<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE root>
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Russian Journal of Physiotherapy, Balneology and Rehabilitation</journal-id><journal-title-group><journal-title xml:lang="en">Russian Journal of Physiotherapy, Balneology and Rehabilitation</journal-title><trans-title-group xml:lang="ru"><trans-title>Физиотерапия, бальнеология и реабилитация</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1681-3456</issn><issn publication-format="electronic">2413-2969</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">41681</article-id><article-id pub-id-type="doi">10.18821/1681-3456-2018-17-2-66-71</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Articles</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Статьи</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">TOWARDS THE QUESTION OF «DOSE» MOTOR REHABILITATION AFTER STROKE: REVIEW</article-title><trans-title-group xml:lang="ru"><trans-title>К ВОПРОСУ О «ДОЗЕ» ДВИГАТЕЛЬНОЙ РЕАБИЛИТАЦИИ ПОСЛЕ ИНСУЛЬТА: ОБЗОР</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Grokhovsky</surname><given-names>S. S</given-names></name><name xml:lang="ru"><surname>Гроховский</surname><given-names>С. С</given-names></name></name-alternatives><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kubryak</surname><given-names>Oleg Vitalievich</given-names></name><name xml:lang="ru"><surname>Кубряк</surname><given-names>Олег Витальевич</given-names></name></name-alternatives><bio xml:lang="en"><p>PhD, DSc, Head of Laboratory of physiology of human functional states, P.K. Anokhin Institute of Normal Physiology, Moscow</p></bio><bio xml:lang="ru"><p>д-р биол. наук, зав. лаб. физиологии функциональных состояний человека ФГБУН «НИИ нормальной физиологии им. П.К. Анохина», Москва</p></bio><email>o.kubryak@nphys.ru</email><xref ref-type="aff" rid="aff2"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Research Centre MERA</institution></aff><aff><institution xml:lang="ru">Исследовательский центр МЕРА</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">P.K. Anokhin Research Institute of Normal Physiology</institution></aff><aff><institution xml:lang="ru">ФГБУН «НИИ нормальной физиологии им. П.К. Анохина»</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2018-04-15" publication-format="electronic"><day>15</day><month>04</month><year>2018</year></pub-date><volume>17</volume><issue>2</issue><issue-title xml:lang="en">VOL 17, NO2 (2018)</issue-title><issue-title xml:lang="ru">ТОМ 17, №2 (2018)</issue-title><fpage>66</fpage><lpage>71</lpage><history><date date-type="received" iso-8601-date="2020-07-23"><day>23</day><month>07</month><year>2020</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2018, Eco-Vector</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2018, ООО "Эко-Вектор"</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="en">Eco-Vector</copyright-holder><copyright-holder xml:lang="ru">ООО "Эко-Вектор"</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/></permissions><self-uri xlink:href="https://rjpbr.com/1681-3456/article/view/41681">https://rjpbr.com/1681-3456/article/view/41681</self-uri><abstract xml:lang="en"><p>According to regulatory documents and published studies, the time in the hospital for rehabilitation after a stroke during one stage is 10-30 hours or more per patient. At the same time, a reliable assessment of the required volume of motor rehabilitation and motor training remains an actual and complex task, which requires special attention of researchers and consensus solutions in order to obtain clear justifications for choosing the type and mode of employment, and to improve the effectiveness of the measures taken.</p></abstract><trans-abstract xml:lang="ru"><p>По данным регламентирующих документов и опубликованных исследований, время в стационаре для реабилитационных мероприятий после инсульта в течение одного этапа составляет 10-30 ч и более на одного пациента. При этом надёжная оценка необходимого объёма двигательной реабилитации, моторного обучения остаётся на сегодня актуальной сложной задачей, требующей особого внимания исследователей и консенсусных решений для получения ясных обоснований выбора вида и режима занятий, повышения эффективности принимаемых мер.</p></trans-abstract><kwd-group xml:lang="en"><kwd>post-stroke rehabilitation</kwd><kwd>motor rehabilitation</kwd><kwd>motor control</kwd><kwd>motor training</kwd><kwd>neuroplasticity</kwd><kwd>rehabilitation exercises</kwd><kwd>vertical posture</kwd><kwd>supporting reactions</kwd><kwd>dosing of loads</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>постинсультная реабилитация</kwd><kwd>двигательная реабилитация</kwd><kwd>моторный контроль</kwd><kwd>моторное обучение</kwd><kwd>нейропластичность</kwd><kwd>восстановительные упражнения</kwd><kwd>вертикальная поза</kwd><kwd>опорные реакции</kwd><kwd>дозирование нагрузок</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Belagaje S.R. Stroke rehabilitation. Continuum (Minneap. Minn.). Cerebrovasc. Dis. 2017; 23(1): 238-253.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Дамулин И.