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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Medical and Social Expert Evaluation and Rehabilitation</journal-id><journal-title-group><journal-title xml:lang="en">Medical and Social Expert Evaluation and Rehabilitation</journal-title><trans-title-group xml:lang="ru"><trans-title>Медико-социальная экспертиза и реабилитация</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1560-9537</issn><issn publication-format="electronic">2412-2092</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">47036</article-id><article-id pub-id-type="doi">10.17816/MSER47036</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>For the practitioner</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Практическому врачу</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Rehabilitation of patients with сhronic disorders of consciousness</article-title><trans-title-group xml:lang="ru"><trans-title>Реабилитация пациентов с хроническим нарушением сознания</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7635-1048</contrib-id><name-alternatives><name xml:lang="en"><surname>Kanarskii</surname><given-names>M. M.</given-names></name><name xml:lang="ru"><surname>Канарский</surname><given-names>М. М.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>kanarmm@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4435-8501</contrib-id><name-alternatives><name xml:lang="en"><surname>Nekrasova</surname><given-names>J. Yu.</given-names></name><name xml:lang="ru"><surname>Некрасова</surname><given-names>Ю. Ю.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>candidate of technical Sciences</p></bio><bio xml:lang="ru"><p>канд. техн. наук</p></bio><email>nekrasova84@yandex.ru</email><xref ref-type="aff" rid="aff2"/><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5707-118X</contrib-id><name-alternatives><name xml:lang="en"><surname>Borisov</surname><given-names>I. V.</given-names></name><name xml:lang="ru"><surname>Борисов</surname><given-names>И. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>realzel@gmail.com</email><xref ref-type="aff" rid="aff4"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7269-6444</contrib-id><name-alternatives><name xml:lang="en"><surname>Borodin</surname><given-names>M. M.</given-names></name><name xml:lang="ru"><surname>Бородин</surname><given-names>М. М.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD</p></bio><bio xml:lang="ru"><p>канд. мед. наук</p></bio><email>borodinmm@gmail.com</email><xref ref-type="aff" rid="aff4"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3883-9683</contrib-id><name-alternatives><name xml:lang="en"><surname>Roshka</surname><given-names>S. F.</given-names></name><name xml:lang="ru"><surname>Рошка</surname><given-names>С. Ф.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>stanislav.roshka@gmail.com</email><xref ref-type="aff" rid="aff4"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3244-463X</contrib-id><name-alternatives><name xml:lang="en"><surname>Bondar</surname><given-names>V. A.</given-names></name><name xml:lang="ru"><surname>Бондарь</surname><given-names>В. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>bondva23@gmail.com</email><xref ref-type="aff" rid="aff5"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6605-6769</contrib-id><name-alternatives><name xml:lang="en"><surname>Matafonova</surname><given-names>S. N.</given-names></name><name xml:lang="ru"><surname>Матафонова</surname><given-names>С. Н.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>kanarmm@yandex.ru</email><xref ref-type="aff" rid="aff4"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Federal Scientific Clinical Center for Resuscitation and Rehabilitation</institution></aff><aff><institution xml:lang="ru">ФГБНУ «Федеральный научно-клинический центр реаниматологии и реабилитологии»</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Federal Research and Clinical Center of Intensive Care and Rehabilitology</institution></aff><aff><institution xml:lang="ru">ФГБНУ «Федеральный научно-клинический центр реаниматологии и реабилитологии»</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Moscow Aviation Institute (National Research University)</institution></aff><aff><institution xml:lang="ru">ФГБОУ ВО «Московский авиационный институт (национальный исследовательский университет)»</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology</institution></aff><aff><institution xml:lang="ru">ФГБНУ «Федеральный научно-клинический центр реаниматологии и реабилитологии»</institution></aff></aff-alternatives><aff-alternatives id="aff5"><aff><institution xml:lang="en">National Medical Research Center for Children’s Health</institution></aff><aff><institution xml:lang="ru">ФГАУ «Национальный медицинский исследовательский центр здоровья детей» Минздрава России</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2020-12-27" publication-format="electronic"><day>27</day><month>12</month><year>2020</year></pub-date><volume>23</volume><issue>3</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>37</fpage><lpage>41</lpage><history><date date-type="received" iso-8601-date="2020-10-16"><day>16</day><month>10</month><year>2020</year></date><date date-type="accepted" iso-8601-date="2020-11-27"><day>27</day><month>11</month><year>2020</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2020, Eco-Vector</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2020, ООО "Эко-Вектор"</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="en">Eco-Vector</copyright-holder><copyright-holder xml:lang="ru">ООО "Эко-Вектор"</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2025-01-01"/></permissions><self-uri xlink:href="https://rjmseer.com/1560-9537/article/view/47036">https://rjmseer.com/1560-9537/article/view/47036</self-uri><abstract xml:lang="en"><p><italic>Chronic disorders of consciousness is a complex medical and social problem. Rehabilitation of these patients is one of the most important tasks from both practical and scientific points of view. The lack of a standardized approach and techniques with a large evidence base in the restoration of consciousness, the need for multidisciplinary teams in the rehabilitation process, difficulties in creating a rehabilitation environment, as well as many other problems are acutely faced by patients’ relatives, doctors, healthcare organizers, scientists. In this article, we will consider approaches to the rehabilitation of patients with chronically impaired consciousness.</italic></p></abstract><trans-abstract xml:lang="ru"><p><italic>Хроническое нарушение сознания является сложной медико-социальной проблемой. Реабилитация данных пациентов ― одна из важнейших задач как с практической, так и с научной точек зрения. Отсутствие стандартизованного подхода, необходимость мультидисциплинарных бригад в реабилитационном процессе, отсутствие методик с большой доказательной базой в восстановлении сознания, трудности при создании реабилитационной среды, а также многие другие проблемы остро стоят перед родственниками пациентов, врачами, организаторами здравоохранения, учёными. В данной статье мы рассмотрим подходы к реабилитации пациентов с хроническим нарушением сознания.</italic></p></trans-abstract><kwd-group xml:lang="en"><kwd>rehabilitation</kwd><kwd>vegetative state</kwd><kwd>minimally conscious state</kwd><kwd>rehabilitation environment</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>реабилитация</kwd><kwd>вегетативное состояние</kwd><kwd>состоянием минимального сознания</kwd><kwd>реабилитационная среда</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование не имело спонсорской поддержки</funding-statement></funding-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Owen M. Detecting consciousness: a unique role for neuroimaging. Annual Review of Psychology. 2013;64(1):109−133. https://doi.org/10.1146/annurev-psych-113011-143729.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Laureys S, Celesia GG, Cohadon F, et al. 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