nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2016-4-10-13nnp-665Research ArticleORIGINAL INVESTIGATIONSОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ И МЕТОДИКИUSE OF AN INFRA-LOW FREQUENCY EEG BIOLOGICAL FEEDBACK TECHNIQUE IN THE COMPREHENSIVE REHABILITATION OF PATIENTS WITH A DECREASED LEVEL OF CONSCIOUSNESSПРИМЕНЕНИЕ МЕТОДА БИОЛОГИЧЕСКОЙ ОБРАТНОЙ СВЯЗИ ПО ИНФРАНИЗКИМ ЧАСТОТАМ ЭЛЕКТРОЭНЦЕФАЛОГРАММЫ В КОМПЛЕКСНОЙ РЕАБИЛИТАЦИИ ПАЦИЕНТОВ СО СНИЖЕННЫМ УРОВНЕМ СОЗНАНИЯШендяпинаМ. В.ShendyapinaM. V.

Мария Валентиновна Шендяпина.

125367, Москва, Иваньковское шоссе, 3, maria-shendyapina@yandex.ru

Maria Valentinovna Shendyapina.

3, Ivankovskoe Shosse, Moscow, 125367, maria-shendyapina@yandex.ru

maria-shendyapina@yandex.ruКазымаевС. А.KazymaevS. A.

125367, Москва, Иваньковское шоссе, 3

3, Ivankovskoe Shosse, Moscow, 125367

ШаповаленкоТ. В.ShapovalenkoT. V.

125367, Москва, Иваньковское шоссе, 3

3, Ivankovskoe Shosse, Moscow, 125367

ЛядовК. В.LyadovK. V.

125367, Москва, Иваньковское шоссе, 3

3, Ivankovskoe Shosse, Moscow, 125367

Лечебно-реабилитационный центрРоссияTreatment and Rehabilitation CenterRussian Federation201615122016841013Copyright © Shendyapina M.V., Kazymaev S.A., Shapovalenko T.V., Lyadov K.V., 20162016Шендяпина М.В., Казымаев С.А., Шаповаленко Т.В., Лядов К.В.Shendyapina M.V., Kazymaev S.A., Shapovalenko T.V., Lyadov K.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/665

A protocol for EEG biological feedback (BFB) at infra-low frequencies (<0.01 Hz) corresponding to those of the brain default mode network has been devised in recent years.

Objective

Objective: to evaluate the therapeutic features of an EEG BFB technique in the rehabilitation of patients with a decreased level of consciousness.

Patients and methods

Patients and methods. The study included 11 patients with a decreased consciousness level (Glasgow coma scores of 7.4±2.5).  The patients were examined using the specialized clinical scales before and every 3 weeks during BFB therapy (5 BFB sessions per week).

Results

Results. According to the neuropsychological scales, the patients' level of consciousness and mental activity were noted to become obviously increased just after 3 weeks of therapy, which was observed until the neurorehabilitation course was completed.

Conclusion

Conclusion. The minimally conscious patients using EEG BFB showed a significant clinical improvement. The infra-low frequency EEG BFB method deserves attention as a promising tool for increasing the patients' level of consciousness in accessible form.

В последние годы разработан протокол биологической обратной связи (БОС) по инфранизким частотам (<0,01 Гц) электроэнцефалограммы (ЭЭГ), соответствующим частотам сетей пассивного режима работы мозга.

Цель исследования – оценка терапевтических особенностей метода БОС по ЭЭГ в реабилитации пациентов со сниженным уровнем сознания.

Пациенты и методы

Пациенты и методы. В исследование вошло 11 пациентов со сниженным уровнем сознания (7,4±2,5 баллов по шкале комы Глазго). Пациентов обследовали с помощью специализированных клинических шкал до и каждые 3 нед в течение БОС-терапии (5 сеансов БОС в неделю).

Результаты

Результаты. По данным нейропсихологических шкал, у пациентов отмечено выраженное повышение уровня сознания и психической активности уже после 3-недельной терапии, которое наблюдалось вплоть до завершения курса нейрореабилитации. Заключение. Показано значительное улучшение клинических показателей при использовании БОС по ЭЭГ у пациентов с минимальным уровнем сознания. Метод БОС по инфранизким частотам ЭЭГ заслуживает внимания как перспективный инструмент, позволяющий повысить уровень сознания пациентов в доступной для них форме.

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The authors declare that there are no conflicts of interest present.