В., Екушева Е.В. Клиническое значение феномена нейропластичности при ишемическом инсульте. Анналы клинической и экспериментальной неврологии. 2016; (1): 57-64.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Dimyan M.A., Cohen L.G. Neuroplasticity in the context of motor rehabilitation after stroke. Nat. Rev. Neurol. 2011; 7(2): 76-85.</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Stöckel T., Carroll T.J., Summers J.J., Hinder M.R. Motor learning and cross-limb transfer rely upon distinct neural adaptation processes. J. Neurophysiol. 2016; 116(2): 575-86.</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Селионов В.А., Солопова И.А., Жванский Д.С. Активация межконечностных связей повышает моторный выход в ногах у здоровых испытуемых: исследование в условиях разгрузки рук и ног. Физиология человека. 2016; 42(1): 52-63.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Кубряк О.В., Ковалева А.В., Горбачева А.К., Гроховский С.С., Бирюкова Е.А., Панова Е.Н. Особенности достижения результата в задаче с биологической обратной связью по опорной реакции при изменении способа исполнения. Материалы XXIII съезда Физиологического общества имени И.П. Павлова. Воронеж; 2017: 298-9.</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Lohse K.R., Lang C.E., Boyd L.A. Is more better? Using metadata to explore dose-response relationships in stroke rehabilitation. Stroke. 2014; 45(7): 2053-8.</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Московский консенсус по применению стабилометрии и биоуправления по опорной реакции в практическом здравоохранении и исследованиях / НИИ нормальной физиологии им. П.К. Анохина. М.; 2017. http://moscowstabilometryconsensus.ru.</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Котов С.В., Бирюкова Е.В., Турбина Л.Г., Кондур А.А., Зайцева Е.В. Динамика восстановления у пациентов с постинсультными двигательными нарушениями при повторных курсах нейрореабилитации с экзосклетом кисти, управляемого интерфейсом «мозг-компьютер». Журнал высшей нервной деятельности им. И.П. Павлова. 2017; 67(4): 445-52.</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Ястребцева И.П., Кривоногов В.А. Стабилометрический тренинг с использованием биологической обратной связи различной модальности: анализ результатов. Доктор.Ру. 2018; (1): 16-20.</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Черникова Л.А. (ред.) Восстановительная неврология: Инновационные технологии в нейрореабилитации. М.; 2016: 61-122.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Кубряк О.В., Кривошей И.В. Анализ научной области на примере обзора диссертационных работ. Мониторинг общественного мнения: Экономические и социальные перемены. 2016; (6): 52-68.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Союз реабилитологов России. Материалы. Порядок организации медицинской реабилитации. URL: https://rehabrus.ru/materialyi/poryadok-organizaczii-mediczinskoj-reabilitaczii-1705.html.</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>White Book on physical and rehabilitation medicine in Europe. Eur. J. Phys. Rehab. Med. 2018; 54(2): 177-85.</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Guidelines for adult stroke rehabilitation and recovery. A Guideline for healthcare professionals from the American Heart Association/American Stroke Association, 2016. URL: https://www.aan.com/Guidelines/Home/GetGuidelineContent/744.</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Nudo R.J. Recovery after brain injury: mechanisms and principles. Front. Hum. Neurosci. 2013; 7: 887.</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Darling W.G., Morecraft R.J., Rotella D.L., Pizzimenti M.A., Ge J., Stilwell-Morecraft K.S. et al. Recovery of precision grasping after motor cortex lesion does not require forced use of the impaired hand in Macaca mulatta. Exp. Brain. Res. 2014; 232(12): 3929-38.</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Taylor J., Macpherson T., Spears I., Weston M. The effects of repeated-sprint training on field-based fitness measures: a meta-analysis of controlled and non-controlled trials. Sports Med. 2015; 45(6): 881-91.</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Peters D.M., McPherson A.K., Fletcher B., McClenaghan B.A., Fritz S.L. Counting repetitions: an observational study of video game play in people with chronic poststroke hemiparesis. J. Neurol. Phys. Ther. 2013; 37(3): 105-11.</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Lang C.E., Lohse K.R., Birkenmeier R.L. Dose and timing in neurorehabilitation: prescribing motor therapy after stroke. Curr. Opin. Neurol. 2015; 28(6): 549-55.</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Reinkensmeyer D.J., Burdet E., Casadio M., Krakauer J.W., Kwakkel G., Lang C.E. et al. Computational neurorehabilitation: modeling plasticity and learning to predict recovery. J. Neuroeng. Rehabil. 2016; 13(1): 42.</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Lohse K.R., Schaefer S.Y., Raikes A.C., Boyd L.A., Lang C.E. Asking new questions with old data: The centralized open-access rehabilitation database for stroke. Front. Neurol. 2016; 7: 153.