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METHOD FOR INCREASING THE EFFECTIVENESS OF ARM MOTOR REHABILITATION AFTER STROKE

机译:提高中风后臂电机康复有效性的方法

摘要

The invention relates to the field of medicine, and more particularly to methods for the rehabilitation of stroke patients. The technical result of the claimed solution is more effective normalization of the motor kinematic portrait in a paretic arm by means of targeted modulation of motor cortex excitability using TES of the brain and modification of the protocols used during FES that is synchronized to voluntary movements by means of EMG, in accordance with the severity of the patient's paresis and their functional capacities. The claimed technical result is achieved by means of a method for arm motor rehabilitation in stroke patients which includes steps in which the brain is subjected to TES, after which a target muscle is subjected to functional electrical stimulation using a pulsed current while the patient executes a cyclical movement with the aid of the muscle in question; at the same time, electromyography of the muscle in question is carried out, wherein a muscle that acts as a synergist in the execution of the cyclical movement is used as an EMG trigger for the FES, the EMG trigger electrode being attached outside of the region of activity of the muscle being stimulated.
机译:本发明涉及药物领域,更具体地涉及卒中患者康复的方法。所要求保护的解决方案的技术结果是通过使用大脑的TEES的TES对电动机皮层兴奋性的靶向调节更有效地标准化垂直臂中的电动机运动型肖像,并通过在与自愿运动同步到自愿运动期间使用的协议的修改EMG,按照患者的分析和其功能能力的严重程度及其功能能力。通过中风患者的臂电动机康复方法实现了索赔的技术结果,该方法包括脑经受TES的步骤,之后患者在患者执行A时使用脉冲电流进行功能电刺激。借助有问题的肌肉的周期性运动;同时,进行问题的肌肉的肌电图,其中用作循环运动的执行中起作用者的肌肉作为FE的EMG触发,EMG触发电极附接到该区域外部刺激肌肉的活动。

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