Modern non-drug technologies for medical rehabilitation of children with consequences of perinatal affection of the central nervous system

Close metadata

Recommended articles:

Application of exoskeleton with functional electrostimulation for rebalancing of patients in acute and early recovery periods of ischemic stroke. Problems of Balneology, Physiotherapy and Exercise Therapy. 2023;(5):5-13

Medical rehabilitation of children with obstructive uropathy. Problems of Balneology, Physiotherapy and Exercise Therapy. 2023;(5):21-26

Alopecia and COVID-19: possible etiopathogenetic variants and therapeutic approach. Problems of Balneology, Physiotherapy and Exercise Therapy. 2023;(5):56-63

Medical rehabilitation features of patients suffered from new coronavirus infection. Problems of Balneology, Physiotherapy and Exercise Therapy. 2023;(5):64-69

Histological evaluation of esophageal stricture in children with caustic burn. Pirogov Russian Journal of Surgery. 2023;(12):43-51

Reconstruction of total portosystemic shunt into selective portosystemic shunt in a child. Pirogov Russian Journal of Surgery. 2023;(12):140-146

Prognostic value of outpatient endoscopy for the diagnosis of eosinophilic esophagitis in children. Russian Journal of Evidence-Based Gastroenterology. 2023;(4):5-10

Gastritis and gastroesophageal reflux disease in schoolchildren from ethnic groups in the Republic of Tuva. Russian Journal of Evidence-Based Gastroenterology. 2023;(4):36-42

Robot-assisted cholecystectomy in children. Endoscopic Surgery. 2023;(6):82-88

Proximal ureterouretheroanastomosis in the treatment of kidney double in children. Endoscopic Surgery. 2023;(6):103-110

The article is devoted to the issues of medical rehabilitation of children with consequences of perinatal affection of the central nervous system (CNS). An important and principal aspect of the medical rehabilitation of children with perinatal pathology is the minimization of drugs, in this regard, in children in the first year of life, the leading role is given to non-drug methods of exposure. Among the important challenges of the medical rehabilitation of children with perinatal pathology are: improvement of blood supply and metabolic processes in the brain tissue, normalization of the central and peripheral regulation of muscle tone, improvement of neuromuscular conduction, stimulation of psychomotor development. In this case, kinesitherapy technologies are of leading importance: massotherapy, therapeutic exercises, reflex kinesitherapy according to V. Vojta; fitball gymnastics, method of fine finger training, dry floatation, etc. Along with physical rehabilitation methods, physiotherapy methods are actively used, which makes it possible to increase the effectiveness of treatment. The analysis of the literature showed that the use of modern non-drug technologies in children with perinatal CNS pathology, and their introduction into practice can significantly increase the effectiveness of medical rehabilitation of such children.

Keywords:

children

perinatal CNS affection

physiotherapy

kinesitherapy

medical rehabilitation

physical rehabilitation

Authors:

Khan M.A.

I.M. Sechenov First Moscow State Medical University;
Children’s hospital named after N.F. Filatov

Chubarova A.I.

Pirogov Russian National Research Medical University;
Filatov Pediatric Municipal Clinical Hospital

Degtyareva M.G.

Children’s hospital named after N.F. Filatov;
Pirogov National Research Medical University

Mikitchenko N.A.

Moscow Center for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine

Rumyantseva M.V.

Moscow Center for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine

Kuyantseva L.V.

Moscow Center for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine

Received:

02.04.2020

Accepted:

10.07.2020

List of references:

