Backround. Brain stroke remains the actual problem today in angioneuroscience, due to the wide spread of the disease, invalidization and mortality. In the complex rehabilitation therapy, special attention is given to motor disorders, coordination, methods of correction, because it is vestibular and motor dysfunction recover long after ischemic stroke (IS).
Objective of the work. To study the effectiveness of using complex “Lokomat” in patients after IS on the basis of neurological examination and method of vestibulometry by registering vestibular evoked potentials (VEP).
Materials and methods. Study included 35 patients in the IS early recovery period (1–4 months). The age of patients was 48–65 years.
Examination of the patients was carried out by traditional clinical research methods including otoneurologist, state of spontaneous vestibular reactions, audiometric and of vestibulometric study.
It was established that the main neurological manifestations of early recovery period ischemic stroke were vestibular and motor-sensory disorders, the severity of which depended on the location and severity of the stroke clinical course. Combined therapy includes the use of pharmacological activities and physical training dosed with the complex “Lokomat”. The course of treatment with a complex “Lokomat” consisted of 10–20 sessions.
The results were processed using modern statistical methods.
Results. The normalization of the clinical condition of patients after IS is accompanied by improvement of noninvasive indicators of functional vestibulometry (changes of long latency period of VEP: N1S, P2S), indicating improvement of excitation in cortical or subcortical areas of the vestibular apparatus.
Conclusion. It was indicated a positive impact on the conduct of comprehensive rehabilitation on the dynamics of clinical signs of disease, restoration of functional activity of the vestibular apparatus, reduction of post-stroke motor disorders.