ПАТОЛОГИЧЕСКИЕ СИНЕРГИИ В РУКЕ У ПАЦИЕНТОВ С ПОСТИНСУЛЬТНЫМИ ГЕМИПАРЕЗАМИ
In the review there are given current data of theories and neurophysiological aspects of motor control and pathological motor synergies. Attention has been focused on the discussion of certain mechanisms of pathological synergies based on anatomical and physiological upper limb characteristics. Synergistic pattern transformation hypothesis in patients with spastic hemiparesis are described and highlighted. The analysis of modern theories of pathophysiologic backgrounds of pathological synergies formation is based on neuroimaging and non-invasive brain stimulation research data. The problem of pathological synergies correction and transformation in rehabilitation practice has been reviewed. Special attention is paid to clinical and instrumental evaluation of synergies. Data has been proved by clinical scales and instrumental techniques such as movement video analysis, electromyography, magnetic and wireless tracking systems and virtual reality technology.