Abstract
Introduction. In order to improve the effectiveness of rehabilitation treatment of children presenting delayed motor development, it is important to observe how somatic and neurologic dysfunctions influence each other and how they affect on the formation of motor skills in children. It is of current interest to justify methods of osteopathic diagnostics of somatic dysfunctions which can impede normal development of a child and methods of correction of these somatic dysfunctions by osteopathic techniques.The aim of the research. To evaluate clinical effectiveness of osteopathic supervision of formation of motor skills in babies presenting delayed motor development on the background of the perinatal damage of the nervous system. Methods. 70 3-9 month old babies presenting consequences of cerebral hypoxia-ischemia of the first-second degree, delayed motor development (F82) took part in the research. The babies were evaluated before and after osteopathic correction. In order to evaluate changes in the neurologic state and motor development there were used special tables for evaluation of neurologic states and a point scale for evaluation of progress in motor development.Results. Structure of somatic dysfunctions in babies presenting delayed motor development on the background of perinatal damage of the nervous system was identified. On the global level rhythmogenic disorders of the cranial rhythmical impulse were predominant. On the regional level the most typical somatic dysfunctions for this pathology were: somatic dysfunctions of the head region (46 %), of the duramatral region (32 %). On the local level somatic dysfunctions of the craniosacral system were the most frequent: dysfunctions of certain bones and cranial sutures (96 %), intraosseous lesion (78 %). After osteopathic treatment the number of changes in neurologic state had a coefficient of contingency with the number of somatic dysfunctions found, which makes evident the presence of strong feedback.Conclusion. The results obtained permit to recommend the use of osteopathic treatment together with the neurologic treatment in rehabilitation of babies.
Highlights
In order to improve the effectiveness of rehabilitation treatment of children presenting delayed motor development, it is important to observe how somatic and neurologic dysfunctions influence each other and how they affect on the formation of motor skills in children
Сравнение динамики неврологического статуса у пациентов основной и контрольной групп до и после лечения позволило установить, что в результате лечения у детей обеих групп произошло его улучшение: в основной группе он повысился с 38 до 56 баллов, в контрольной — с 38 до 41 балла
Остеопатическая коррекция повышает эффективность стандартного курса лечения, что позволяет рекомендовать ее включение в схему терапии в комплексе с неврологическим лечением на этапах реабилитации грудных детей с задержкой моторного развития на фоне перинатального поражения нервной системы
Summary
In order to improve the effectiveness of rehabilitation treatment of children presenting delayed motor development, it is important to observe how somatic and neurologic dysfunctions influence each other and how they affect on the formation of motor skills in children. Для повышения эффективности восстановительного лечения у детей раннего возраста с задержкой моторного развития необходимо проследить влияние соматических и неврологических дисфункций друг на друга и на формирование моторных навыков, выявить с помощью методов остеопатической диагностики соматические дисфункции (СД), которые предположительно могут являться причиной дисгармоничного развития ребенка, и обосновать способы их остеопатической коррекции. Цель Оценка клинической эффективности остеопатического сопровождения формирования моторных навыков у грудных детей с задержкой моторного развития на фоне перинатального поражения нервной системы.
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