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2014 | 6 | 4 | 284-290
Tytuł artykułu

Rehabilitation of children with movement disorders resulting from cerebral palsy

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Background: The origin and prevalence of cerebral palsy can hardly be considered fully understood. The relationship between orthopedic and neuropsychiatric disorders in children with cerebral palsy in the available literature is also insufficiently presented. Material/Methods: Authors conducted a clinical and epidemiological analysis and examined the nature of motor disorders in 267 children with cerebral palsy aged from 3 to 16 years old. The monitoring period of patients ranged from 3 to 7 years. They underwent clinical neurological examination, radiography of the spine and joints, ultrasound examination of the joints and periarticular structures, electroencephalography and electroneuromyography in dynamics, with the help of a variational cardiointervalography characterized by an autonomic dysfunction (Veyn AM, 2000), studied the biomechanical parameters of walking, using scorecards, questioning and evaluate the effectiveness of the treatment using the special system to cerebral palsy (Pinchuk D Yu, Dudin MG, 2002). Results: In 80% of cases, brain damage occurred during fetal development. The authors distinguished primary and secondary disorders of movements. 71 persons (26.6%) had neurogenic and myogenic contractures, and in 196 people (73.4%) contractions were exacerbated by bone deformities. In the rehabilitation system 163 people (61 %) had a need for a surgical operation. Conclusions: The efficiency ratio of the functional status after rehabilitation in different age groups has improved by 10-22% more than before the treatment. It was shown objectively that improvement in the motor capacity in patients with cerebral palsy due rehabilitation has a positive effect on the function of the cerebral cortex
Wydawca

Rocznik
Tom
6
Numer
4
Strony
284-290
Opis fizyczny
Daty
wydano
2014-12-01
otrzymano
2013-11-01
zaakceptowano
2014-09-01
online
2014-12-30
Twórcy
  • Perm State Humanitarian-Pedagogical University, Perm, Russia, sharovalv@bk.ru
  • Perm State Humanitarian-Pedagogical University, Perm, Russia
  • Perm State Medical Academy named after acad. E. A. Wagner, Perm, Russia
Bibliografia
  • 1. Pellegrino L, Dormans JP. Definitions, etiology, and epidemiology of cerebral palsy In: Pellegrino L, Dormans JP, Eds. Caring for Children With Cerebral Palsy. Baltimore, MD: Paul H. Brooks; 1998, 3-30.
  • 2. Badalyan L.O. Detskaya neurologya. Moskva: Medicina; 1984. Russian.
  • 3. Pogosyan IA. Prognozirovanye funkcjonalnykh narusheni opornodvigatelnogo aparata na osnove diskryminantnogo analiza klinicheskikh nevrologicheskikh priznakov, kharakterizuyushchikhdvuigatelnyye funkcyi. Vestnik Uralskoy medicinkkoy akademicheskoy nauki. 2005;3:81-84. Russian.
  • 4. Uvebrant P. Hemiplegic cerebral palsy: etiology and outcome. Acta Pediatr Scand. 1988;345:1-100.
  • 5. Laughlin JF, Bjornson KF, Temkin N, et al. Selective dorsal rhizotomy: meta-analysis of three randomized controlled trials. Dev Med Child Neurol. 2002;44:17-25.[Crossref]
  • 6. Flett PJ. Rehabilitation of spasticity and related problems in childhood cerebral palsy. J Paediatr Child Health. 2003;39:6-14.[PubMed]
  • 7. Shchekolova NB, Belokrylov NM, Nenakhova YaV, Ortopedicheskiye aspekty korrekcji dvigatelnykh narushenii u detey cerebralnym paralichom. Rossiyskiye medicinskiye vesti 2009;14(2):14-22. Russian.
  • 8. De Luca PA. Gait analysis in the treatment of ambulatory child with cerebral palsy. Clin Orthop. 1991;264:65-75.
  • 9. Fabry G, Liu XC, Molenaers G. Gait pattern in patients with spastic diplegic cerebral palsy who underwent staged operations. J Pediatr Orthop. 1999;8:33-38.
  • 10. Gnezditskiy BB. Obratnaia zadatsha EEG i klinitsheskaia elektroentsefalografiia (kartirovanie i lokalizatsiia istotshnikov elektritsheskoi aktivnosti mozga). - Taganrog: izdatelstvo TRTU, 2000. Russian.
  • 11. Veyn AM, editor. Vegetativniye rasstroystva. Klinika, lechenie, diagnostika. Moskva: Medicinkoye informacyonnyie agentstvo; 2000. Russian.
  • 12. Pinchuk DYu, Dudin MG. Biologicheskaya obratnaya svyaz po elektromiogramme v nevrologii i ortopedii. Sankt Petersburg: 2002. Russian.
  • 13. Sharova L, Belokrylov N, Kravtsov Y. Bioinformation technologies in the complex assessment and correction of cerebral hemodynamic impairments in judo-fighters with cervical dorsopathy. Lase Journal of Sport Science. 2013;4(1):41-54.
  • 14. Umnov VV. Ortopedo-heyrokhirurgicheskaya koncepcya komleksnogo lechenya detey so spasticheskimi paralichami. Vestnik travmatologii i ortopedii im. NN Priorova. 2007:4:9-14. Russian.
  • 15. Saraph V, Zwick EB, Zwick G, et al. Multilevel surgery in spastic diplegia: evaluation using physical examination and gait analysis in 25 children. J Pediatr Orthop. 2002;22:150-157.
  • 16. Baindurashvili А. Soft-tissue complications during treatment of children with congenital clubfoot / A. Baindurashvili, V. Kenis, Y. Stepanova // EWMA Journal. 2012;3:17-19.
  • 17. Shchekolova NB, Mudrova OA, Nenakhova YaV, Belokrylov NM. Neiroortopeditsheskoe letshenie detskogo cerebralnogo paralicha (utshebnoie posobie). Perm: GBOU VPO PGMA im. akad. E.A. Vagnera Minzdrava Rossii; 2014. Russian
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_bjha-2014-0027
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