Zdravoohranenie v Rossii 2019 g. Statisticheskij sbornik. Federal’naya sluzhba gosudarstvennoj statistiki (Rosstat). M.: Rosstat; 2019. (In Russ.).
Batysheva TT, Arhipov VV, Chebanenko NV, Esmurzieva ZI, Popova MV, Ivannikova MN. Sovremennye metody korrekcii gipoksicheskiishemicheskih porazhenij central’noj nervnoj sistemy u novorozhdennyh. Materialy VII Mezhdisciplinarnogo nauchno-prakticheskogo kongressa s mezhdunarodnym uchastiem «Detskij cerebral’nyj paralich i drugie narusheniya dvizheniya u detej» M. 2017. (In Russ.).
Shabalov NP. Neonatologiya. Uchebnoe posobie: v 2 t. M.: MEDpress-inform; 2004. (In Russ.).
Dement’eva GM, Ryumina II, Frolova MI. Vyhazhivanie glubokonedonoshennyh detej: sovremennoe sostoyanie problemy. Pediatriya. 2004;3:60-66. (In Russ.).
Chang H, Larson J, Biencowe H. Preventing preterm births: analysis of trends and potential reductions with interventions in 39 countries with very high human development index. The Lancet. 2013;381(9862):223-234.
Saharova ES, Keshishyan ES, Alyamovskaya GA. Osobennosti psihomotornogo razvitiya glubokonedonoshennyh detej. Vestnik sovremennoj klinicheskoj mediciny. 2013;6(6):84-90. (In Russ.).
Karkashidze GA, Anikin AV, Zimina EP, Davydova IV, Karimova HM, Zaharyan ME, Namazova-Baranova LS, Maslova OI, Yacyk GV, Valieva SI, Gevorkyan AK. Sovremennye dannye o patogeneze i lechenii gipokischeski-ishemicheskih porazhenij golovnogo mozga u novorozhdennyh. Pediatricheskaya farmakologiya. 2016;13(5):452-467. (In Russ.).
Gale C, Statnikov Y, Jawad S, Uthaya SN, Modi N. Neonatal brain injuries in England: population-based incidence derived from routinely recorded clinical data held in the National Neonatal Research Database. Arch Dis Child Fetal Neonatal Ed. 2018;103(4):301-306. https://doi.org/10.1136/archdischild-2017-313707
Statnikov Y, Ibrahim B, Modi N. A systematic review of administrative and clinical databases of infants admitted to neonatal units. Arch Dis Child Fetal Neonatal Ed. 2017;102:270-276. https://doi.org/10.1136/archdischild-2016-312010
Dolotova NV, Fil’kina OM, Vorob’eva EA, Kuz’menko GN, Nazarov SB, Sitnikova OG. Sostoyanie zdorov’ya i otdel’nye mekhanizmy formirovaniya ego narushenij u detej-invalidov v rezul’tate posledstvij perinatal’nyh porazhenij central’noj nervnoj sistemy v vozraste do 4 let. Lechenie i profilaktika. 2018;8-1(25):13-18. (In Russ.).
Hagberg H, Edwards AD, Groenendaal F. Perinatal brain damage: The term infant. Neurobiol Dis. 2016;92(Pt A):102-112. https://doi.org/10.1016/j.nbd.2015.09.011
Barashnev YuI. Perinatal’naya nevrologiya. M.: Triada-H; 2011. (In Russ.).
Novak CM, Ozen M, Burd I. Perinatal Brain Injury: Mechanisms, Prevention, and Outcomes. Clin Perinatol. 2018;45(2):357-375. https://doi.org/10.1016/j.clp.2018.01.015
Zavadenko NN, Kozlova EV. Disfaziya razvitiya u detej: perspektivy nejrotroficheskoj terapii. Zhurnal nevrologii i psihiatrii im. S.S. Korsakova. 2013;113(5-2):43-47. (In Russ.).
Behrman RE, Butler AS. Preterm birth: causes, conseguences, and prevention. committee on understanding Premature Birth and Assuring Healthy Outcomes. Washington, D.C.: The National Academies Press; 2007.
Badalyan LO, ZHurba LT, Vsevolozhskaya NM. Rukovodstvo po nevrologii rannego vozrasta. Kiev: Zdorov’e; 1980. (In Russ.).
Bombardirova EP, Yacyk GV, Stepanov AA. Lechenie i reabilitaciya perinatal’nyh porazhenij nervnoj sistemy u detej pervyh mesyacev zhizni. Lechashchij vrach. 2005;2:67-69. (In Russ.).
