Potentials for functional recovery of the upper limb in stroke patients using the brain-computer-controlled interface for hand exoskeleton with multichannel biofeedback


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Background. The consequences of cerebrovascular disorders have significant impact on the quality of life of patients. An important aspect of the possibility of self-maintenance and self-efficacy of stroke patients includes the preservation of cognitive functions, as well as hand functions, first of all, fine hand motor skills. Objective. Evaluation of the effect of the BCCIHE simulator (brain-computer-controlled interface for hand exoskeleton) with kinesthetic and visual feedback on improving/restoring the functional activity of the upper limb in daily activities, as well as possible causes of non-use of the upper limb with intact motor characteristics. Methods. The current analysis included 29 patients with a similar severity of neurological deficits. BCCIHE simulator with kinesthetic and visual feedback was used in the study. Results. The use of BCCIHE simulator with kinesthetic and visual feedback as part of the complex rehabilitation of patients of the main group who interacted with the neurointerface in the active paradigm has led to the significant improvement of upper limb’s motor activity, mainly due to the restoration of its proximal parts, and improvement of motor control during active actions. Conclusion. The use of the BCCIHE simulator complex with kinesthetic and visual feedback as a part of rehabilitation measures has a positive effect not only on the isolated restoration of physical activity, but also on the expansion of daily activity indicators by improving the quality of movements performed bimanually.

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作者简介

Yuliya Bushkova

Research Institute of Cerebrovascular Pathology and Stroke, N.I. Pirogov RNRMU

Email: bushkova@yandex.ru

Z. Kazakova

Research Institute of Cerebrovascular Pathology and Stroke, N.I. Pirogov RNRMU

L. Stakhovskaya

Research Institute of Cerebrovascular Pathology and Stroke, N.I. Pirogov RNRMU

G. Ivanova

Research Institute of Cerebrovascular Pathology and Stroke, N.I. Pirogov RNRMU

A. Frolov

Institute of Higher Nervous Activity and Neurophysiology of RAS

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