Development Of Motor Functions Research Articles

The Use of a Virtual Reality System in the Rehabilitation of Children with Progressive Muscular Dystrophies

The research aim is to prove the effectiveness of individual programs of physical therapy and occupational therapy for children with progressive muscular dystrophy (PMD), which include game technologies of virtual reality. The following research methods were used in the work: general scientific (analysis, synthesis, synthesis of literature); clinical (clinical examination); pedagogical (observation, experiment); biomedical (development of motor functions), mathematical statistics. It has been proven that after the implementation of a synergistic rehabilitation program on the MFM scale positive changes were observed among children with dystrophic pathologies; according to the Vignos scale, no improvement in results was recorded; according to the Brooke scale - similar situation,among children with PMD Landusy-Dejerin, Emery-Dreyfus and unspecified form, the final results did not differ from the weekend, and among children with Duchenne muscular dystrophy, born PMD and Erb-Roth PMD showed deterioration of parameters.

The Role of Human Milk Oligosaccharides in Myelination, Socio-Emotional and Language Development: Observational Data from Breast-Fed Infants in the United States of America.

Infancy is a critical period for neurodevelopment, which includes myelination, synaptogenesis, synaptic pruning, and the development of motor, social-emotional, and cognitive functions. Human milk provides essential nutrients to the infant's developing brain, especially during the first postnatal months. Human milk oligosaccharides (HMOs) are a major component of human milk, and there is growing evidence of the association of individual HMOs with cognitive development in early life. However, to our knowledge, no study has explained these associations with a mechanism of action. Here, we investigated possible mediating associations between HMOs in human milk, brain myelination (measured via myelin water fraction), and measures of motor, language (collected via the Bayley Scales of Infant and Toddler Development (Bayley-III)), and socioemotional development (collected via the Ages and Stages Questionnaire: Social-Emotional Version (ASQ-SE)) in healthy term-born breast-fed infants. The results revealed an association between 6'Sialyllactose and social skills that was mediated by myelination. Furthermore, associations of fucosylated HMOs with language outcomes were observed that were not mediated by myelination. These observations indicate the roles of specific HMOs in neurodevelopment and associated functional outcomes, such as social-emotional function and language development.

Formation of postural control in infants of the first year of life with impaired motor development, born at different gestation periods

The postural control development is a complex physiological process, which is the basis for the development of motor functions. Approaches to the assessment of postural control and the features of its formation in infants of the first year of life have not been studied enough. Purpose. To reveal the features of postural control development in infants of the first year of life with the consequences of perinatal lesions of the central nervous system in the form of impaired motor development, born at different gestational ages. Material and methods. We examined 120 infants of the first year of life with impaired motor development and 16 infants without neurological pathology. Infants with impaired motor development were divided into 4 subgroups: 1 (n = 30) — full-term, 2 (n = 30) — very preterm, 3 (n = 30) — moderately preterm, 4 (n = 30) — late premature children depending on their gestational age at birth. The examination was conducted at 3–4 months of calendar age in full-term and corrected in premature infants and included an assessment of the neurological status, a clinical assessment of postural control, and computer stabilometry. Results. Violation of postural control was found in infants of the first year of life with the consequences of perinatal lesions of the central nervous system in the form of impaired motor development, born at different gestational ages. These postural disorders may be associated with changes in muscle tone and impaired sensorimotor integration. Conclusion. Further research will enable the development of objective criteria for diagnosing postural disorders in infants of the first year of life, depending on the gestational age at birth. This will contribute to the timely start of treatment and rehabilitation measures, reducing the frequency and severity of disabling consequences of perinatal lesions of the central nervous system.