Semenova KA. Vosstanovitel’noe lechenie detej s perinatal’nym porazheniem central’noj nervnoj sistemy i s detskim cerebral’nym paralichom. M.: Zakon i poryadok; 2007. (In Russ.).
Yacyk GV, Bombardirova EP, Tresorukova OV. Vyhazhivanie i rannyaya reabilitaciya detej. Lechashchij vrach. 2007;7:10-12. (In Russ.).
Saharova ES, Keshishyan ES, Alyamovskaya GA. Nevrologicheskie iskhody u nedonoshennyh detej k trekhletnemu vozrastu. Medicinskij sovet. 2015;1:50-53. (In Russ.).
Baranov AA, Namazova-Baranova LS, Al’bickij VYu. Profilakticheskaya pediatriya — novye vyzovy. Voprosy sovremennoj pediatrii. 2012;2:7-10. (In Russ.).
Suslova GA, Bure NP, Olina OS, Bobko YaN, Bobko AYa, Rostacheva EA, Suslov VM, Bochkarev IA, Panyutina YaV, Averkin II, Zaharov DV. Kompleksnaya medicinskaya reabilitaciya novorozhdennyh i nedonoshennyh detej v usloviyah perinatal’nogo, konsul’tativno-diagnosticheskogo i mnogoprofil’nogo centrov. Materialy kongressa «Zdorovye deti — budushchee strany». Pediatr. 2017;8(specvypusk):312-313. (In Russ.).
Diego MA, Field T, Hernandez-Reif M, Deeds O, Ascencio A, Begert G. Preterm infant massage elicits consistent increases in vagal activity and gastric motility that are associated with greater weight gain. Acta Paediatr. 2007;96(11):1588-1591. https://doi.org/10.1111/j.1651-2227.2007.00476.x
Field T, Diego M, Hernandez-Reif M, Dieter JNI, Kumar AM, Schanberg S, Kuhn C. Insulin and insulin-like growth factor-1 increased in preterm neonates following massage therapy. J Dev Behav Pediatr. 2008;29(6):463-466. https://doi.org/10.1097/DBP.0b013e3181856d3b
Akhavan Karbasi S, Golestan M, Fallah R, Golshan M, Dehghan Z, Effect of body massage on increase of low birth weight neonates growth parameters: a randomized clinical trial. Iran J Reprod Med. 2013;11(7):583-588.
Pepino VC, Mezzacappa MA. Application of tactile/kinesthetic stimulation in preterm infants: a systematic review. Jornal de Pediatria. 2015;91(3):213-233.
Álvarez MJ, Fernández D, Gómez-Salgado J, Rodríguez-González D, Rosón M, Lapeña S. The effects of massage therapy in hospitalized preterm neonates: A systematic review. International Journal of Nursing Studies. 2017;69:119-136.
Kozhevnikova TV. Sovremennye tekhnologii fizicheskoj reabilitacii bol’nyh s posledstviyami perinatal’nogo porazheniya nervnoj sistemy i detskim cerebral’nym paralichom. M.: Madzhenta; 2013. (In Russ.).
Moiseeva T.Yu. LFK i massazh v reabilitacii nedonoshennyh detej s perinatal’noj patologiej nervnoj sistemy. LFK i massazh. 2002;1:13-15. (In Russ.).
Mendes EW, Procianoy RS. Massage therapy reduces hospital stay and occurrence of late-onset sepsis in very preterm neonates. J Perinatol. 2008;28(12):815-820. https://doi.org/10.1038/jp.2008.108
Krasikova IS. Detskij massazh. Massazh i gimnastika dlya detej ot rozhdeniya do trekh let. 2-e izdanie, ispr., i dopol. SPb.: KORONA print; 2000. (In Russ.).
Nalobina AN. Fizicheskaya reabilitaciya detej pervogo goda zhizni s perinatal’nym porazheniem central’noj nervnoj sistemy: Dis. ... d-ra biol. nauk. M. 2013. (In Russ.).
Mendes EW, Procianoy RS. Massage therapy reduces hospital stay and occurrence of late-onset sepsis in very preterm neonates. J Perinatol. 2008;28(12):815-820. https://doi.org/10.1038/jp.2008.108
Tokovaya EI. Rannee nervno-psihicheskoe razvitie detej, rodivshihsya glubokonedonoshennymi: Dis. ... kand. med. nauk. M. 2002. (In Russ.).
Lee YB, Chow RSY, Pang CB. Impact of massage therapy on motor outcomes in very low-birthweight infants: randomized controlled pilot study. Pediatr. 2010;52(3):378-385. https://doi.org/10.1111/j.1442-200X.2009.02964.x
