Almanac of Clinical MedicineAlmanac of Clinical MedicineАльманах клинической медицины2072-05052587-9294Moscow Regional Research and Clinical Institute (MONIKI)172610.18786/2072-0505-2022-50-043REVIEW ARTICLEОБЗОРReview ArticleСognitive rehabilitation methods in multiple sclerosis patientsМетоды когнитивной реабилитации у пациентов с рассеянным склерозомhttps://orcid.org/0000-0002-7042-1391MoskvinaEkaterina Y.МосквинаЕкатерина Юрьевна
Russian Federation

Assistant Professor, Chair of Nervous Diseases, Neurosurgery and Medical Genetics

ассистент кафедры нервных болезней, нейрохирургии и медицинской генетики

moskwina.cat@yandex.ruhttps://orcid.org/0000-0002-2478-727XVolkovaLarisa I.ВолковаЛариса Ивановна
Russian Federation

MD, PhD, Professor, Head of Chair of Nervous Diseases, Neurosurgery and Medical Genetics

д-р мед. наук, профессор, заведующая кафедрой нервных болезней, нейрохирургии и медицинской генетики

vli@okb1.ruhttps://orcid.org/0000-0002-4595-1024KoryakinaOksana V.КорякинаОксана Валерьевна
Russian Federation

MD, PhD, Associate Professor, Chair of Nervous Diseases, Neurosurgery and Medical Genetics

канд. мед. наук, доцент кафедры нервных болезней, нейрохирургии и медицинской генетики

koryakina09@mail.ruUral State Medical UniversityФГБОУ ВО «Уральский государственный медицинский университет» Минздрава России21112022081220225053213280709202211112022Copyright ©; 2022, Moskvina E.Y., Volkova L.I., Koryakina O.V.Copyright ©; 2022, Москвина Е.Ю., Волкова Л.И., Корякина О.В.2022Moskvina E.Y., Volkova L.I., Koryakina O.V.Москвина Е.Ю., Волкова Л.И., Корякина О.В.https://creativecommons.org/licenses/by-nc/4.0https://almclinmed.ru/jour/article/view/1726

The prevalence of cognitive impairment in patients with multiple sclerosis is 40 to 65%. Improvement of cognitive-oriented therapy and search for its new techniques is considered to be promising for slowing the progression or for recovery of cognitive functions. It is related to low efficacy of medical treatment, preserved neuroplasticity in most patients with multiple sclerosis, positive results of studies on selected cognitive rehabilitation techniques in other nervous system disorders. The spectrum of techniques for cognitive training varies from technically feasible methods using a sheet of paper and a pen to the most advanced ones, such as the use of immersive virtual reality. The effectiveness of cognitive rehabilitation in patients with multiple sclerosis with virtual reality technologies has not been studied in large-scale randomized placebo-controlled studies.

Частота встречаемости когнитивных нарушений у пациентов с рассеянным склерозом составляет от 40 до 65%. Усовершенствование и поиск новых способов когнитивно-ориентированной терапии считается перспективным направлением в отношении замедления прогрессирования или восстановления когнитивных функций. Это обусловлено низкой эффективностью медикаментозной терапии, сохранением нейропластичности у большинства больных рассеянным склерозом, положительными результатами исследований отдельных методик когнитивной реабилитации при других заболеваниях нервной системы. Спектр методик для проведения когнитивного тренинга варьирует от технически простых с использованием листа бумаги и ручки до наиболее передовых, таких как применение иммерсивной виртуальной реальности. При этом эффективность когнитивной реабилитации при рассеянном склерозе с помощью технологий виртуальной реальности не изучалась в рамках крупномасштабных рандомизированных плацебоконтролируемых исследований.

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