Issue 24-1, 2025

Original article

https://doi.org/10.38025/2078-1962-2025-24-1-55-66

The Psychophysiological Technology with Biofeedback in Complex Rehabilitation of Post-Stroke Patients: a Randomized Controlled Study

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1,2 ORCIDElena V. Kostenko, 1 ORCIDAnastasia V. Kotelnikova, 1,* ORCIDLiudmila V. Petrova, 1 ORCIDIrena V. Pogonchenkova, 1 ORCIDMaksim S. Filippov

1 S.I. Spasokukotsky Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine, Moscow, Russia
2 Pirogov Russian National Research Medical University, Moscow, Russia


ABSTRACT

INTRODUCTION. Psychophysiological technologies with biofeedback (BFB) are a promising area of in medical rehabilitation (MR) for post-stroke patients.

AIM. To evaluate the effectiveness of the MR-program including psychophysiological technology with BFB for patients with an ischemic stroke (IS).

MATERIALS AND METHODS. The study includes patients in the early recovery period of IS with mild to moderate motor deficits, cognitive dysfunction and emotional-volitional disorders. The complex MR program for the main group 1 patients (MG1, n = 30) included psychophysiological BFB-technology based on the beta-rhythm parameters of Electroencephalography (EEG); the main group 2 (MG2) patients (n = 55) received psychophysiological trainings with BFB based on heart rate. The patients of the control groups (KG1, n = 30 and KG2, n = 30) received only standard MR. To control the effectiveness of MR, we analyzed the changes in physiological parameters (HR, blood pressure (BP)), EEG parameters, cardiointervalography (CIG), as well as the results of the Montreal Cognitive Assessment Scale (MoCA), the well-being, activity, and mood questionnaire (WAM), the Hospital Anxiety and Depression Scale (HADS), and the Motivation for Success test according to T. Ehlers.

RESULTS AND DISCUSSION BFB-training based on the EEG beta rhythm showed a statistically significant improvement in the cognitive status of the patients in MG1 according to the MoCA, a decrease in the level of anxiety and reaction to external influences, which was confirmed by the dynamics of systolic BP (SBP) and HR, as well as the achievement of a moderately high level of motivation with reliable differences from baseline values and compared to Control Group 1 (p < 0.05). The course of biofeedback training based on the HR parameters showed a reliable change in the CIG parameters, a decrease in SBP and HR in the patients of MG2; statistically significant increase of the WAM questionnaire parameters (p < 0.05).

CONCLUSION. The integration of psychophysiological technology with biofeedback in comprehensive rehabilitation protocols enhances the efficacy of post-stroke cognitive-motor rehabilitation, particularly in patients with high cardiovascular risks.


KEYWORDS: psychophysical technologies, biofeedback, medical rehabilitation, stroke

FOR CITATION:

Kostenko E.V., Kotelnikova A.V., Petrova L.V., Pogonchenkova I.V., Filippov M.S. The psychophysiological technology with biofeedback in complex rehabilitation of post-stroke patients: a randomized controlled study. Bulletin of Rehabilitation Medicine. 2025; 24(1):55–66. https://doi.org/10.38025/2078-1962-2025-24-1-55-66 (In Russ.).

FOR CORRESPONDENCE: Liudmila V. Petrova, Е-mail: ludmila.v.petrova@yandex.ru


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