Nalobina AN, Patyukov AG. Vliyanie fitbol-gimnastiki na psihomotornoe razvitie i vegetativnye funkcii detej pervogo goda zhizni s perinatal’nym porazheniem central’noj nervnoj sistemy. Omskij nauchnyj vestnik. 2012;1(106):187-191. (In Russ.).
Bure NP, Bochkarev IA, Suslova GA, Olina OS, Smirnova TV. Ispol’zovanie metoda «suhoj immersii» dlya nedonoshennyh detej i detej grudnogo vozrasta na stacionarnom etape medicinskoj reabilitacii. Detskaya medicina Severo-Zapada. 2018;7(1):50-51. (In Russ.).
Smith SL, Haley S, Slater H, Moyer-Mileur LJ. Heart rate variability during caregiving and sleep after massage therapy in preterm infants. Early Hum Dev. 2003;89(8):525-529. https://doi.org/10.1016/j.earlhumdev.2013.01.004
Shrejder TF, Fedorova GV, Yakimenko SN. Effektivnost’ ispol’zovaniya kompleksnoj fizicheskoj reabilitacii detej grudnogo vozrasta s perinatal’nym porazheniem central’noj nervnoj sistemy. Kazanskij medicinskij zhurnal. 2006;97(3):341-346. (In Russ.).
Tihonov SV. Metodika kompleksnoj fizicheskoj reabilitacii detej grudnogo vozrasta s perinatal’nym porazheniem CNS: Dis. ... kand. biol. nauk. M. 2012. (In Russ.).
Kalinina IN, Tihonov SV, Polustruev AV. Dinamika teplovizornyh priznakov perinatal’nogo porazheniya central’noj nervnoj sistemy pod vliyaniem ruchnogo massazha u detej pervogo goda zhizni. Sovremennye problemy nauki i obrazovaniya. 2011;5:127-131. (In Russ.).
Han MA, Krivcova LA, Demchenko VI. Fizioterapiya v pediatrii. M. 2014. (In Russ.).
Ponomarenko GN. Fizicheskaya i reabilitacionnaya medicina Nacional’noe rukovodstvo 2016. M.: GEOTAR-Media; 2018. (In Russ.).
Han MA, Popova OF, Popova ES. Primenenie strukturno-rezonansnoj terapii u detej s posledstviyami perinatal’nogo porazheniya central’noj nervnoj sistemy. Vestnik vosstanovitel’noj mediciny. 2012;3:49-52. (In Russ.).
Yacyk GV, Han MA, Boltneva SM. Citohimicheskij analiz v ocenke effektivnosti primeneniya peremennogo magnitnogo polya nizkoj chastoty v kompleksnoj reabilitacii detej s perinatal’noj encefalopatiej. Endokrinnye zabolevaniya u detej i aktual’nye voprosy klinicheskoj pediatrii. 2000;5:24-25. (In Russ.).
Bunachenko AL, Sagdeev RZ, Salihov KM. Magnitnye i spinovye effekty v himicheskih reakciyah. Novosibirsk. 1987. (In Russ.).
Panina OS, Rajgorodskij YuR, Konova OM. Sposob lecheniya detej s perinatal’nym porazheniem central’noj nervnoj sistemy i ego posledstvij. Patent №2486931. (In Russ.).
Panina OS, Bolotova NV, Nikolaeva NV. Effektivnost’ primeneniya transkranial’noj magnitoterapii v reabilitacii novorozhdennyh s perinatal’nym porazheniem CNS. Pediatriya. 2011;90(1):70-74. (In Russ.).
Yacyk GV, Shishchenko VM, Bombardirova EP, Dvoryakovskij IV, Belyaeva IA, Semenova GF, Haritonova NA, Tresorukova OV, Domareva TA. Primenenie polihromaticheskogo nekogerentnogo polyarizovannogo sveta v lechenii novorozhdennyh i detej pervyh mesyacev zhizni. M. 2008. (In Russ.).
Veselovskij AB, Kir’yanova VV, Mitrofanov AS, Petrishchev NN, Fefilov GD, Yantareva LI. Tendencii razvitiya, razrabotka i issledovanie fizioterapevticheskoj apparatury dlya fotohromoterapii. Opticheskie i lazernye tekhnologii. Sborn. statej. SPb. 2001. (In Russ.).
Kir’yanova VV, Guzalov PI. Vliyanie svetodiodnogo izlucheniya zelenogo spektra na povrezhdennyj nerv v eksperimente. Lazernaya medicina. 2011;15(2):110. (In Russ.).
Kazanskaya EV. Fizicheskaya reabilitaciya v vosstanovitel’nom lechenii nedonoshennyh detej grudnogo vozrasta s perinatal’nym povrezhdeniem CNS. Nauchno-prakticheskie zhurnal «Uchenye zapiski». 2008;12(46):21-25. (In Russ.).

Close metadata