Issue №1-20, 2021

Binaural Acoustic Beats in the Psychological Rehabilitation of Patients with Impaired Motor Functions

¹ Anastasia V. Kotelnikova, ¹ Anastasia A. Kukshina, ¹ Elena A. Turova, ¹ Anastasia S. Tihonova

¹ Moscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine, Moscow, Russian Federation

ABSTRACT

The course of diseases associated with movement disorders violates the possibility of independent existence of the individual and is accompanied by the formation of symptoms of increased anxiety, depression and catastrophizing. Over the last years, in addition to psychopharmacological drugs, non-drug methods have been actively included in the complex of treatment and rehabilitation for this patients’ group allowing them to influence the patient’s psyche by neuro-biological activation of sanogenesis links.

AIM. To study the possibility of using resonance-acoustic vibration (PRAV) programs in the “relaxation” mode when organizing psychological support for patients with movement disorders in the course of medical rehabilitation.

MATERIAL AND METHODS. The study included 93 patients with movement disorders of two nosological groups: movement disorders against the stroke (n=57) and motor disorders against the degenerative-dystrophic diseases of large joints and spine of large joints and spine (n=36), undergoing a standard inpatient course of medical rehabilitation.

RESULTS. The dynamics of the emotional state, the intensity of the pain syndrome, characteristics of the cognitive sphere (memory, attention) as a result of psychological correction using PRAV were analyzed. The positive effect of the inclusion of the binaural beats complex in the psychological correction of the patients with impaired motor functions state of health as well as an indifferent response to the attempt to correct memory and attention were determined.

CONCLUSION. It testifies that the application of the method is appropriate in correcting the emotional state, general well-being, overcoming fear of movement and is not effective for pain and recovery of cognitive functions.

KEYWORDS: binaural beats, psychocorrection, movement disorders, medical rehabilitation, emotional state, somatization, kinesiophobia, cognitive function

Acknowledgments: The work was performed within the framework of the State Assignment Research Work No. № АААА-А20-120060490050-1

Conflict of interest:: The authors declare no apparent or potential conflicts of interest related to the publication of this article.

For citation: Kotelnikova A.V., Kukshina A.A., Turova E.A., Tihonova A.S. Binaural Acoustic Beats in the Psychological Rehabilitation of Patients with Impaired Motor Functions. Bulletin of Rehabilitation Medicine. 2020; 20(1): 60-69. https://doi.org/10.38025/2078-1962-2021-20-1-60-69

For correspondence: Anastasia V. Kotelnikova, e-mail: pav.kotelnikov@ya.ru

References:

1. Kamchatnov P.R., Umarova H.Ya., Kazakov A.U. Hronicheskaya poyasnichnaya bol’: vozmozhnosti preduprezhdeniya i lecheniya [Chronic lumbar pain: prevention and treatment options]. Nervno-myshechnye bolezni. 2013; (3): 16-21 (In Russ.).
2. Pankrat’ev A.A., Kotel’nikova A.V., Kukshina A.A. Struktura kineziofobii v reabilitacii pacientov s narusheniem dvigatel’nyh funkcij [The structure of kine-siophobia in the rehabilitation of patients with movement disorders]. Pirogovskij forum travmatologov-ortopedov. M. 2019: 222-223 (In Russ.).
3. Churyukanov M.V., Alekseev V.V., Kukushkin M.L., Yahno N.N. Psihologicheskie osobennosti bol’nyh s central’nym bolevym sindromom pri rasseyannom skleroze [Psychological features of patients with Central pain syndrome in multiple sclerosis]. Nevrologiya, nejropsihiatriya i psihosomatika. 2011; (2): 42-45 (In Russ.).
4. Keefe F.J., Lefebvre J.C., Egert J.R., Affleck G., Sullivan M.J., Caldwell D.S. The relationship of gender to pain, pain behavior, and disability in osteoarthritis patients: The role of catastrophizing. Pain. 2000; (87): 325-34.
5. Chaves J.F., Brown J.M. Spontaneous cognitive strategies for the control of clinical pain and stress. Journal of Behavioral Medicine. 1987; (10): 263-76.
6. Yastrebceva I.P., Tomilova I.K., Aleksahina E.L., Belova V.V., Karpunina Yu.V. Faktory, soputstvuyushchie narusheniyam postural’nogo balansa u pacientov s hronicheskoj ishemiej mozga. [Factors associated with postural balance disorders in patients with chronic brain ischemia]. Doktor.Ru. 2018; 9(153): 31-35. https://doi.org/10.31550/1727-2378-2018-153-9-31-35
7. Doncov V.I., Krut’ko V.N. Zdorov’esberezhenie kak sovremennoe napravlenie profilakticheskoj mediciny (obzor) [Health savings as a modern direction of preventive medicine (review)]. Bulletin of Rehabilitation Medicine. 2016; 1(71): 2-9 (In Russ.).
8. Kolyshenkov V.A., Eremushkin M.A., Styazhkina E.M. Perspektivy razvitiya sistem virtual’noj real’nosti v programmah nejroreabilipacii [Perspectives of the development of virtual reality systems on neurorehabilitation programs]. Bulletin of Rehabilitation Medicine. 2019; 1(89): 52-56 (In Russ.).
9. Svyatskaya E.F., Bijkuzieva A.A., Ahmedova D.Sh. Rol’ robotizirovannoj mekhanoterapii v vosstanovlenii mobil’nosti u pacientov, perenyosshih ostroe narushenie mozgovogo krovoobrashchenie [The role of robotic mechanotherapy in mobility restoring in patients with acute cerebrovascular accident]. Bulletin of Rehabilitation Medicine. 2020; 1(95): 31-35. (In Russ.).
10. Voznyuk I.A., Polyakova A.V., Tokareva D.V. Nejroproteziruyushchaya tekhnologiya Bioness (ekzorobot) v processe vosstanovleniya dvigatel’nyh i veg-etativno-troficheskih narushenij pri central’nom pareze verhnej konechnosti [Neuroprosthetic technology Bioness (exorobot) in the process of restoring motor and vegetative-trophic disorders in central paresis of the upper limb]. Bulletin of Rehabilitation Medicine. 2020; 5(99): 62-69. https://doi.org/10.38025/2078-1962-2020-99-5-62-69 (In Russ.).
11. Gur’yanova E.A., Kir’yanova V.V. Effektivnost’ funkcional’noj stimulyacii pri rasseyannom skleroze (obzor literatury) [The effectiveness of functional stimulation in multiple sclerosis (review)]. Bulletin of Rehabilitation Medicine. 2020; 5(99): 107-119. https://doi.org/10.38025/2078-1962-2020-99-5-107-119 (In Russ.).
12. Iamsakul K., Pavlovcik A.V., Calderon J.I., Sanderson L.M. Project heaven: preoperative training in virtual reality. Surgical Neurology International. 2017; (8): 59. https://doi.org/10.4103/sni.sni_371_16
13. Brunner I., Skouen J.S., Hofstad H., ABmus J., Becker F., Sanders A.M., Pallesen H., Kristensen L.Q., Michielsen M., Thijs L., Verheyden G. Virtual reality training for upper extremity in subacute stroke (VIRTUES). Neurology. 2017; 89(24): 2413-2421. https://doi.org/10.1212/wnl.0000000000004744
14. Feng H., Li C., Liu J., Wang L., Ma J., Li G., Gan L., Shang X., Wu Z. Virtual Reality Rehabilitation Versus Conventional Physical Therapy for Improving Balance and Gait in Parkinson’s Disease Patients: A Randomized Controlled Trial. Medical Science Monitor. 2019; 5(25): 4186-4192. https://doi.org/10.12659/MSM.916455
15. Weber L.M., Nilsen D.M., Gillen G., Yoon J., Stein J. Immersive Virtual Reality Mirror Therapy for Upper Limb Recovery After Stroke: A Pilot Study. American Journal of Physical Medicine & Rehabilitation. 2019; 98(9): 783-788. https://doi.org/10.1097/PHM.0000000000001190