</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Bernhardt J., Borschmann K., Boyd L., Thomas Carmichael S., Corbett D., Cramer S.C. et al. Moving rehabilitation research forward: Developing consensus statements for rehabilitation and recovery research. Int. J. Stroke. 2016; 11(4): 454-8.</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Walker M.F., Hoffmann T.C., Brady M.C., Dean C.M., Eng J.J., Farrin A.J. et al. Improving the development, monitoring and reporting of stroke rehabilitation research: Consensus-based core recommendations from the Stroke Recovery and Rehabilitation Roundtable. Int. J. Stroke. 2017; 12(5): 472-9.</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Boyd L.A., Hayward K.S., Ward N.S., Stinear C.M., Rosso C., Fisher R.J. et al. Biomarkers of stroke recovery: consensus-based core recommendations from the Stroke Recovery and Rehabilitation Roundtable. Int. J. Stroke. 2017; 12(5): 480-93.</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Кубряк О.В., Гроховский С.С., Исакова Е.В., Котов С.В. Биологическая обратная связь по опорной реакции: методология и терапевтические аспекты. М.; 2015.</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Кубряк О.В., Панова Е.Н. Определение понятий виртуальной реальности в медицинской реабилитации. Физиотерапия, бальнеология и реабилитация. 2017. 16(2): 70-72.</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Corbetta D., Imeri F., Gatti R. Rehabilitation that incorporates virtual reality is more effective than standard rehabilitation for improving walking speed, balance and mobility after stroke: a systematic review. J. Physiother. 2015; 61(3): 117-24.</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>de Rooij I.J., van de Port I.G., Meijer J.G. Effect of virtual reality training on balance and gait ability in patients with stroke: systematic review and meta-analysis. Phys. Ther. 2016; 96(12): 1905-18.</mixed-citation></ref><ref id="B30"><label>30.</label><mixed-citation>Chen L., Lo W.L., Mao Y.R., Ding M.H., Lin Q., Li H. et al. Effect of virtual reality on postural and balance control in patients with stroke: a systematic literature review. Biomed. Res. Int. 2016; 2016: 7309272.</mixed-citation></ref><ref id="B31"><label>31.</label><mixed-citation>Iruthayarajah J., McIntyre A., Cotoi A., Macaluso S., Teasell R. The use of virtual reality for balance among individuals with chronic stroke: a systematic review and meta-analysis. Top Stroke Rehabil. 2017; 24(1): 68-79.</mixed-citation></ref><ref id="B32"><label>32.</label><mixed-citation>Cheok G., Tan D., Low A., Hewitt J. Is Nintendo Wii an effective intervention for individuals with stroke? A systematic review and meta-analysis. J. Am. Med. Dir. Assoc. 2015; 16(11): 923-32.</mixed-citation></ref><ref id="B33"><label>33.</label><mixed-citation>Bower K.J., Clark R.A., McGinley J.L., Martin C.L., Miller K.J. Clinical feasibility of the Nintendo Wii™ for balance training post-stroke: a phase II randomized controlled trial in an inpatient setting. Clin. Rehabil. 2014; 28(9): 912-23.</mixed-citation></ref><ref id="B34"><label>34.</label><mixed-citation>Clark R.A., Pua Y.H., Oliveira C.C., Bower K.J., Thilarajah S., McGaw R. et al. Reliability and concurrent validity of the Microsoft Xbox One Kinect for assessment of standing balance and postural control. Gait Posture. 2015; 42(2): 210-3.</mixed-citation></ref><ref id="B35"><label>35.</label><mixed-citation>Darekar A., McFadyen B.J., Lamontagne A., Fung J. Efficacy of virtual reality-based intervention on balance and mobility disorders post-stroke: a scoping review. J. Neuroeng. Rehabil. 2015; 12: 46.</mixed-citation></ref><ref id="B36"><label>36.</label><mixed-citation>Gibbons E.M., Thomson A.N., de Noronha M., Joseph S. Are virtual reality technologies effective in improving lower limb outcomes for patients following stroke - a systematic review with meta-analysis. Top Stroke Rehabil. 2016; 23(6): 440-57.</mixed-citation></ref><ref id="B37"><label>37.</label><mixed-citation>Снопков П.С., Лядов К.В., Шаповаленко Т.В., Сидякина И.В. Дистанционная реабилитация: истоки, состояние, перспективы. Физиотерапия, бальнеология и реабилитация. 2016. 15(3): 141-5.</mixed-citation></ref><ref id="B38"><label>38.</label><mixed-citation>Lloréns R., Noé E., Colomer C., Alcañiz M. Effectiveness, usability, and cost-benefit of a virtual reality-based telerehabilitation program for balance recovery after stroke: a randomized controlled trial. Arch. Phys. Med. Rehabil. 2015; 96(3): 418-25.</mixed-citation></ref><ref id="B39"><label>39.</label><mixed-citation>Squires R.W., Kaminsky L.A., Porcari J.P., Ruff J.E., Savage P.D., Williams M.A. Progression of exercise training in early outpatient cardiac rehabilitation: An official statement from the Аmerican Аssociation of Сardiovascular and Pulmonary Rehabilitation. J. Cardiopulm. Rehabil. Prev. 2018; 38(3): 139-46.</mixed-citation></ref><ref id="B40"><label>40.</label><mixed-citation>WHO: Rehabilitation 2030: A call for action, 2017. URL: http://www.who.int/disabilities/care/rehab-2030/en.</mixed-citation></ref></ref-list></back></article>