Тheoretical and methodological basics of coaching activities with young athletes and multi-wrestlers

In order to achieve high results in athletics all-around, the rational construction of the training process at all stages of training is of crucial importance. The structure of the training process of young multi-athletes, based on accounting for the cyclical fluctuation of the state of the female body and the improvement of technical skills and movement qualities related to the course of the menstrual cycle, should be considered as one of the effective ways to optimize the training process, as it ensures an increase in the growth of movement qualities, during dosed physical exertion at the stage of preliminary basic training. In order for young athletes to successfully move to the next stage of training, it is necessary to build a training process taking into account age periodization, individual characteristics of the physical state of the body, sensitive periods of development of motor and other functions. The interaction of different types of all-around sports has both a positive (enhancing) character and a negative (inhibiting) character during the improvement of technical and physical fitness. As a result of the negative influence of one motor quality on another, at a certain level of training, there are limitations for further improvement, which must be taken into account in coaching activities. During the selection of pedagogical test exercises, we note that they should perform both control functions and organically fit into the educational and training process, based on such considerations as accessibility and ease of execution. The purpose of conducting control and pedagogical tests is to determine the state of physical fitness of young all-rounders, as well as to identify changes that occurred in indicators of general and special physical fitness during the training process.

Стан гігієни порожнини рота, тканин пародонта та оцінка дрібної моторики рук у дітей, хворих на дитячий церебральний параліч

Children with cerebral palsy often face difficulties in controlling their own movements and coordinating muscle activities, making even simple tasks such as individual oral hygiene challenging to perform. Purpose - to assess the index of individual oral hygiene and periodontal tissue condition, development of fine motor skills in children with cerebral palsy to determine the quality of tooth brushing. Materials and methods. The study included 34 children aged 8-12 years with cerebral palsy. The oral hygiene status was determined clinically and using the Fedorov-Volodkina oral hygiene index. The periodontal tissue condition was assessed using the PMA index, the bleeding index by Muhlleman, and the periodontal index. The level of fine motor skills development was assessed using the Motor Giftedness Scale by N.I. Ozeretskyi and special techniques with tasks of different content. Results. The indicators of the level of development and individual components of motor functions, including fine motor skills of the hands in children with cerebral palsy according to the Motor Giftedness Scale by N.I. Ozeretskyi, were 6.67±1.16 points, and 3.12±1.10 and 2.10±0.03 points according to special techniques with tasks of different content. The assessment of oral hygiene using the Fedorov-Volodkina index showed that only 8.82% of cases were rated as «good» «satisfactory» in 26.47% of cases, and «unsatisfactory» in 64.71% of cases. The qualitative assessment of the oral hygiene index showed an average score of 2.5±0.02 points. The PMA index in children with cerebral palsy was 41.67%, bleeding index was 1.47±0.01, and periodontal index was 1.21±0.09. Conclusions. The results of the study showed that due to the impaired development of fine motor skills of the hands in children with cerebral palsy, mechanical cleaning of teeth from dental plaque is complicated, which negatively affects oral hygiene and periodontal tissue condition. The research was carried out in accordance with the principles of the Declaration of Helsinki. The research protocol was approved by the Local Ethics Committee of the institution mentioned in the work. Informed consent from the children’s parents was obtained for the research. No conflict of interests was declared by the author.

DEVELOPMENT OF THE MOTOR FUNCTIONS OF CHILDREN WITHOUT VISUAL IMPAIRMENT AND VISUALLY IMPAIRED CHILDREN

The aim of this research was to examine the development of motor functions in children with visual impairment compared to children without visual impairment. The research included a sample of 70 respondents; 35 with impaired vision and 35 with no visual impairment. The research was conducted in Sarajevo at the Center for Blind and Visually Impaired Children and Youth “Nedzarici”, and in Tuzla at the Elementary School “Centar”. The results of the research have shown that respondents with visual impairment have less developed motor functions compared to respondents without visual impairment. The variables on which the respondents with visual impairment achieved the worst results, which refer to the quality of drawing and the speed of drawing, were especially singled out.

