VESTNIK of Samara University. Aerospace and Mechanical EngineeringVESTNIK of Samara University. Aerospace and Mechanical Engineering2542-04532541-7533Samara National Research University242910.18287/1998-6629-2014-0-4(46)-138-143UnknownStimulation electromyography in determining the mechanism of therapeutic action of adaptive feedback for patients with traumatic disease of the spinal cordBogdanovaL. P.<p>Doctor of Medical Science</p>
<p>Professor of the Department of Physical Education</p>bolp111@bk.ruSamara State Aerospace University091220141341381430804201508042015Copyright © 2015, VESTNIK of the Samara State Aerospace University2015<p>The aim of this work was to study the mechanism of the therapeutic action of the adaptive biofeedback method using visual and auditory feedback to repair movement disorder in patients with traumatic disease of the spinal cord in case of complex spine fracture on the basis of data on the changes in electrophysiological properties of muscles and spinal motor neurons involved in the pathological process. Sixty four patients were treated and tested in the first month after injury, 40 of them male and 24 female. The age of the patients ranged from 19 to 40 years, the average age being 28,3 years. All the patients were subjected to a complete orthopedic and traumatological, neurological, laboratory, radiographic and electrocardiographic examination. Electroencephalography was also carried out if required on therapeutic grounds. After adaptive biofeedback an increase in total excitability of the patients spinal motor neurons by a factor of 2,2 was noted. The involvement of alpha-BMN increased by a factor of 2,5 and that of alpha TNM increased by a factor of 1.6 approaching the performance of healthy people. The sensitivity of primary muscle endings increased by 64,5%. The degree of attenuation of the re-induced spinal reflex practically did not change.</p>Spine fracturetraumatic disease of the spinal cordelectromyographyadaptive biofeedbackПерелом позвоночникатравматическая болезнь спинного мозгаэлектромиографияадаптивное биоуправление[1. Akhmetov G.I. EMG biofeedback in complex rehabilitation of patients with traumatic disease of the spinal cord // Fizkul'tura v profilaktike, lechenii I reabilitatsii. 2009. No.4. P. 45-47. (In Russ.)][2. Bogdanova L.P. Some pathophysio-logical mechanisms of muscular tone impairment // Patologicheskaya fiziologiya I eksperimental'naya terapiya. 2004. No. 4. P. 19-21. (In Russ.)][3. Bogdanova L.P. Lechenie bol'nykh s dvigatel'nymi narusheniyami pri travmaticheskoy bolezni spinnogo mozga [Treatment of patients with movement disorders caused by traumatic disease of the spinal cord]. Samara: Samara State Medical University Publ., 2005. 142 p.][4. Ivanova G.Е. Organization of the rehabilitation process // Zdravookhranenie Chuvashii. 2013. No. 1. P. 20-27. (In Russ.)][5. Ignatieva O.I., Kshnyakina E.G., Khovryakov A.V. Kliniko-statisticheskiy analiz rezul'tatov kompleksnogo lecheniya bol'nykh s TBSM // Materialy vtorogo mezhdunarodnogo kongressa «Neyroreabilitatsiya». Moscow. 2010. P. 102. (In Russ.)][6. Kosov I.S., Mikhaylova S.A. Metod funktsional'nogo bioupravleniya v neyroreabilitatsii // Materialy nauchno-prakticheskoy konferentsii «Reabilitatsiya pri patologii oporno-dvigatel'nogo apparata». Moscow. 2012. P. 37-38. (In Russ.)][7. Nikolaev Y.E. Praktikum poklinicheskoy elektromiografii [Practicum on clinical electromyography]. Ivanovo: Ivanovo State Medical Academy Publ., 2008. 264 p.][8. Skupchenko V.V., Bogdanova L.P. Pathophysiological mechanisms of torsion dystonia // Patologicheskaya Fiziologiya I Eksperimentalnaya Terapiya. 1989. No. 1. P. 66-68. (In Russ.)][9. Tsyrkin M., Dzhafarov O.A., Vo-roninsky C.A., Sperling M.M. Motor rehabilitation of invalids with infringement of locomotor function due to residual PHENOMENA of stroke // Bulletin of Siberian medicine. 2013. V. 12, no. 2. P. 128-134. (In Russ.)][10. Shein A.P., Krivoruchko G.A. Electroneuromyographic characteristics of the muscles of the lower extremities in patients // Spinesurgery. 2011. No. 1. P. 56-61. (In Russ.)]