Possibilities of increasing the efficiency of atopic dermatitis treatment in children using physiotherapeutic methods

Abstract

Introduction. Modern complex treatment of atopic dermatitis (AD) in children involves not only drug treatment, but also the use of physiotherapy techniques. Purpose: to develop an effective complex method for the treatment of children with AD with the combined use of hydrotherapy (HT), non-selective chromotherapy (NCT) and low-intensity laser blood irradiation (NLBI), which reduces the severity of the disease and improves the children and their families’ quality of life. Material and methods. We examined 164 children diagnosed with AD from 4 to 15 years old (mean age 8±2.9 years). For a comparative study of the effectiveness of various treatment methods, 5 groups of patients were formed who received: basic drug therapy (BMT), GT+BMT, NHT+BMT, NLBI+BMT, GT+NHT+NLBI+BMT. Before the start of treatment, after 1 month and 3 months. assessed the severity of clinical manifestations of AD using the SCORAD scale, children’s dermatological quality of life index (DQLI), family DQLI (FDQLI), Results. After 1 month from the beginning of treatment in the groups of BMT, GT+BMT, NHT+BMT, NLBI+BMT, GT+NHT+NLBI+BM, the values of the SCORAD indices decreased by 1.5; 2; 2.5; 3.4; 4.6 times (respectively), the DQLI index — 1,5 times; 1.9; 2.3; 2.9; 4.6 times (respectively), the FDQLI index of 1.3; 1.5; 2.1; 2.7; 4.5 times (respectively). Conclusion. The developed method of combined use of HT, NCT, NLBI and basic drug therapy in the treatment of children with AD is more effective than the use of these methods in isolation. This is confirmed by a decrease in the DQLI and FDQLI indices by 78.3% and 71.7%, respectively, and a decrease in the SCORAD index by 78.3% with the transition from a moderate to mild form of the disease.