Physical therapy for orphan diseases (Goldenhar syndrome)

The leading method of physical therapy for children with Goldenhar syndrome is the specialization of socialization and communication skills.
 Goldehar's syndrome is genetically heterogeneous, develops spontaneously and is characterized by underdevelopment of the auricles, deformation and abnormal location, macrostomia, anomalies of the palate, interspinal tongue, and additional frenulums. Tasks of physical therapy: increasing the working capacity of the body, with the help of efforts with normal tolerance to fatigue, development of willpower (perseverance, determination, endurance, etc.); fixing the correct reactions to kinetic, visual, verbal stimuli. The performance of these exercises facilitates initially simple, and over time complex verbal instructions, they may not be supported by the demonstration of movements; to encourage the release of the activity of motor movements, so that they have a meaningful character, motor qualities, and the development of motor functions in the child. All this is aimed at the orderliness of the child's activity, which becomes purposeful, and the behavior is more disciplined; increasing the level of concentration: learning the ability to listen, consider, and perform clear, understandable actions; harmonization of the emotional component, formation of communication skills between adults and the child, precisely because of this, the restlessness and aggression that may arise in the child is removed; encouraging interest in communication, developing collectivism, learning to work in a team, promoting interpersonal interactions in a group.
 The construction of the process of learning communication and motor actions is determined by the laws of the formation of motor skills and takes place over a certain period.
 To form this, interaction with the world and physical development are required. Therefore, the formation of these skills is important for determining the directions of the child's integration in society. The use of an improved complex program of physical therapy made it possible to form some new communication stereotypes, which gave children the opportunity to perform new motor actions at a new level of motor functions, combining them with communication skills. This made it possible to increase the quality of children's socialization.
 The conducted studies show that the improvement of existing physical therapy programs can ensure the achievement of the maximum possible positive result and improvement of the general social and communication status of a child with the orphan disease Goldenhar syndrome.

PSYCHOLOGICAL AND PEDAGOGICAL ACCOMPANIMENT OF CHILDREN WITH AUTISM SPECTRUM DISORDERS

The article reveals various aspects of psychological and pedagogical support of children with autism spectrum disorders. It is determined that one of the features of working with preschoolers in this category – is compliance with the principles of learning, as well as the principles of the activity approach in their education. The most common factors that cause difficulties in learning in primary school are the burden of early development, delays in the formation of cognitive processes (thinking, speech), insufficient development of motor functions, visual perception, immaturity of emotional and personal sphere, nervous and somatic disorders, and mental health. It is determined that the completion of classes of correctional and developmental training and appropriate psychological and pedagogical support of children with autism spectrum disorders is carried out on the basis of a comprehensive clinical, psychological and pedagogical examination in accordance with variable curricula. It is established that the acquisition can be of four options. The first is designed for children who have studied for a year or two in general secondary education and who have shown persistent failure in basic subjects. The second is intended for children who started school at the age of 6 and have not mastered the program, as well as for 7-year-old children who have not studied before, but showed a low level of readiness for school. The third – a special case of staffing – is designed for 6–7-year-old children who are unprepared for school. The fourth option of staffing provides training for children in educational complexes “Kindergarten – School”, “Primary School – Kindergarten” with the beginning of correctional and developmental work from 4 or 5 years. The principles, tasks, content, and directions of psychological and pedagogical support of correctional and developmental education are highlighted. It is proved that the most typical features of correctional and developmental education of junior schoolchildren, arising from the nature of their educational activities, are united into four integrated blocks: semantic, procedural, communicative, and interpersonal communication.
 Keywords: psychological and pedagogical support; features; factors; children; autism spectrum disorders; correctional and developmental learning; difficulties; clinical, psychological and pedagogicalexamination.

ASSESSMENT OF THE DEGREE OF DEVELOPMENT OF LARGE MOTOR SKILLS IN CHILDREN OF THE FIRST THREE YEARS OF LIFE ACCORDING TO THE MUNICH SYSTEM OF FUNCTIONAL DIAGNOSTICS OF CHILD DEVELOPMENT

Educators, parents, and pediatricians do not pay enough attention to the development of large motor skills in children of the first three years of life, focusing on fine motor skills, but it is large motor skills that act as the basis on which the movements of small motor skills are superimposed as they grow up. In this regard, the purpose of this work is to identify the abilities that most often do not manifest in children in time. The article used the method of Munich functional diagnostics, 20 families with children aged 4 to 5 years were interviewed. This functional diagnosis will be of interest to specialists of psychological and pedagogical and medical profile working in clinics, outpatient clinics, medical and psychological and pedagogical rehabilitation centers, early development centers, as it is a reference point for the appointment of therapy, allows you to coordinate all rehabilitation activities taking into account development, so it is an effective tool for monitoring early child development. As a result of the work, individual abilities were identified, which should be paid more attention to in order to timely undertake the necessary psychological, pedagogical and therapeutic assistance. Close contact between parents and teachers will ensure success in the development and correction of impaired motor functions in children. It became clear the importance of improving the effectiveness of training future pediatricians in the skills of assessing the motor development of a child, which helps to increase their professional competence.

