A complex sanatorium-resort rehabilitation of patients with cerebral palsy with spastic diplegia

Vlasenko S.V.

Georgievsky Medical Academy, Simferopol, Russia, Crimean Federal University Vernadsky, Simferopol, Russia

Golubova T.F.

Scientific Research Institute of Children’s Balneology, Physiotherapy and Medical Rehabilitation, Evpatoria, Russia

Marusich I.I.

FGBU «Evpatoria military children’s clinical sanatorium. E.P. Glinka’s» Russian Ministry of defense, Evpatoria, Russia

Larina N.V.

Georgievsky Medical Academy, Simferopol, Russia, Crimean Federal University Vernadsky, Simferopol, Russia

Ponomarenko E.N.

GBUZ RK «Evpatoria city hospital», Evpatoria, Russia

A complex sanatorium-resort rehabilitation of patients with cerebral palsy with spastic diplegia

Authors:

Vlasenko S.V., Golubova T.F., Marusich I.I., Larina N.V., Ponomarenko E.N.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2018;118(7): 40‑44

DOI: 10.17116/jnevro20181187140

Read: 1286 times

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Vlasenko SV, Golubova TF, Marusich II, Larina NV, Ponomarenko EN. A complex sanatorium-resort rehabilitation of patients with cerebral palsy with spastic diplegia. S.S. Korsakov Journal of Neurology and Psychiatry. 2018;118(7):40‑44. (In Russ.)
https://doi.org/10.17116/jnevro20181187140

Подписка 2025-2 (S.S. Korsakov Journal of Neurology and Psychiatry)

Использование инфографики авторами научных работ

Close metadata

Recommended articles:

Abobotulinumtoxin A injections for the chronic sialorrhea correction in children: Russian retrospective multicenter study. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(1):53-61

Sequential use of botulinum toxin A and bovhyaluronidase azoximer in the correction of post-stroke spasticity. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(2):80-85

Clinical and instrumental diagnostics of facial neuropathy in children. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(6):31-36

Combined rehabilitation therapy for postoperative urinary incontinence in men. Regenerative Biotechnologies, Preventive, Digital and Predictive Medicine. 2024;(4):5-11

Selective dorsal rhizotomy in children with hereditary spastic paraplegia. Burdenko's Journal of Neurosurgery. 2025;(1):46-51

Cryoablation of intercostal nerves under intraoperative electromyography during thoracoabdominal aortic aneurysm repair: a pilot study. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;(1):86-95

Promising models of sanatorium-resort provision organization in the Armed Forces of the Russian Federation. Problems of Balneology, Physiotherapy and Exercise Therapy. 2025;(1):5-11

Objective. To study an influence of combined methods of rehabilitation for recovery of motor functions in patients with cerebral palsy with spastic diplegia (CPSD). Material and methods. Seventy-six patients with CPSD, aged from 14 to 19 years (mean age 18.7±4.63 years), were under observation. A comprehensive clinical and instrumental examination was conducted. Patients of the main group received a course of underwater spinal traction with the introduction of the drug cellex along with Spa treatment. Patients of the comparison group received only Spa treatment. Results and conclusion. Signs of involvement of segmental structures of the nervous system in the pathological process and their role in the formation of motion pathology are established. It is shown that the inclusion of underwater traction according to the original technique and simultaneous introduction of cellex in the complex of rehabilitation measures allows to achieve a pronounced positive dynamics in the form of expansion of motor capabilities of patients with cerebral palsy. There was a significant decrease in spastic muscle tone, restoration of the volume of movements in the joints, improved walking. Positive clinical dynamics was correlated with EMG data.

Keywords:

infantile cerebral palsy

underwater traction

electroneuromyography

spasticity

sanatorium treatment

Authors:

Vlasenko S.V.

Georgievsky Medical Academy, Simferopol, Russia, Crimean Federal University Vernadsky, Simferopol, Russia

Golubova T.F.

Scientific Research Institute of Children’s Balneology, Physiotherapy and Medical Rehabilitation, Evpatoria, Russia

Marusich I.I.

FGBU «Evpatoria military children’s clinical sanatorium. E.P. Glinka’s» Russian Ministry of defense, Evpatoria, Russia

Larina N.V.

Georgievsky Medical Academy, Simferopol, Russia, Crimean Federal University Vernadsky, Simferopol, Russia

Ponomarenko E.N.

