Human PhysiologyHuman PhysiologyФизиология человека0131-16463034-6150The Russian Academy of Sciences66402210.31857/S0131164624030061BUNHPPОБЗОРЫReview ArticleStudy of psychophysiological indicators of sensorimotor Integration in PTSD. Justification of the choice of targets for biofeedbackИсследование психофизиологических показателей сенсомоторной интеграции при ПТСР. Обоснование выбора мишеней для биоуправленияBazanovaO. М.БазановаО. М.
Russian Federation
bazanova_olgamih@mail.ruBaliozN. V.БалиозН. В.
Russian Federation
bazanova_olgamih@mail.ruErmolaevaS. А.ЕрмолаеваС. А.
Russian Federation
bazanova_olgamih@mail.ruZakharovA. V.ЗахаровА. В.
Russian Federation
bazanova_olgamih@mail.ruZonovA. A.ЗоновА. А.
Russian Federation
bazanova_olgamih@mail.ruLarkovaI. V.ЛарьковаИ. В.
Russian Federation
bazanova_olgamih@mail.ruMariyanovskaT. А.МарьяновскаяТ. А.
Russian Federation
bazanova_olgamih@mail.ruMelnikovА. А.МельниковА. А.
Russian Federation
bazanova_olgamih@mail.ruNikolenkoE. D.НиколенкоЕ. Д.
Russian Federation
bazanova_olgamih@mail.ruPlotnikovaE. P.ПлотниковаЭ. П.
Russian Federation
bazanova_olgamih@mail.ruRudychP. D.РудычП. Д.
Russian Federation
bazanova_olgamih@mail.ruShirolapovI. V.ШиролаповИ. В.
Russian Federation
bazanova_olgamih@mail.ruInstitute of Molecular Biology and BiophysicsФИЦ ФТМ НИИ молекулярной биологии и биофизикиMoscow Institute of Physics and TechnologyМосковский физико-технический институтState Research Institute of Neurosciences and MedicineФГБНУ НИИ нейронаук и медициныSaint-Petersburg Institute of Oriental Methods of RehabilitationСанкт-Петербургский институт восточных методов реабилитацииSamara State Medical UniversityФГБОУ ВО Самарский государственный медицинский университет МЗ РФLLC "Neurobotics"ООО “Нейроботикс”Lugansk Republican Center for Emergency Medical Care and Medicine of the CatastrophesГУ ЛНР Луганский республиканский центр экстренной медицинской помощи и медицины катастрофNovosibirsk National Research State UniversityФГАОУ ВО Новосибирский национальный исследовательский государственный университетRussian University Sport "SCOLIPE"ФГБОУ ВО Российский университет спорта "ГЦОЛИФК"Lugansk State Medical UniversityГУ ЛНР "Луганский государственный медицинский университет имени Святителя Луки"16092024503638025022025Copyright ©; 2024, Russian Academy of SciencesCopyright ©; 2024, Российская академия наук2024Russian Academy of SciencesРоссийская академия наукhttps://journals.eco-vector.com/0131-1646/article/view/664022

Post-traumatic stress disorder (PTSD) is an actual medico-social problem. The pathogenesis of PTSD closely relates to impairment of sensorimotor integration (SMI). The effectiveness of psychosomatic disorder therapy for PTSD rehabilitation can be improved by restoring normal sensorimotor integration. The review examines various autonomic, electro-physiological and postural markers of high sensory motor integration in highly skilled athletes and musicians, as well as impairment of these indices in persons with PTSD. We have established that the most accessible and informative indicators of SMI are: an increase in EEG power in the individually adjusted high-frequency alpha-band, a reduction in energy demands for posture control and a decrease in the electromyographic activity of redundant muscles, not involved in motor-cognitive dual task. In the future, it is planned to use these indicators to diagnose stress disorders and to develop sensorimotor integration recovery training in patients with PTSD.

Актуальной медико-социальной проблемой является посттравматическое стрессовое расстройство (ПТСР), патогенез которого тесно связан с нарушением эффективности сенсомоторной интеграции (СМИ). Эффективность терапии психосоматических нарушений у пациентов с ПТСР может быть повышена с помощью восстановления нормальной сенсомоторной интеграции. В данном обзоре рассматриваются различные вегетативные, электрофизиологические и постуральные маркеры высокой сенсомоторной интеграции у высококвалифицированных спортсменов и музыкантов, а также их нарушение у лиц с ПТСР. Установлено, что к наиболее доступным и информативным показателям СМИ относятся: повышение мощности электроэнцефалограммы в индивидуально определенном высокочастотном α-поддиапазоне, снижение скорости колебания тела и энергозатрат для поддержания вертикальной позы и уменьшение электромиографической активности мышц, не задействованных в решении двигательно-когнитивных двойных задач. В дальнейшем планируется использовать данные показатели с целью диагностики нарушений и разработки технологии восстановления СМИ у пациентов с ПТСР.

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