A Franklin módszer mentális gyakorlatainak alkalmazása a táncoktatásban

Cognitive psychology, motion sciences and sport psychology widely accept the approach that technologies based on the intended use of mental representations significantly contribute to the development of sensory and motor functions. The method of Franklin also confirms that internal imaging and coordination capabilities correlate. In the anatomy of dance and the development of dance skills, visualization forms a bridge. Based on Jacobson's neuromuscular theory and Annett's ALI model, the image created in the brain impacts the activity of the muscles without performing the movement. Visualization helps to create future movements. The dancer learns his/her motion more deeply from multiple aspects. Throughout imagination, we use several modalities to create the internal image. Due to this process, it will be more effective to implement the movement sequence. This methodological overview contains a detailed theoretical and practical presentation of Franklin's technique. The use of creative children’s dance may be advantageous for preparing visualization techniques. The authors recommend the dance pedagogical application of these tools at all ages.

Individual approach to the development and correction of motor functions of a 10-year-old child with agenesis of the corpus callosum

The article is devoted to the problems of correction and development of motor functions in children with agenesis of the corpus callosum, taking into account individual characteristics.Agenesis of the corpus callosum is a rare congenital defect in which the corpus callosum is partially or completely absent. As a result of such a disruption in the development of the cerebral hemispheres are weakly connected or disconnected, and develop in conditions of constant energy "stealing".We assume that the use of an experimental technique developed taking into account the individual safe abilities of a 10-year-old child with AMT will improve his motor functions, increase coordination abilities and expand self-service skills.The results of testing after the end of the pedagogical experiment indicate a positive dynamics of the tested abilities in a 10-year-old child.

METHODS OF RESEARCH OF THE FUNCTIONAL CONDITION OF THE VESTIBULAR APPARATUS IN CHILDREN WITH SENSORINEURAL HEARING LOSS

The article considers research methods and features of the functional state of the vestibular apparatus and vestibular disorders in children with sensorineural hearing loss. We used the methods of analysis, generalization and systematization of data from domestic and foreign literature sources on methods of studying the vestibular apparatus in children with sensorineural hearing loss. It was determined that the function of balance and coordination of movements is one of the most complex, and consists of several analyzers - visual, vestibular, proprioceptive and tactile. When studying the physical development of children with this pathology, attention is paid to the formation of the main static-dynamic and coordination capabilities according to the age of the child. In children with congenital sensorineural deafness, and especially double deafness, there are signs of vestibular insufficiency and impaired translational control, movement and gait. This affects the development of gross motor functions, such as sitting and walking, to a lesser extent affects fine motor skills, if there are no layers of other pathologies of the central nervous system.
 The pathological process in the auditory analyzer changes the function of the vestibular apparatus, due to their close location in the labyrinth and innervation by one cranial nerve, and in turn changes in the vestibular apparatus contribute to the formation of motor disorders. Therefore, we can observe a certain general principle of operation of the auditory and vestibular systems. At children who have low vestibular stability any turns, inclinations, sharp change of a direction of movement causes imbalance of coordination and balance of movements. All these delays in physical development, according to many authors, are cumulative in character and are caused by the hearing defect itself, insufficient information from the environment, difficulty expressing thoughts and desires verbally, as well as the state of the motor analyzer and vestibular activity. Children with hearing impairment have an insufficient level of coordination development, physical development, static and dynamic balance, spatial orientation. Researches of the vestibular apparatus, namely the functions of coordination and balance are carried out in several categories: the research of tonic vestibular reactions, coordination of movements and static and dynamic balance. Researches of tonic vestibular reactions are performed on the following tests: the test with outstretched arms, Vodak-Fisher test, pointing test Barani, finger-nose test, Holmagi test. Researches of static and dynamic equilibrium are carried out on the samples of Romberg, Grahe, Oppenheim, walking in a straight line. When analyzing these samples, we can talk about the degree of violation of coordination and stato-dynamic balance.
 As a result of vestibular compensation, children with sensorineural deafness can catch up with their peers with normal hearing with the help of visual and somato-sensory systems, pyramidal and extra-pyramidal systems.

