The purpose of the present research was the estimation of efficiency of new methods of neurorehabilitation of impairments of cognitive functions with the use of computer programs of correction. Twenty six post-stroke patients aged 57-69, (male -12, female -14) were examined and treated. In addition to usual restorative treatment all patients received a course of neuropsychological computer programs training within 14 days, 25-35 min of duration. Tasks included training of attention with use of the computed programs on the basis of Schulte's test, the task for training visual storing with a set of pictures and symbols, the switching test, correction optical and spatial gnosis with test of narrative images and the test of «arrangements of hands of the clock» with possibility of a feedback. Initial level cognitive impairments and results of restoration were estimated with the use of Mini Mental State Examination, Frontal Assessment Battery, the Clock Drawing Test, the Montreal Cognitive Assessment, Schulte's test. The first experience of inclusion of the computed programs of correction of cognitive impairments in schemes of neurorehabilitation has shown good effect concerning clinical displays, and concerning Patient Global Impression Scale. Although the results are encouraging, further studies are required with larger samples and longer follow-up to identify characteristics of those patients who are most likely to benefit from computed training of cognitive functions.
A specially developed proprioceptive correction costume was used for the restoration of motor functions in the proximal parts of the upper limb in central paralysis syndrome in patients in the late recovery and residual post-stroke states. The costume is a logical continuation of the Adeli and Gravistat proprioceptive correction systems, directed to restoring balance and gait in post-stroke patients. The costume consists of a waistcoat and cuffs connected by a system of elastic bands fixed around the shoulder and forearm of the paralyzed upper limb. Controlling the tension in the elastic bands allows a regime of "facilitated" work to be created, with increased loading of active movements in the proximal parts of the paralyzed arm. The effectiveness of using the proprioceptive correction costume in restoring voluntary movements in the upper limb was demonstrated during the treatment of 23 patients in the late recovery and residual post-stroke periods. In most patients, treatment resulted in significant decreases in the extent of paralysis in the arm and produced recovery rates greater than those seen in the control group. Use of the proprioceptive correction costume in the neurorehabilitation complex is advised for restoration of voluntary movements in the arms of stroke patients.
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