Assessment of the Course of Rehabilitation of Patients with Craniocerebral Injury According to Posturographic, Encephalographic, and Clinical Indices

Abstract

Electroencephalographic and posturographic characteristics were studied in 26 patients with severe craniocerebral injury (CCI) in the course of rehabilitation. Comparison of electroencephalographic and clinical data with posturographic indices revealed the informative value of the latter for the assessment of the recovery of postural control in patients with consequences of CCI during their rehabilitation. The posturographic indices of patients differed from the relative normal values of these characteristics; their specific changes were also observed during recovery of vertical posture maintenance with and without visual control at different rehabilitation stages. It was shown that visual afferent inflow is more important for the recovery of postural control in early periods after CCI, whereas the role of proprioceptive inflow increases at later stages of rehabilitation. Coordination of changes in the EEG and postural characteristics in the course of patient rehabilitation was demonstrated. These findings suggest that the proposed approach can be useful in dynamic assessment of the state of patients with consequences of CCI.