Physical and rehabilitation medicine, medical rehabilitationPhysical and rehabilitation medicine, medical rehabilitationФизическая и реабилитационная медицина, медицинская реабилитация2658-68432949-1436Eco-Vector40565910.36425/rehab405659REVIEWSНАУЧНЫЙ ОБЗОРReview ArticleAn outlook of early rehabilitation of stroke patients using VR technologiesПерспективы применения VR-технологий в ранней реабилитации пациентов с острым нарушением мозгового кровообращенияhttps://orcid.org/0000-0003-4272-09579132-4190PetrovaMarina V.ПетроваМарина Владимировна
Russian Federation

MD, Dr. Sci. (Med.), Professor

доктор мед. наук, профессор

mail@petrovamv.ruhttps://orcid.org/0000-0001-7461-42228980-4019RyzhovaOlga V.РыжоваОльга Валерьевна
Russian Federation

junior researcher

заведующая отделением медицинской реабилитации, младший научный сотрудник отделения неотложной неврологии и восстановительного лечения, врач по лечебной физкультуре

dr.origa@gmail.comhttps://orcid.org/0000-0001-9462-642356741338900O-9579-20152056-9908CheboksarovDmitrii V.ЧебоксаровДмитрий Васильевич
Russian Federation

MD, Cand. Sci. (Med.)

кандидат мед. наук

dcheboksarov@gmail.comSaenkoIrina V.СаенкоИрина Валерьевна
Russian Federation

MD, Cand. Sci. (Med.)

кандидат мед. наук

isayenko@mail.ruSuevaVictoria S.СуеваВиктория Сергеевна
Russian Federation

MD, Cand. Sci. (Med.)

кандидат мед. наук

victoriasueva@gmail.comhttps://orcid.org/0000-0003-3292-87897873-3673PetrikovSergey S.ПетриковСергей Сергеевич
Russian Federation

MD, Dr. Sci. (Med.), Corresponding Member of the Russian Academy of Sciences

доктор мед. наук, член-корр. РАН

petrikovss@sklif.mos.ruFederal Research and Clinical Center of Intensive Care Medicine and RehabilitologyФедеральный научно-клинический центр реаниматологии и реабилитацииFederal Research and Clinical Center of Intensive Care Medicine and RehabilitologyФедеральный научно-клинический центр реаниматологии и реабилитацииInstitute of Biomedical Problems of the Russian Academy of SciencesИнститут медико-биологических проблем Российской академии наукN.V. Sklifosovsky Research Institute for Emergency MedicineНаучно-исследовательский институт скорой помощи имени Н.В. Склифосовского29062023521571661005202325052023Copyright ©; 2023, Eco-VectorCopyright ©; 2023, Эко-Вектор2023Eco-VectorЭко-Векторhttps://creativecommons.org/licenses/by-nc-nd/4.0https://journals.eco-vector.com/2658-6843/article/view/405659

Among all the latest technologies, virtual reality (virtual reality, VR) can be a powerful and promising tool for achieving the main goals of rehabilitation. It has been experimentally proven that rehabilitation based on virtual technologies is able to recreate a realistic perception and corresponding reaction in a patient, thereby improving the quality of cognitive and motor rehabilitation with the least cost. However, the success of such rehabilitation depends mainly on the technologies and techniques used by doctors.

This study is devoted to the important problem — application of virtual reality technologies in patients with acute impairment of cerebral circulation at the stage of early rehabilitation. We focus on the neurophysiological aspects of the VR technology application and the mechanisms of the brain’s neuroplasticity during application of virtual reality. The characteristic features of modern approaches to application of virtual reality are highlighted. Also, a novel concept is proposed for the modern VR-technology application in intensive care unit patients. In conclusion, we discuss the possibilities of VR-technologies application, allowing for the simulation of any situation, as well as a possibility of synchronous playback of a music track with walking simulation in ICU patients in the acute period of stroke at the stage of early rehabilitation.

Среди всех новейших технологий виртуальная реальность (virtual reality, VR) может быть мощным и перспективным инструментом для достижения основных целей реабилитации. Экспериментально доказано, что реабилитация, основанная на виртуальных технологиях, способна воссоздавать реалистичное восприятие и соответствующую реакцию у пациента, за счёт чего улучшается качество когнитивной и моторной реабилитации с наименьшими затратами. Однако успех такой реабилитации зависит в основном от технологий и методик, используемых врачами.

Статья посвящена актуальной на сегодняшний день проблеме применения технологий виртуальной реальности у пациентов с острым нарушением мозгового кровообращения на этапе ранней реабилитации. Основное внимание в работе авторы акцентируют на нейрофизиологических аспектах применения технологий виртуальной реальности и механизмах нейропластичности головного мозга. Представлены характерные особенности, современные подходы к применению виртуальной реальности и концептуально новый подход применения современных технологий виртуальной реальности у пациентов в отделениях реанимации. Раскрыты возможности применения технологий виртуальной реальности, позволяющие моделировать любую ситуацию, а также возможность синхронного воспроизведения музыкальной дорожки с имитацией ходьбы у пациентов в остром периоде инсульта, находящихся в отделении реанимации, на этапе ранней реабилитации с применением технологий виртуальной реальности.

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