ДІАГНОСТИКА ПОРУШЕНЬ РОБОТИ ЖУВАЛЬНИХ М’ЯЗІВ ТА КОЛОВОГО М’ЯЗА РОТА У ПАЦІЄНТІВ З ІНСУЛЬТОМ (КЛІНІЧНИЙ ВИПАДОК)

Abstract

In this article, the authors draw attention to the need to restore masticatory function in patients with such a somatic pathology as stroke for full rehabilitation. The purpose of this study was to diagnose malfunctioning of the masticatory and facial muscles in patients with a complicated course of acute cerebrovascular accident by hemitype for the further development and implementation of appropriate comprehensive treatment. On the example of three patients with a different location of the pathology location, the authors chose the functional EMG method as one of the most informative, as it is used to determine the phases of the muscle activity of the movement cycle, to study the amplitude and duration of action, and also provides an opportunity for the patient to receive feedback on the correct implementation stereotype of movement. The information obtained during the EMG allows you to choose the right rehabilitation strategy. The data of electromyographic studies of the bioelectric activity of the muscles of patients with hemiparesis / hemiplegia due to acute cerebrovascular accident are informative and reflect a change in the motor function of the masticatory and facial muscles of this category of patients. This work showed that, depending on the location of the brain lesion, there is hypertonicity in lesions of the central parts and hypotonicity in lesions of the peripheral parts of the brain, which in turn requires different tactics in the rehabilitation process of stroke patients.