Effectiveness of using a hardware complex with biofeedback in the rehabilitation of children with dysfunction of the upper limbs

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PURPOSE OF THE STUDY

Efficiency evaluation of the hardware-software complex with BFB in restoring the impaired function of the upper limb in children.

MATERIAL AND METHODS

The clinical study included 79 patients aged 4 to 18 years with dysfunction of the upper limb not higher than level III according to MACS (The Manual Ability Classification System), who were divided by simple randomization into the main group (49 patients) who received 21 days of a comprehensive rehabilitation program (physiotherapy exercises, paretic muscle massage, mechanotherapy, hydrokinesiotherapy, methods of apparatus physiotherapy) using a hardware-software complex, and a comparison group (30 patients), in which the complex rehabilitation program did not include biofeedback procedures.

RESULTS

This performed prospective open randomized comparative study revealed the effectiveness of the standard rehabilitation program in combination with training on the BFB complex (main group) to be higher than using only the standard program. After treatment, patients of the main group showed a noticeable decrease in the degree of muscle spasticity in the affected limb, strengthening of muscle strength, improvement of fine and gross motor skills of the hands, and improvement of manual skills.

CONCLUSION

The use of a hardware-software complex with biofeedback in children with dysfunction of upper limbs increases effectiveness of the rehabilitation program.

Keywords:

rehabilitation

biofeedback

upper limb function

fine motor skills

Authors:

Volovets S.A.

Scientific and Practical Center of Medical and Social Rehabilitation named after L.I. Shvetsova

Badalov N.G.

L.I. Shvetsova Scientific and Practical Center for Medical and Social Rehabilitation;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

Borodulina I.V.

Russian Medical Academy for Continuous Professional Education

Yakovlev M.Yu.

National Medical Research Center for Rehabilitation and Balneology

Received:

27.01.2022

Accepted:

18.07.2022

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