Actuality of the use of the "OSNOVA" device in remote rehabilitation

Oleksandr Kryvyakin; Yulia Antonova-Rafi; Liudmyla Shuba

doi:10.15391/prrht.2023-8(3).04

Authors

Oleksandr Kryvyakin Department of Biosafety and Human Health, National Technical University of Ukraine "Igor Sikorsky Kyiv Polytechnic University", Kyiv, Ukraine https://orcid.org/0000-0002-3744-8787
Yulia Antonova-Rafi Department of Biosafety and Human Health, National Technical University of Ukraine "Igor Sikorsky Kyiv Polytechnic University", Kyiv, Ukraine https://orcid.org/0000-0002-9518-4492
Liudmyla Shuba Management Department, National University "Zaporizhzhia Polytechnic", Zaporizhzhia, Ukraine https://orcid.org/0000-0002-8037-4218

DOI:

https://doi.org/10.15391/prrht.2023-8(3).04

Keywords:

remote rehabilitation, ischemic stroke, physical rehabilitation, digital technologies, “OSNOVA” device

Abstract

The purpose of the study: is to investigate the efficiency of the developed physical rehabilitation program in the late rehabilitation period after ischemic stroke with a personalized approach with the priority use of the "OSNOVA" device for the restoration of locomotor functions.

Material & Methods: to implement a physical rehabilitation program in the late rehabilitation period after ischemic stroke with a personalized approach with the priority use of the "OSNOVA" device for the restoration of locomotor functions, 10 patients diagnosed with ischemic stroke in the late rehabilitation period after undergoing sanatorium treatment were involved. Because the patients differed in pathogenesis (flaccid and spastic paralysis, left or right-sided), a personalized physical rehabilitation program was applied to each patient, but with elements of correction depending on the patient’s dynamics. All participants signed an informed consent form to participate in the study. The study used general and clinical methods of examination (medical history, patient examination), the NIHSS (National Institutes of Health Stroke Scale) scale, which allows an objective approach to the patient's condition after a stroke and assesses neurological status, and the MMSE (Mini Mental State Examination) scale, which assesses mental state and cognitive function. Also, to implement the developed program, a device for restoring locomotor functions – "Osnova" – was developed.

Results: a program of physical rehabilitation in the late rehabilitation period after ischemic stroke with a personalized approach with the priority use of the device "OSNOVA" was developed, which was conducted for three weeks and included three stages and the volume of training hours – 90. A "success diary" was introduced to motivate and monitor the workload during training. The data obtained showed that the average Barthel scale score is 77.1 against the initial value of 64. It should be noted that the scores increased by 17%. The NIHSS scale is 13.9 against the initial value of 10.1. We note that the scores have increased by 27%.

Conclusions: the results obtained showed positive dynamics, but the development of a standard rehabilitation protocol is an open question, as there is currently insufficient data to determine the optimal duration of procedures and their intensity.

References

Bird, M.-L., Peel, F., Schmidt, M., Fini, N. A., Ramage, E., Sakakibara, B. M. … English, C. (2022). Mobility-Focused Physical Outcome Measures Over Telecommunication Technology (Zoom): Intra and Interrater Reliability Trial. JMIR Rehabil Assist Technol, 9(3), e38101. https://doi.org/10.2196/38101

Bonura, A., Motolese, F., Capone, F., Iaccarino, G., Alessiani, M., Ferrante, M. … Pilato, F. (2022). Smartphone App in Stroke Management: A Narrative Updated Review. Journal of Stroke, 24(3), 323-334. https://doi.org/10.5853/jos.2022.01410

Buckingham, S. A., Sein, K., Anil, K., Demain, S., Gunn, H., Jones, R. B. … Freeman, J. (2022). Telerehabilitation for physical disabilities and movement impairment: A service evaluation in South West England. J Eval Clin Pract, 28(6), 1084-1095. https://doi.org/10.1111/jep.13689

Degan, D., Ornello, R., Tiseo, C., De Santis, F., Pistoia, F., Carolei, A., & Sacco, S. (2017). Epidemiology of Transient Ischemic Attacks Using Tim or Tissue-Based Definitions. Stroke, 48(3), 530-536. https://doi.org/10.1161/STROKEAHA.116.015417