16. Pozeg P., Palluel E., Ronchi R., Solca M., AlKhoudairy A.W., Jordan X., Kassouha A., Blanke O. Virtual reality improves embodiment and neuropathic pain caused by spinal cord injury. Neurology. 2017; 9(18): 1894-1903. https://doi.org/10.1212/wnl.0000000000004585
17. Rammo R., Schwalb J.M. Comment: is virtual reality a useful adjunct to rehabilitation after spinal cord injury? Neurology. 2017; 89(18): 1902. https://doi.org/10.1212/wnl.0000000000004607
18. Fedotchev A.I., Parin S.B., Polevaya S.A., Velikova S.D. Brain-computer interface and neurofeedback technologies: current state, problems and clinical prospects (review). Sovremennye tehnologii v medicine. 2017; 9(1): 175-184. https://doi.org/10.17691/stm2017.9.1.22
19. Mel’nikova E.A., Rud’ I.M., Rassulova M.A. Stabilotrening s biologicheskoj obratnoj svyaz’yu v reabilitacii pacientov s zabolevaniyami oporno-dvigatel’nogo apparata. [Stability training with biofeedback in the rehabilitation of patients with diseases of the musculoskeletal system]. Doktor.Ru. 2019; 1(156): 53-58. https://doi.org/10.31550/1727-2378-2019-156-1-53-58
20. Sarig Bahat H., Croft K., Carter C., Hoddinott A., Sprecher E., Treleaven J. Remote kinematic training for patients with chronic neck pain: A randomised controlled trial. European Spine Journal. 2017; (27): 1309-1323.
21. Shumov D.E., Arsen’ev G.N., Sveshnikov D.S., Dorohov V.B. Sravnitel’nyj analiz vliyaniya binaural’nyh bienij i skhodnyh vidov zvukovoj stimulyacii na process zasypaniya: korotkoe soobshchenie [Comparative analysis of the effect of binaural beats and similar types of sound stimulation on the process of falling asleep: short message]. Vestnik Moskovskogo universiteta. Seriya 16. Biologiya. 2017; 1(72): 39-43 (In Russ.).
22. Kalachev A.A., Doleckij A.A. Vliyanie binaural’nyh bienij na nejro- i psihofiziologicheskie harakteristiki cheloveka [The influence of binaural beats on neuro - and psychophysiological characteristics of the person]. Vestnik VolgGMU. 2012; 4(44): 58-61 (In Russ.).
23. Dabu-Bondoc S., Vadivelu N., Benson J., Perret D., Kain Z.N. Hemispheric synchronized sounds and perioperative analgesic requirements. Anesthesia & Analgesia. 2010; 110(1): 208-210.
24. Mashkov O.A., Rybkin E.A., Cupko I.V. Vosstanovlenie psihosomaticheskogo sostoyaniya cheloveka metodom vozdejstviya programmami rezonans-no-akusticheskih kolebanij (PRAK). Posobie dlya vrachej i pol’zovatelej [Restoration of the psychosomatic state of a person by means of exposure to resonant-acoustic vibrations (PRAK) programs. Manual for doctors and users]. М. 2017: 30 p. (In Russ.).
25. Kukshina A.A., Kotel’nikova A.V., Turova E.A., Rassulova M.A. Metodika organizacii psihokorrekcionnyh meropriyatij v processe medicinskoj reabilitacii i vosstanovitel’nogo lecheniya (Metodicheskie rekomendacii) [Methods of organizing psychocorrection measures in the process of medical rehabilitation and rehabilitation treatment (Guidelines)]. М. 2017: 8 p. (In Russ.).
26. Tarabrina N.V., Agarkov V.A., Byhovec Yu.V., Kalmykova E.S., Makarchuk A.V., Padun M.A., Udachina E.G., Himchyan Z.G., SHatalova E.N., Shchepina A.I. Prakticheskoe rukovodstvo po psihologii posttravmaticheskogo stressa. CH.1. Teoriya i metody [Practical guide to the psychology of post-traumatic stress. Part 1. Theory and methods]. M. Kogito-Centr. 2007: 208 p. (In Russ.).
27. Kotel’nikova A.V., Kukshina A.A. Aprobaciya metodiki izmereniya kineziofobii u bol’nyh s narusheniem dvigatel’nyh funkcij [Testing the method of measuring of kinesiophobia on patients with movement disorders]. Experimental Psychology. 2018; 2(11): 50-62 (In Russ.).
28. Rabadanova A.I., Cherkesova D.U., Babaeva E.M., Ashurbekova M.I. Elektricheskaya aktivnost’ mozga i mezhpolusharnye vzaimodejstviya pri formirova-nii internet-zavisimosti [Electrical activity of the brain and interhemispheric interactions in the formation of Internet addiction.]. Izvestiya Samarskogo nauchnogo centra Rossijskoj akademii nauk. 2017; 2(3): 518-522 (In Russ.).
29. Shumov D. E., Arsen’ev G. N., Sveshnikov D. S., Dorohov V.B. Sravnitel’nyj analiz vliyaniya binaural’nyh bienij i skhodnyh vidov zvukovoj stimulyacii na process zasypaniya: korotkoe soobshchenie[Comparative analysis of the influence of binaural beats and similar types of sound stimulation on the process of falling asleep: a short message]. Vestnik Moskovskogo universiteta. Seriya 16. Biologiya. 2017; (1): 39-43 (In Russ.).

©

Эта статья открытого доступа по лицензии CC BY 4.0. Издательство: ФГБУ «НМИЦ РК» Минздрава России.
This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.