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Scientific Supervisor of Rehabilitation Programs at the Ark Center for Child Development and the Rehalife Rehabilitation Center, a person with extensive practical experience. , the head of the Children's Stroke Center, which was organized in 2014 at the Morozov Children's Clinical Hospital in Moscow. Currently, this clinic is the only one in Russia dealing with pediatric stroke on such a scale. spontaneous consciousness has not yet been restored. . Having worked with such patients for eight years, I can note that if significant efforts are made to restore brain function and be active, rather than following the tradition of just letting them lie there and taking care of them, hoping something might happen someday. No, certain activity is indeed required, and we mainly worked with patients after traumatic brain injury. Here is a representative from the Speech Pathology and Neurorehabilitation Center, where in 2009 we opened an inpatient department for children with aphasia, and mostly children with the consequences of traumatic brain injury were treated there. However, currently, the numbers are very sad, with over 1000 children a year in Moscow suffering strokes, and about 10% are traditional hemorrhagic strokes due to aneurysms and malformations, while the rest are ischemic strokes of thromboembolic nature. This is why there was a need to create such a center, as we already had the second stage of rehabilitation. In 2012-2013, Viktor Markovich discussed this issue with Alexander Nikolaevich, who explained that after their neurosurgical interventions, after severe injuries, there were many patients in such a state in his clinic. They had a flow of operations, and something needed to be organized for patients in such a state, where we could observe and engage in comprehensive rehabilitation with them. We needed to see what prognosis these patients had if maximum efforts were made. Thus, on the territory of the Burdenko Institute's sanatorium, this federal clinical center for resuscitation and habilitation was built on the initiative of Shklovsky and Konovalov, which belongs to the Ministry of Science and Higher Education. This hospital department had five large intensive care units. We started, of course, with adults, and mainly it was the consequences of traumatic brain injury. At that time, an order on the organization of medical rehabilitation was just published, presenting three stages of rehabilitation, starting from the resuscitation period. At that time, the high status of a rehabilitologist was given not only to doctors, psychologists, and social workers, but finally, an ergorehabilitologist appeared. Nothing was worked out in terms of a comprehensive assistance in resuscitation. At the Burdenko Institute and the Institute of Neurology, speech therapists were involved in resuscitation work, but it was not officially structured. Scientifically, we decided to substantiate these areas of work for speech therapists and neuropsychologists in the early period, and three scientific topics were developed: non-invasive neurostimulation of patients in a minimally conscious state, mobile rehabilitation, rehabilitation potential, and mechatronic technologies for restoring swallowing, phonation, and speech. In our laboratory for the restoration of swallowing, phonation, and speech, a complex was developed, but from a series of presentations and discussions on the restoration of swallowing, phonation, and speech, a method of multisensory neurostimulation for restoring consciousness and cognitive functions had to be created. Before working on swallowing disorders, we began work on restoring active consciousness. In addition to non-invasive neurostimulation, we included methods available to us. We included the method of translingual neurostimulation, which acts as a catalyst, and we started with the technology developed by Paul Bach-y-Rita and Professor Yuri Petrovich Danilov from St. Petersburg. This method was aimed at restoring brain plasticity, and we initially used it for neuromotor rehabilitation in our center. Here, we decided to use it for restoring cognitive functions. An electrode is placed on the tongue, as the tongue is represented by a large number of neurons. This was not passive stimulation; we carried out a series of activities. The American BrainPort was difficult to access, and we had few of them, and the price was high. Dmitry Stanislavovich contacted Medtekhnika7 in St. Petersburg, and they made us the NeuroPort device, which now has all the documents and clinical recommendations from the Military Medical Academy, but it was initially tested at our Institute of Neurology and Brain Center. Thus, we saw the effectiveness of the complex, which included this method and the method of vibrostimulation – our mechatronic technologies that we developed. This is a device that affects different muscle groups. Speech therapists and neuropsychologists worked with the method.

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