Abstract
Background. Spastic diplegia (Little’s disease) is the most common form of infantile cerebral palsy (ICP), leading to persistent motor and functional impairments. One promising area of rehabilitation is a combination of physical therapy with methods of stimulation of various parts of the nervous system, among which functional electrical stimulation of muscles and nerves is the most prominent.Objective. To study structural changes of cerebral white matter conduction pathways in patients with spastic diplegia after translingual neurostimulation using magnetic resonance tractography.Materials and Methods. An open single center-controlled study was conducted. A total of 18 children were examined. All patients underwent comprehensive MRI in two time points, before and after a course of translingual neurostimulation, on a tomograph with magnetic field induction 3.0 Tesla, which included a traditional protocol in 3 mutually perpendicular planes), and diffusion-weighted imaging — DWI (Diffusion-Weight Imaging).Results. All patients after neurostimulation showed clinical improvement of movement coordination and decrease of muscle tone with formation of new motor skills, improvement of limb motor function. Statistically significant decrease of spasticity index was revealed up to 17% for arms and 23% for legs, improvement of motor skills on all three scales.Conclusion. Translingual neurostimulation allows to affect all components of motor activity, as a result of which neuroplasticity processes are activated and the brain of patients with spastic diplegia becomes more receptive to motor rehabilitation aimed at restoration of motor control and formation of new motor skills.
Highlights
Spastic diplegia (Little’s disease) is the most common form of infantile cerebral palsy (ICP), leading to persistent motor and functional impairments
Конфликт интересов / Conflict of interest Авторы заявили об отсутствии потенциального конфликта интересов. / The authors declare no conflict of interest том 8 No4 / 2021
Tracks of increasing the QA coefficient after translingual neurostimulation are shown
Summary
Spastic diplegia (Little’s disease) is the most common form of infantile cerebral palsy (ICP), leading to persistent motor and functional impairments. Цель исследования — изучение структурных изменений проводящих путей белого вещества головного мозга у пациентов со спастической диплегией после транслингвальной нейростимуляции путем применения методики МР-трактографии. Материалы и методы исследования Проведено открытое одноцентровое контролируемое исследование по изучению структурных изменений проводящих путей белого вещества головного мозга у пациентов с ДЦП с формой спастической диплегии в поздней резидуальной стадии с сохранным интеллектом, без патологических изменений при электроэнцефалографии и аномалий развития головного мозга в анамнезе.
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