Медицинские технологии восстановительного лечения детей, оперированных по поводу детского церебрального паралича, в условиях бальнеогрязевого курорта

Abstract

The problem of infantile cerebral palsy one of the urgent problems of child neuropathology and orthopedics. 60% of children with disabilities have associated disturbances of abilities to move, to make precise movements, i.e., to control their own actions. Movement disorders cause abnormal muscle synergies, resulting in relatively quickly formed fixed contractures, which prevent the movement. As a result, these children need for surgical correction and long-term rehabilitative treatment in the postoperative pe-riod. However, natural curative factors become more important. These factors in adequate dosages increase functional reserve capacities of the child´s body systems and contribute to the improvement of adaptive responses. Most physiological and adequate method in the rehabilitation of children with cerebral palsy is a spa-treatment. The authors’ purpose of this study is to develop and scientifically justify a system of restorative treatment of children operated on cerebral palsy, in the conditions of the balneologic resort. In the children´s psycho-neurological department of the Pyatigorsk clinic five randomized groups of children after surgical treatment for cerebral palsy were observed. Detailed clinical psycho-neurological examination, electromyography, electroencephalography, rheoencephalography, rheovasography were performed in all patients. The studies in the immediate and long-term follow allow to recommending the medical technologies for complex therapy of children after surgery for cerebral palsy. Continued improvement in a small number of children with cerebral palsy is the criterion of having to re-resort treatment.