The aim of the study is to investigate the psychometric characteristics of the Hospital Anxiety and Depression Scale (HADS) on a sample of patients with impaired motor functions. HADS was used to examine the current psychoemotional state of 73 women and 27 men aged 62.1±13.7 years who were in the hospital for inpatient rehabilitation for motor function disorders arising from a stroke (n=50) or developing against the background of chronic musculoskeletal disorders (n=50). Independent of the psychologist, a psychiatrist examined the same patients, filling out Hamilton Anxiety and Depression scales. A comparison of the findings led to the conclusion of overdiagnosis with the HADS subscales. At the same time, it is shown that the questionnaire items have satisfactory indices of discriminativeness and internal reliability. The combination of low content and convergent validity of some items of the questionnaire allowed modifying subscales, reducing the number of items without prejudice to psychometric characteristics. By comparing the data obtained with an objective external criterion for the Anxiety (HADS-A) and Depression (HADS-D) subscales, new cutoffs (9 points) were determined for diagnosing the presence or absence of anxiety and depression, which allows to use this version of the test more effectively for screening the current psychoemotional state in patients with impaired motor functions who enter the second stage of medical rehabilitation.

INTRODUCTION. There is high prevalence of post-stroke motor and neuropsychological disorders. However, they are usually considered without interrelation with each other, and rehabilitation methods are also considered in the context of a monodomain effect on specific functions. AIM. To analyze the available scientific evidence on the role of psychophysiological technologies with biofeedback in clinical medicine and medical rehabilitation. MATERIALS. 50 sources were analyzed, 25 of which are high-level evidence-based articles (randomized controlled trials, meta-analyses, systematic reviews) published in databases Elibrary.ru, Medline, Web of Science, PubMed and Scopus for the period of 2009–2024. RESULTS. The complex effect of the BFB method on the physical symptoms and psychological state of patients, as well as the possibility of using physiological indicators for adaptive biofeedback, has been studied. The greatest amount of evidence is available about the positive effect of technology using BFB on the psychoemotional state of patients and the state of the cardiovascular system. Significant results were obtained when using BFB-electromyographic-training in the complex therapy of headache and related emotional disorders. All studies have a high level of reliability of evidence and credibility of recommendations. Great progress has been made in the development of innovative psychophysiological technologies, including the use of hardware and software complexes, electroencephalography and neurointerfaces. CONCLUSION. Psychophysiological technologies with BFB demonstrate effectiveness in the rehabilitation of patients with psychosomatic disorders, borderline conditions and a number of neurological diseases (headache, epilepsy, spinal injury, stroke). Further research is needed to form an evidence base, clarify the mechanisms of action and algorithms of prescriptions, taking into account the physiological and psychological component of the therapeutic or rehabilitation process.

The aim of this study was to conduct the procedure of psychometric adaptation the Russian version of the questionnaire «Scale Tampa» for measuring of kinesiophobia (fear of movement). On the representative sample of the patients (n=292) with movement disorders of various etiologies studied factorial structure and nosological nonspecificity of method, showed its satisfactory construct and discriminative validity, analyzed the influence of social desirability factor, estimated synchronous reliability of selected subscales. Separately analyzed pharmaco-economic value of the test construct. Thus, it is shown that a sufficiently high psychometric indicators allow to use a questionnaire «Tampa Scale» as for scientific and research purposes, as in the practical work of clinical psychologist.

The realities of the new times determine the need to update approaches to the organisation and The realities of the new times determine the need to actualise approaches to the organisation and conduct of rehabilitation measures for military personnel and civilians injured during combat operations. The article presents a review of modern views on the peculiarities of combat trauma and the dynamics of the nature and type of injuries over the past few decades, the basic principles of comprehensive rehabilitation of the wounded, including medical, professional and socio-psychological aspects. The importance of personalisation of rehabilitation programmes, use of multidisciplinary approach, involvement of the patient's family in the process is reflected. The main disorders arising in persons with combat trauma are characterised in the categories of the International Classification of Functioning. The analysis of the use of modern means and methods of medical rehabilitation: physical training with the use of virtual reality environment and innovative technologies based on the principle of biofeedback, robotic mechanotherapy, hydrokinesiotherapy and other physiotherapeutic methods, the role of remote telemedicine technologies in controlling the effectiveness and safety of the rehabilitation process is highlighted. An integrated approach to rehabilitation, taking into account modern peculiarities of combat trauma, makes it possible to ensure maximum effectiveness of rehabilitation measures, reduce the number of persons with persistent dysfunctions, prevent psycho-emotional disorders and promote maximum social and professional integration of the wounded.

INTRODUCTION. Cognitive disorders (CD) are the leading causes of disability and worsening of the quality of life of after-stroke patients. An important task is the validation of the scales for screening and diagnosis of CD. AIM. To estimate the validity of screening methods for measuring cognitive functions (MMSE, МоСА) on a sample of patients with ischemic stroke (IS). MATERIAL AND METHODS. We examined 105 patients with IS (stroke duration 2.7 1.9 months) and studied various types of validity, reliability and differentiating capabilities of test scales. As an external criterion, the data of the methodology Brief neuropsychological Cognitive examination (BNCE) were used. The conditions of applicability of the tests were investigated by comparative analysis of data with patients of the comparison group (n = 100) with diseases of the musculoskeletal system. RESULTS. The МоСА and MMSE tests had high indicators of substantive validity and internal consistency of the scales (-Kronbach: 0.95 for МоСА and 0.92 for MMSE). The discriminative capabilities of the techniques are limited: there are discrepancies in the screening results compared to the BNCE data: МоСА tends to overdiagnose pronounced cognitive impairment (CI), MMSE showed low sensitivity to pronounced CI and a tendency to overestimate the number of cases of absence of CI. The revision of the test standards was justified by direct extrapolation of the boundaries of the quantitative interpretation of various levels of CI according to the BNCE to the tested scales and showed high competitive capabilities of the МоСА in the screening study of cognitive status. CONCLUSION. Various types of validity and reliability of scales were studied, the method of quantitative interpretation was modified, and new test standards for MMSE and MoCA were developed. The high prognostic capabilities of the МоСА for studying of cognitive functions in patients after IS allow us to consider it as a diagnostic tool of the first choice for primary screening of CI in this cohort of patients.

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