Dodakian, L., McKenzie, A. L., Le, Vu. See, J., Pearson-Fuhrhop, K., Quinlan, E. B. … Cramer, S. C. (2017). A Home-Based Telerehabilitation Program for Patients With Stroke. Neurorehabil Neural Repair, 31(10-11), 923-933. https://doi.org/10.1177/1545968317733818

Edwards, D., Kumar, S., Brinkman, L., Ferreira, I. C., Esquenazi, A., Nguyen, T. … Cramer, S. C. (2023). Telerehabilitation Initiated Early in PostStroke Recovery: A Feasibility Study. Neurorehabilitation and Neural Repair, 37(2-3), 131-141. https://doi.org/10.1177/15459683231159

Gandhi, S., Chen, Sh., Hong, L., Sun, K., Gong, E., Li, Ch., Yan, L.L., & Schwalm, J.-D. (2017). Effect of Mobile Health Interventions on the Secondary Prevention of Cardiovascular Disease: Systematic Review and Meta-analysis. Can J Cardiol, 33(2), 219-231. https://doi.org/10.1016/j.cjca.2016.08.017

Gillen, G. (2016). Stroke Rehabilitation: A Function-Based Approach. Elsevier Inc. https://doi.org/10.1016/C2012-0-02658-0

Harrison, S.L, Tang, E.Y., & Keage, H.A. (2016). A systematic review of the definitions of vascular cognitive impairment, no dementia in Cohort studies. Dement Geriatr Cogn Dis, 42, 69-79. https://doi.org/10.1159/000448213

Horopashna, S., & Horoshko, V. (2022). Modern approaches to rehabilitation therapy after stroke. Physical rehabilitation and recreational health technologies, 7(1), 34-37. https://doi.org/10.15391/prrht.2022-7.08

Hristova, T.E., & Sukhanova, G.P. (2015). Fundamentals of therapeutic physical culture: a study guide for students of higher educational institutions specializing in "Physical education". Color Print LLC, Melitopol. http://eprints.mdpu.org.ua/id/eprint/1946

Hu, J., Zou, J., Wan, Y., Yao, Q., Dong P., Li, G. … Huang, G. (2022). Rehabilitation of motor function after stroke: A bibliometric analysis of global research from 2004 to 2022. Front Aging Neurosci, 2(14), 1024163. https://doi.org/10.3389/fnagi.2022.1024163

Kashuba, V.O., & Popadyuha, Yu.A. (2018). Biomechanics of spatial organization for the human body: diagnosis and restoration of damage using modern methods and means. Center of educational literature. Kyiv.

Klevaka, L., Vyshar, Ye., & Levkov, A. (2022). Effectiveness of physical therapy of a person with a hemorrhagic stroke during the recovery period: a clinical case. Physical rehabilitation and recreational health technologies, 7(4), 151-162. https://10.15391/prrht.2022-7(4).26

Kozyavkin, V.I. (2012). Intensive Neurophysiological Rehabilitation System – the Kozyavkin Method. A Manual for Rehabilitation Specialists. Translation from Ukrainian. “Papuga” Publishing House. Lviv.

Krishnamurthi, R., Hale, L., Barker-Collo, S., Theadom, A., Bhattacharjee, R., George, A. … Feigin, V. (2019). Mobile Technology for Primary Stroke Prevention: A Proof-of-Concept Pilot Randomized Controlled Trial. Stroke. 50(1), 196-198. https://doi.org/10.1161/STROKEAHA.118.023058.

Kryvyakin, O. & Antonova-Rafi, Y. (2022). Features of using the "OSNOVA" device in physical therapy for recovery of lost motor functions. Biomedical Engineering and Technology, 7. https://doi.org/10.20535/2617-8974.2022.7.267873

Kryvyakin, O. (2022). Patent of Ukraine 151168. Kyiv State Patent Office of Ukraine.

