Ekaterina M. Zubritskaya

INTRODUCTION. Speech disorders such as aphasia and dysarthria often occur in patients after a stroke. They are considered second only to motor disorders in terms of severity. Aphasia is one of the most common speech disorders. Due to the vast size of Russia, there are remote communities without qualified speech therapists to restore lost speech function. AIM. To study the available scientific data on the effectiveness of motor aphasia recovery in patients who have suffered ischemic stroke in a remote format. MATERIALS AND METHODS. We searched for publications, including 6 meta-analyses, 39 full-text and 16 review publications in Russian and English in the eLIBRARY.RU, PubMed, and Springer Nature Link databases. The search period for publications on remote rehabilitation methods for stroke patients with complex motor aphasia was five years, from January 2020 to February 2025. The review also included a number of earlier seminal works on speech recovery in patients after stroke with complex motor aphasia. Key words in Russian and English are as follows: stroke, complex motor aphasia, rehabilitation, telemedicine, remote format. RESULTS AND DISCUSSION. Remote patient management in the rehabilitation of motor aphasia is becoming increasingly necessary. This article analyzes available data on the effective use of remote methods for the rehabilitation of patients with motor aphasia. CONCLUSION. Telemedicine technologies and mobile applications represent a promising area in remote rehabilitation of patients after ischemic stroke with motor aphasia.

Parkinson disease (PD) is one of the most common neurodegenerative diseases. Its main clinical manifestation is movement disorders. The study of innovative objective methods for the diagnosis and rehabilitation of movement disorders in PD is relevant and in demand taking into account the slowly progressive course of the disease and the complex set of symptoms that subsequently forms a characteristic movement pattern. This article provides an example of a personalized rehabilitation assessment of biomechanical manifestations of the gait function of a patient with exacted diagnosis, stage 3.5 PD according to Hoehn and Yahr, by means of the method of three-dimensional motion video analysis using the Vicon Motion Capture Systems soft-hardware complex. The patient has postural and gait disorders. This method was applied after a rehabilitation course based on the activation of lifting the foot from the support surface (“back push”). Changes in the tempo and rhythm parameters of gait in a patient with PD in comparison to a healthy person were revealed: acceleration of walking pace with shortening of the length of single and double step, a decrease in the time of limb advancement, acceleration of the moment of heel rise and a decrease in walking pace. Analysis of the locomotion also revealed a decrease in the amplitude of flexion-extension in the coxofemoral joint, knee joint and tibio-tarsic on the side with more pronounced Parkinsonism. Insufficient knee flexion and hip extension, excessive dorsal flexion of the foot with insufficient plantar flexion were noted. Revealing the last features of locomotion in a particular case allows one to make a plan for a targeted personalized rehabilitation program for a given patient. Thus, the method of three-dimensional video analysis is a valuable diagnostic tool that makes it possible to objectively assess the existing violations of locomotion and identify the targets of rehabilitation.