ssmuБюллетень сибирской медициныBulletin of Siberian Medicine1682-03631819-3684Siberian State Medical University, the Ministry of Healthcare of the Russian Federation10.20538/1682-0363-2020-3-156-165ssmu-3000Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEW AND LECTURESВозможности реабилитации детей с синдромом ДЦП с применением роботизированных устройств и биологической обратной связиRehabilitation possibilities for children with cerebral palsy through the use of robotic devices and biofeedbackhttps://orcid.org/0000-0002-6996-4823ЛаринаН. В.LarinaN. V.https://orcid.org/0000-0003-3311-3688ПавленкоВ. Б.PavlenkoV. B.vpav55@gmail.comhttps://orcid.org/0000-0003-0958-130XКорсунскаяЛ. Л.KorsunskayaL. L.https://orcid.org/0000-0002-8906-7740ДягилеваЮ. О.DyagilevaYu. O.https://orcid.org/0000-0003-3624-4544ФалалеевА. П.FalaleevA. P.https://orcid.org/0000-0002-6386-9147МихайловаА. А.MikhailovaA. A.https://orcid.org/0000-0003-0353-641XОреховаЛ. С.OrekhovaL. S.https://orcid.org/0000-0003-4092-4534ПономареваИ. В.PonomarevaI. V.

аспирант, кафедра нервных болезней и нейрохирургии

Россия, 295007, Республика Крым, г. Симферополь, пр. Академика Вернадского, 4

Крымский федеральный университет (КФУ) им. В.И. ВернадскогоРоссияV.I. Vernadsky Crimean Federal UniversityRussian Federation202007102020193156165Copyright © Ларина Н.В., Павленко В.Б., Корсунская Л.Л., Дягилева Ю.О., Фалалеев А.П., Михайлова А.А., Орехова Л.С., Пономарева И.В., 20202020Ларина Н.В., Павленко В.Б., Корсунская Л.Л., Дягилева Ю.О., Фалалеев А.П., Михайлова А.А., Орехова Л.С., Пономарева И.В.Larina N.V., Pavlenko V.B., Korsunskaya L.L., Dyagileva Y.O., Falaleev A.P., Mikhailova A.A., Orekhova L.S., Ponomareva I.V.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/3000

Обзор литературы посвящен систематизации имеющихся данных о применении методики биологической обратной связи, роботизированных устройств и интерфейсов «мозг – компьютер» в реабилитации детей с синдромом детского церебрального паралича (ДЦП).

Цель – изучить опыт применения, клиническую эффективность реабилитационных технологий у пациентов с ДЦП и возможные нейрофизиологические механизмы, лежащие в их основе. Поиск по ключевым словам (дети, ДЦП, биологическая обратная связь, роботизированные устройства, интерфейс «мозг – компьютер», экзоскелеты) был проведен с использованием баз научной литературы Pubmed, Web of Science,  eLIBRARY.ru.

Результаты. Проведенный анализ данных литературы показывает, что в настоящее время в реабилитации детей с синдромом ДЦП активно развивается применение роботизированных устройств и интерфейсов «мозг – компьютер» с биологической обратной связью по параметрам электроэнцефалограммы и электромиограммы. Получены первые доказательства эффективности указанных методов и подходов. В то же время не полностью разработаны стандарты использования таких методов в реабилитационной практике и протоколы работы с детьми. Не всегда создавались контрольные группы из детей с ДЦП. Во многих исследованиях не оценивалась динамика нейрофизиологических и нейрохимических показателей до и после курса реабилитации. Такие данные позволили бы уточнить физиологические механизмы восстановления моторных функций и более корректно подходить к назначению реабилитационных процедур и медикаментозного лечения.

This article overviews and systemizes published data on the ways of implementing different methods of biofeedback, robotic devices, and brain-computer interfaces (BCI) for rehabilitation of children with cerebral palsy (CP).

Aim

Aim. To survey implementation practices and clinical outcomes of rehabilitation technologies and possible neurophysiological mechanisms underlying their efficacy in patients with CP. We searched PubMed, Web of Science and eLIBRARY.ru databases for relevant publications using specified keywords.

Results

Results. The analysis of relevant literature has shown that robotic technologies and BCIs with biofeedback based on electroencephalography and electromyography parameters are rapidly developing and implemented for the rehabilitation of children with CP. The first evidence of effectiveness for such methods and approaches has been found. However, there is a lack of fully developed conventional standards for the use of such rehabilitation methods and protocols in children. Control groups comprising of children with CP are often absent in such studies. In many cases, the variations of neurophysiological and neurochemical parameters before and after a course of rehabilitation are not evaluated. Having such data would help clarify physiological mechanisms underlying effective rehabilitation of motor functions and then design more adequate rehabilitation procedures and medication protocols.

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