Neurological aspects of diagnosis and treatment of motor alalia

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OBJECTIVE

To analyze the causes of violations of expressive speech in children 4—5 years old, to assess changes in neurological status in children with motor alalia without and during treatment with Cellex.

MATERIAL AND METHODS

Two groups of patients were recruited: the main group (n=30; treatment; Cellex) and the control group (n=12; without Cellex). The drug was administered in the first half of the day by 1.0 ml subcutaneously, 10 days, daily. The patient’s visit card was analyzed 4 times: before treatment, 10 days later, 1 and 2 months after the start of treatment. Statistical hypotheses were tested using the χ² and Fisher criterions, the odds ratio (OR) and the 95% confidence interval (CI) OR were determined.

RESULTS

In more than half of the cases, violations of the neurological status, the burden of the perinatal period, a decrease in cognitive tests, and a lack of fine motor skills were revealed. Left-handedness or two-handedness, overload of viewing or listening to gadgets from the age of up to a year, violations of opercular praxis were almost always noted. The effect of the drug Cellex on the «launch of speech» in children with motor alalia has been shown. It has been established that the drug is well tolerated, has no adverse side effects and has a positive effect on the «launch of speech». The progress of the dynamics of speech development, progress in play and cognitive activity was observed in all children of the main group.

CONCLUSION

The use of the drug Cellex can be effective in the treatment of children with motor alalia.

Keywords:

motor alalia in children

dysphasia with impaired expressive speech

neuroprotection

neuropeptides

Cellex

Authors:

Skoromets A.A.

Pavlov First Saint Petersburg State Medical University

ORCID: 0000-0002-5884-3110

Skoromets A.P.

Pavlov First Saint Petersburg State Medical University

ORCID: 0000-0001-7439-2690

Yurlova O.V.

Irkutsk State Medical University;
Institute for the Development of Education of the Irkutsk Region

ORCID: 0009-0002-7468-5797

Pravdukhina G.P.

Omsk State Medical University

ORCID: 0009-0009-9874-7842

Golochalova S.A.

Omsk State Medical University

ORCID: 0009-0002-1392-9807

Received:

15.02.2023

Accepted:

13.04.2023

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