcid.org/0000-0003-1911-166XКоролеваЕ. С.KorolevaE. S.https://orcid.org/0000-0002-4140-3223АлифироваВ. М.AlifirovaV. M.v_alifirova@mail.ruhttps://orcid.org/0000-0003-0676-3968ЛатыповаА. В.LatypovaA. V.https://orcid.org/0000-0003-4554-7969ЧебанС. В.ChebanS. V.https://orcid.org/0000-0002-0033-9544ОттВ. А.OttV. A.https://orcid.org/0000-0002-4779-9820БразовскийК. С.BrazovskiyK. S.https://orcid.org/0000-0002-2888-5539ТолмачевИ. В.TolmachevI. V.https://orcid.org/0000-0002-0706-9735БразовскаяН. Г.BrazovskayaN. G.https://orcid.org/0000-0001-5117-2337СёмкинаА. А.SemkinaA. A.КатаеваН. Г.KataevaN. G.Сибирский государственный медицинский университет (СибГМУ)РоссияSiberian State Medical University (SSMU)Russian Federation201911082019182223233Copyright © Королева Е.С., Алифирова В.М., Латыпова А.В., Чебан С.В., Отт В.А., Бразовский К.С., Толмачев И.В., Бразовская Н.Г., Сёмкина А.А., Катаева Н.Г., 20192019Королева Е.С., Алифирова В.М., Латыпова А.В., Чебан С.В., Отт В.А., Бразовский К.С., Толмачев И.В., Бразовская Н.Г., Сёмкина А.А., Катаева Н.Г.Koroleva E.S., Alifirova V.M., Latypova A.V., Cheban S.V., Ott V.A., Brazovskiy K.S., Tolmachev I.V., Brazovskaya N.G., Semkina A.A., Kataeva N.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://bulletin.ssmu.ru/jour/article/view/2321

Обзор литературы посвящен изучению последних достижений в области нейрореабилитации с использованием роботизированных технологий. Цель – изучить опыт применения, клиническую эффективность и влияние на молекулярные механизмы нейропластичности роботизированных реабилитационных технологий у пациентов с острыми нарушениями мозгового кровообращения. Осуществлялся поиск по ключевым словам в базах данных Web of Science, Core Collection, Scopus, Pubmed по зарубежным журналам. Роботизированная нейрореабилитация занимает определенное место в комплексной реабилитации больных с моторным дефицитом после острых нарушений мозгового кровообращения. Особенно важными в использовании реабилитационных методов, имплементирующих передовые достижения робототехники и информационных технологий, являются междисциплинарный пациент-ориентированный подход и преемственность на всех этапах лечебно-восстановительного лечения больных после инсульта. Реабилитация с применением высокотехнологичных компьютеризированных реабилитационных комплексов, работающих в режиме биологической обратной связи, является одним из перспективных направлений и требует дальнейшего проведения нейрофизиологических и лабораторных исследований для создания научно обоснованных методических подходов, что позволит добиться ощутимого экономического эффекта от повышения качества нейрореабилитации, уменьшения времени на ее проведение и будет иметь огромную социальную значимость.

This literature review is devoted to the study of recent advances in the field of neurorehabilitation using robotic technologies. Objective: to study best practices of applying robotic rehabilitation technologies in stroke patients, its clinical efficacy and influence on the molecular mechanisms of neuroplasticity. Keywords were searched in the Web of Science, Core Collection, Scopus and PubMed databases. Results. Robotic neurorehabilitation occupies a certain place in the comprehensive rehabilitation of patients with motor deficiency after stroke. An interdisciplinary patient-oriented approach and consistency at all stages of medical rehabilitation are especially important when using rehabilitation methods that implement advances in robotics and information technologies in patients after stroke. Rehabilitation with the use of high-tech computerized rehabilitation systems operating in the biofeedback mode is one of the promising areas and requires further neurophysiological and laboratory studies to create scientifically based methodological approaches. It will have great social significance and tangible economic effects from improving the quality of neurorehabilitation and reducing its duration.

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The authors declare that there are no conflicts of interest present.