GBUZ RK «Evpatoria city hospital», Evpatoria, Russia

List of references:

Aladina EA. Evaluation of the function of the segmental spinal apparatus in children’s cerebral palsy and imitating motor disorders in children of early childhood. Topical issues of pediatrics and pediatric surgery. Proceedings of scientific-practical conference. Collection of works of the staff of the Russian Children’s Hospital №38 devoted to 20-year anniversary of the hospital. M. 2010. (In Russ.)
Alekseeva GYu. The role of birth injury in the formation of cerebral palsy in children. Proceedings of the IX Congress of Traumatology-Orthopedists. Saratov. 2010. (In Russ.)
Brill AG. The use of selective posterior rhizotomy in combination with chronic epidural electrostimulation of the spinal cord with lower spastic paraparesis in children with cerebral palsy and other disorders in children. Interdisciplinary international scientific-practical conference. M. 2012. (In Russ.)
Gainetdinova DD. Clinical-immunological and cytogenetic aspects of the pathogenesis of spastic forms of infantile cerebral palsy. Medical immunology. 2012;6:507-512. (In Russ.)
Zmanovskaya VA. Clinical variables of spastic forms of infantile cerebral palsy and evaluation of the effectiveness of botulinum therapy: Dis. … kand. med. nauk. Ekaterinburg; 2011. (In Russ.)
Aladina EA. Functional state of the segmental spinal apparatus in children’s cerebral palsy and imitating motor disorders in children of early childhood: Dis. … kand. med. nauk. M. 2011. (In Russ.)
Kozyavkіn VІ, Gordієvich SM, Kachmar OO, Zakharov PV. Znachennya vertebrogennogo komponentu v patogenezі tserebral'nikh paralіchіv. Aktual'nye voprosy perinatal'noi nevrologii. Materialy konferentsii. Kiїv. 2013.
Kurenkov AL, Artemenko AR. Role of the peripheral neuromotor apparatus in the formation of severe motor disorders in patients with cerebral palsy. Neuromuscular diseases. 2012;4:43-53. (In Russ.)
Tupikov VA. Manifestations of undifferentiated connective tissue dysplasia in children with cerebral palsy. Traumatology and Orthopedics of Russia. 2013;3(69):51-56. (In Russ.)
Khakimova RF, Gainetdinova DD, Gaisina LZ. Neuroimmunological aspects of the pathogenesis of infantile cerebral palsy. Neurological Bulletin. 2012;3:12-14. (In Russ.)
Mezhennaya MM. Choice of parameters of frequency-time processing of electromyograms of the neuromuscular apparatus RT-2010. Proceedings of the 6th Intl. Youth scientific-techn. Conf. Sevastopol: NTU. 2010. (In Russ.)
Dotsenko VI. Rebuilding of pathological motor stereotype with remodeling of «proper» movements in orthopedic neurological patients using modern hardware. Polyclinic. 2011;1:104-109. (In Russ.)
Mugerman BI, Paramonova DB. Restoration of foot biomechanics in patients with infantile cerebral palsy undergoing manual therapy. Manual therapy. 2011;2:3-8. (In Russ.)
Strepetov OM, Drobyshev VA, Kokoulin AG, Gantimurova OG. Efficiency of traction-mobilization therapy of reflex and compression manifestations in lumbar spine dorsopathy. Digest of restorative medicine. 2009;6(34):80-82. (In Russ.)
Andriyashek YuI, Ezhov VV. The introduction of the new technique of passive underwater vertical spinal traction. National physiotherapist. 2011;1(6):8-9. (In Russ.)
Batysheva TT, Platonova AN, Chebanenko NV, Bykova OV. Medical correction of cognitive impairment in children and adolescents with cerebral palsy who were administered the course of pantocalcin. J Neurol Psychiat im. S.S. Korsakov. 2013;113(9):43-48. (In Russ.)
Shamik VB, Tupikov VA, Dyakova VN. Features of bioelectric activity of leg muscles in children with infantile cerebral palsy. Herald of traumatology and orthopedics im. N.N. Priorova. 2012;1:61-63. (In Russ.)
Fedin AI. New Possibilities to decreasing the handicaptedness level of patients with cerebral vascular pathologies. Scientific Practical Conference Modern approaches to neuroreparative therapy. 2017. (In Russ.)
Kotov SV, Belova JA, Scherbakova MM, Chervinskaya AD, Isaeva EV, Volchenkova TV. Speech restoration in patients with aphasia in early stages of rehabilitation period of ischemic stroke. J Neurol Psychiat im. S.S. Korsakov. 2017;117(2):38-43. (In Russ.)
Mugerman BI. Restoration of statodynamic functions in children with long-term consequences of cerebral palsy. Rehabilitation assistance. 2010;2:54-57. (In Russ.)
Malmberg SA. Children’s cerebral palsy and functional impellent disorders in children of early childhood: the possibilities of electromyographic diagnosis. Clinical neurology. 2011;1:20-24. (In Russ.)
Shabalov VA. Rear selective rhizotomy in the treatment of severe spastic syndrome in children’s cerebral palsy. Neurosurgery im. N.N. Burdenko. 2010;2:14-18. (In Russ.)
Aladina EA, Bakhteev KK, Malmberg SA, Petrukhin AS. Functional state of the segmental spinal apparatus in children’s cerebral palsy and the syndrome of motor disorders of neurotic genesis in children of early childhood. Rus J Pediatr Neurol. 2010;3:3-10. (In Russ.)

Close metadata