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CLINICAL AND INSTRUMENTAL EXAMINATION OF PATIENTS
WITH IMPAIRED POSTURAL BALANCE AFTER ACUTE
CEREBROVASCULAR ACCIDENT IN THE LATE RECOVERY PERIOD
BASED ON THE USE OF A SYSTEM TO RESTORE STATIC AND
DYNAMIC BALANCE.
Khairieva Mukhsina Farkhadovna
Bukhoro davlat Tibbet institutes
THESIS
https://orcid.org/0000-0002-0002-0015
https://doi.org/10.5281/zenodo.15227148
When conducting an EMG study before rehabilitation in patients after
stroke, a decrease in the electrogenesis of the studied muscle groups (T.
opponens pollicis, m. peroneus longus) was detected in the extremities and on
the heminaresis side in the form of a decrease in the amplitude of biopotentials
by almost 2 times compared with normal values. An analysis of the initial
parameters of the ENMG study in patients with the effects of ONCC revealed a
decrease in the amplitude of the motor response on the side of geminaresis
along the median nerve by an average of 50%, along the fibular nerve - by 40%.
After the rehabilitation course in the main group, EMG showed a significant
increase in the amplitude of the curve of maximum muscle tension on the side of
motor disorders to 211.71±1.05 mv per ton. opponens pollicis and 448.27±4.74
MV per ton. peroneus longus (p=0.0651 and 0.0167, respectively, the Wilcoxon
criterion). In the comparison group, the amplitude of the curve of maximum
muscle tension after a course of rehabilitation on the side of motor disorders
increased to 197.13±1.82 mv/ t. opponens pollicis (p=0.0791, Wilcoxon
criterion), and 277.26±1.75 MV/t. peroneus longus (p=0.0511, Wilcoxon
criterion). There were no statistically significant differences in both cases. 6
months after the rehabilitation course, there was a decrease in the values of the
electrical activity of the limb muscles in the studied patients relative to the same
indicators immediately after rehabilitation, but with significantly higher levels
than before the rehabilitation course, mainly in the main group. The amplitude
of the curve of maximum muscle tension in patients of the main group 6 months
after rehabilitation was 228.92±1.73 mv/t. opponens pollicis (p=0.0751,
Wilcoxon criterion), and 397.43±3.53 mv/t. peroneus longus (p=0.0 b23,
Wilcoxon criterion); in the comparison group, 181.72±1.6 mv per ton. opponens
pollicis (p=0.0056, Wilcoxon criterion) and 231.23±0.84 mv per ton. peroneus
longus (p=0.0151, Wilcoxon criterion).
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According to the ENMG study, as a result of comprehensive rehabilitation of
patients with the inclusion of the "Balance tutor" system, an increase in the
amplitude of motor response along the median (p=0.0563, Mann-Whitney
criterion 18) and fibular nerve (p=0.0063, Mann-Whitney criterion) was noted
by hemiparesis with a statistically significant superiority in the main group. Six
months after the rehabilitation course, the amplitude of the motor response
along the median nerve in the main group decreased, but without statistically
significant changes relative to the indicator immediately after the rehabilitation
course (p=0.0603, Wilcoxon criterion); while in the comparison group, the
amplitude of the motor response along the median nerve decreased with a
statistically significant difference with this indicator immediately after the
course rehabilitation (p=0.04bZ, Wilcoxon criterion). Similar changes also
affected the parameters of the amplitude of the motor response along the fibular
nerve. Thus, the analysis of electroneuromyographic data in dynamics showed
that when using rehabilitation technology with the inclusion of the "Balance
tutor" system, significant changes in the electrical excitability of neuromuscular
tissue (amplitude of maximum muscle tension, amplitude of motor responses of
peripheral nerves) were observed mainly from hemiparesis, indicating an
improvement in the motor functions of the extremities and the restoration of
secondary disorders of peripheral nerve innervation. links of the functional
motion system..
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