rehabРеабилитологияJournal of Medical Rehabilitation2949-58732949-5881IRBIS LLC10.17749/2949-5873/rehabil.2025.40rehab-75Research ArticleОБЗОРНЫЕ СТАТЬИREVIEW ARTICLESРеабилитационный потенциал пациентов хирургического профиля с аневризмами задней соединительной артерии: современные возможности и искусственный интеллектRehabilitation potential of surgical patients with posterior communicating artery aneurysms: current capabilities and artificial intelligencehttps://orcid.org/0000-0003-0190-3335ВасиленкоА. В.VasilenkoА. V.

Василенко Анна Владимировна, к.м.н., доцент

Scopus Author ID: 35773656400;

ул. Аккуратова, д. 2, Санкт-Петербург 197341;

ул. Кирочная, д. 41, Санкт-Петербург 195015

Anna V. Vasilenko, PhD, Assoc. Prof.

Scopus Author ID: 35773656400;

2 Akkuratov Str., Saint Petersburg 197341;

41 Kirochnaya Str., Saint Petersburg 191015

vasilenko_anna@list.ruhttps://orcid.org/0009-0004-6735-3959ЗариповА. С.ZaripovА. S.

Зарипов Александр Сергеевич

ул. Литовская, д. 2, Санкт-Петербург 194100

Aleksandr S. Zaripov

2 Litovskaya Str., Saint Petersburg 194100

https://orcid.org/0009-0005-1600-9389ДружининаВ. Е.DruzhininaV. Е.

Дружинина Валерия Евгеньевна

ул. Кирочная, д. 41, Санкт-Петербург 195015

Valeriya E. Druzhinina

41 Kirochnaya Str., Saint Petersburg 191015

Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр им. В.А. Алмазова» Министерства здравоохранения Российской Федерации; Федеральное государственное бюджетное образовательное учреждение высшего образования «Северо-западный государственный медицинский университет им. И.И. Мечникова» Министерства здравоохранения Российской ФедерацииРоссияAlmazov National Medical Research Center; Mechnikov North-Western State Medical UniversityRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Санкт-Петербургский государственный педиатрический медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияSaint Petersburg State Pediatric Medical UniversityRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Северо-западный государственный медицинский университет им. И.И. Мечникова» Министерства здравоохранения Российской ФедерацииРоссияMechnikov North-Western State Medical UniversityRussian Federation20251302202632103111Copyright © Василенко А.В., Зарипов А.С., Дружинина В.Е., 20262026Василенко А.В., Зарипов А.С., Дружинина В.Е.Vasilenko А.V., Zaripov А.S., Druzhinina V.Е.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rehabilitology.com/jour/article/view/75

Аневризмы задней соединительной артерии (ЗСоА) представляют собой серьезную медицинскую проблему, связанную с высоким риском их разрыва, который ведет к тяжелому неврологическому дефициту, инвалидизации и в части случаев – к летальному исходу. Несмотря на успехи в микрохирургическом и эндоваскулярном лечении, восстановление пациентов требует длительной, комплексной и мультидисциплинарной нейрореабилитации, направленной на коррекцию двигательных, когнитивных и психосоциальных нарушений. В обзоре рассмотрены современные подходы к реабилитации, включая раннее начало, использование специализированных шкал и нейропсихологических тестов, а также перспективные методы, такие как гипербарическая оксигенация и нейромодуляция. Особое внимание уделено внедрению технологий искусственного интеллекта (ИИ) в нейрореабилитации: применению адаптивных игровых систем, роботизированных экзоскелетов, интерфейсов «мозг – компьютер» и геймификации для персонализации и повышения эффективности восстановительных программ. Интеграция ИИ в реабилитационный процесс открывает новые возможности для улучшения функциональных исходов и качества жизни пациентов с аневризмами ЗСоА, требуя при этом дальнейших исследований и системного подхода в организации помощи.

Posterior communicating artery (PСоA) aneurysms represent a serious medical problem associated with a high risk of rupture leading to severe neurologic deficits, disability, and, in some cases, death. Despite the advances in microsurgical and endovascular treatment, the recovery of patients requires long-term, comprehensive, and multidisciplinary neurorehabilitation aimed at correcting motor, cognitive, and psychosocial disorders. The present review examines current approaches to rehabilitation, including early initiation, as well as the use of specialized scales and neuropsychological tests in combination with promising methods of hyperbaric oxygenation and neuromodulation. Particular attention is paid to artificial intelligence (AI) technologies in neurorehabilitation: the use of adaptive game systems, robotic exoskeletons, brain-computer interfaces, and gamification to personalize and increase the effectiveness of recovery programs. The integration of AI into the rehabilitation process opens up new opportunities for improving the functional outcomes and quality of life in patients with PСоA aneurysms. However, further research and a systematic approach in care management are required.

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The authors declare that there are no conflicts of interest present.