Medical portal. Hypertensive disease. Reasons. Symptoms Diagnostic. http://www.eurolab.ua/encyclopediaua/therapy-ua/41654/?page=3

Mishchenko, T.S. (2017). Epidemiology of cerebrovascular diseases and organization of medical care for patients with stroke in Ukraine. Ukrains'kyi visnyk psykhonevrolohii. The Scientific and Practical Journal of Medicine, 1(90), 22-24. https://bit.ly/3t5XIGR

Mishchenko, T.S., Bokatuieva, V.V., & Mishchenko, V.M. (2020). Features of cognitive disorders in patients with cardioembolic stroke. Ukrains'kyi visnyk psykhonevrolohii. The Scientific and Practical Journal of Medicine, 2(103), 16-21. https://doi.org/10.36927/2079-0325-V28-is2-2020-3

Nakae, T., Kataoka, H., Kuwata, S., Iihara, K. (2014). Smartphone-assisted prehospital medical information system for analyzing data on prehospital stroke care. Stroke, 45(5), 1501-1504. https://doi.org/10.1161/STROKEAHA.114.004872

Pavlova, O., Nikolenko, E., Vovk, K., Salun, O., Haydukova, O., & Nikolenko, O. (2020). The effectiveness of robotic-assisted methods in the rehabilitation of patients with ischemic stroke. Fizicna Reabilitacia ta Rekreacijno-Ozdorovci Tehnologii, 5(4), 12-14. https://10.15391/prrht.2020-5(4).03

Popadyuxa, Yu.A. (2018). Modern complexes, systems and devices in rehabilitation technologies. Center for Educational Literature.

Shchetinin, V.V., Skrypka, O.G., Boboshko, R.O., & Dondoreva, I.S. (2020). The use of a simulator for the fingers of the brush in the rehabilitation of patients with the consequences of cerebral strokes. Fizicna Reabilitacia ta Rekreacijno-Ozdorovci Tehnologii, 5(3), 4-11. https://10.15391/prrht.2020-5(3).01

The Lancet Neurology (Ed.). (2016). The shared burden of stroke and dementia. Lancet Neurol. 15(9), 891. https://doi.org/10.1016/S1474-4422(16)30132-6

Vakulenko, L.O., & Klapchuk, V.V. (2018). Basics of rehabilitation, physical therapy, occupational therapy. Ukrmedkn: TDMU.

Vinychuk, S., & Fartushna, O. (2022). Epidemiology of transient ischemic attacks in the structure of acute cerebrovascular disorders in Ukraine and in other countries. International neurological journal, (5.91), 105-111. https://doi.org/10.22141/2224-0713.5.91.2017.110863

Virani, S.S., Alonso, A., Aparicio, H.J., Benjamin, E.J., Bittencourt, M.S., Callaway, C.W. … Tsao, C.W. (2021). Heart disease and stroke statistics-2021 update: a report from the American Heart Association. Circulation, 143, e254-e743. https://doi.org/10.1161/CIR.0000000000000950

Voropaiev, D.S., Brizhata, I.A., Stepanenko, O.S., & Petrenko N.V. (2022). Particularities of Multidisciplinary Approach in Physical Therapy. Acta Balneologica, 64(1), 77-82. https://doi.org/10.36740/ABAL202201116

Vykhliaiev, Y., Paryshkura, Y., & Tomych, L.M. (2022). Necessities and motivations to motive activity as psychophysiology factors of fitness and recreation. Scientific Journal of National Pedagogical Dragomanov University. Series 15. Scientific and Pedagogical Problems of Physical Culture (physical Culture and Sports), (5(150), 21-24. https://doi.org/10.31392/NPU-nc.series15.2022.5(150).05

Yao, K., Wong, K.K., Yu, X., Volpi, J., & Wong, S.T. (2021). An intelligent augmented lifelike avatar app for virtual physical examination of suspected strokes. Annu Int Conf IEEE Eng Med Biol Soc, 1727-1730. https://doi.org/10.1109/EMBC46164.2021.9629720

Zorowitz, R., Harvey, R., Stein, J., Winstein, C., & Wittenberg, G. (2014). Stroke Recovery and Rehabilitation. Demos Medical.