I.P. Pavlov Journal of Higher Nervous ActivityI.P. Pavlov Journal of Higher Nervous ActivityЖурнал высшей нервной деятельности им. И.П. Павлова0044-46773034-5316The Russian Academy of Sciences65202110.31857/S0044467723040044VZBVCCОБЗОРЫ И ТЕОРЕТИЧЕСКИЕ СТАТЬИINDICES OF NEUROPLASTICITY AND FUNCTIONAL REORGANIZATION IN MOTOR FUNCTIO RECOVERY AFTER STROKEПоказатели нейропластических и функциональных перестроек при восстановлении двигательной функции в ходе реабилитации после инсультаFedotovaI. R.ФедотоваИ. Р.bobrov.pavel@ihna.ruBobrovP. D.БобровП. Д.bobrov.pavel@ihna.ruKondurA. A.КондурА. А.bobrov.pavel@ihna.ruInstitute of Higher Nervous Activity and Neurophysiology of RASИнститут высшей нервной деятельности и нейрофизиологии Российской академии наукPirogov Russian National Research Medical UniversityРоссийский Национальный Исследовательский Медицинский Университет им. Н.И. ПироговаMoscow Regional Research and Clinical InstituteМосковский областной научно-исследовательский клинический институт им. М.Ф. Владимирского0107202373443545302022025Copyright ©; 2023, И.Р. Федотова, П.Д. Бобров, А.А. КондурCopyright ©; 2023, И.Р. Федотова, П.Д. Бобров, А.А. Кондур2023И.Р. Федотова, П.Д. Бобров, А.А. КондурИ.Р. Федотова, П.Д. Бобров, А.А. Кондурhttps://transsyst.ru/0044-4677/article/view/652021

The paper reviews data on changes of various indices calculated from multi-channel EEG, MRI, fMRI, and DTI data obtained from post-stroke patients during motor function recovery. The indices are most frequently discussed in literature on the topic of both motor rehabilitation in general and using BCI-based procedures in particular. The dynamics of the indices considered reflects the changes in interhemispheric imbalance during movement, the contribution of different areas and their interaction during motor execution as well as structural reorganization. The role of damaged and intact hemispheres and particular areas in motor recovery is discussed.

В статье представлены обзорные данные по изменению показателей, полученных из многоканальной ЭЭГ, МРТ, фМРТ и диффузионной тензорной трактографии у больных после инсульта в процессе двигательного восстановления. Рассмотрены основные показатели, которые чаще всего анализируются в литературе, посвященной изменениям в головном мозге, происходящим как в ходе традиционной двигательной реабилитации, так и при применении реабилитационных процедур, использующих технологию “интерфейс мозг—компьютер”. Изменение обсуждаемых показателей отражает динамику вовлеченности полушарий, отдельных областей мозга и связей между ними в решение двигательной задачи и является проявлением как мгновенных функциональных перестроек работы сети, так и реальных нейропластических (структурных) изменений в мозге. Обсуждается функциональная роль полушарий, отдельных областей и связей между областями в процессе двигательной реабилитации после инсульта.

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