Differences between children with Down syndrome and typically developing children in adaptive behaviour, executive functions and visual acuity

In children with Down syndrome (DS) development of visual, motor and cognitive functions is atypical. It is unknown whether the visual impairments in children with DS aggravate their lag in cognitive development. Visual impairment and developmental lags in adaptive behaviour and executive functions were assessed in 104 children with DS, 2–16 years, by comparing their adaptive behaviour, executive functions and visual acuity (distant and near) scores against published age-matched norm scores of typically developing children. Associations between these lags were explored. Mean (± SEM) differences to age-matched norms indicated reduced performance in DS: Vineland Screener questionnaire, − 63 ± 3.8 months; task-based Minnesota Executive Function Scale (MEFS), − 46.09 ± 2.07 points; BRIEF-P questionnaire, 25.29 ± 4.66 points; BRIEF parents’ and teachers’ questionnaire, 17.89 ± 3.92 points and 40.10 ± 3.81 points; distant and near visual acuity, 0.51 ± 0.03 LogMAR and 0.63 ± 0.03 LogMAR (near − 0.11 ± 0.04 LogMAR poorer than distant). Adaptive behaviour (Vineland-S) correlated with the severity of visual impairment (r = − 0.396). Children with DS are severely impaired in adaptive behaviour, executive functions and visual acuities (near visual acuity more severely impaired than distant visual acuity). Larger impairment in adaptive behaviour is found in children with larger visual impairment. This supports the idea that visual acuity plays a role in adaptive development.

Neurorazvojni poremećaji u međunarodnoj klasifikaciji bolesti, 11 izdanje (MKB-11) - pregled

Neurodevelopmental disorders include a wide range of difficulties and impairments in the development of cognitive and/or motor functions. The eleventh revision of the International Classification of Diseases (ICD-11), which came out in 2018 and whose application should start in 2022, has introduced for the first time the diagnostic group named neurodevelopmental disorders, which consists of disorders of intellectual development, developmental speech or language disorders, autism spectrum disorder (ASD), developmental learning disorder, developmental motor coordination disorder, attention deficit hyperactivity disorder (ADHD), stereotyped movement disorder, tic disorders, and other specified neurodevelopmental disorders, as a residual category. The aim of this overview was to present the main diagnostic categories in the ICD-11 that constitute the group of neurodevelopmental disorders and to show the main changes in the diagnosis of individual disorders of the development using the ICD-11 compared to the previous ICD10. It is expected that the ICD-11 will provide better conceptualization and understanding of psychopathology, including neurodevelopmental disorders, and that the diagnosing of disorders will not only be easier, but also improved for both research and clinical purposes.

Teachers’ Awareness of the Development of Perceptual Motor Functions in Pupils with Mild Intellectual Disabilities at a Primary School in the Czech Republic

The main aim of the study was to determine teachers’ awareness of the development of visual and auditory perception in pupils with mild intellectual disabilities at a mainstream school in the Czech Republic. Based on this main aim, additional goals were set: to determine to what extent teachers are aware of the importance of developing visual and auditory perception in pupils with mild intellectual disabilities, by what means teachers develop visual and auditory perception in pupils with mild intellectual disabilities, and how teachers use pupils’ homework to develop visual and auditory perception. To achieve the aims of the study, the qualitative method was used with the technique of a semi-structured interview. The results show that teachers are aware of the importance of developing perceptual motor functions in pupils with mild intellectual disabilities, but the level of training in working with pupils with mild intellectual disabilities in mainstream primary schools is low. Teachers should receive more expert advice on the development of perceptual motor functions, especially from the staff of school counseling services.

The contribution of motor functions to academic achievement in primary school: State of the art and future directions

This review is intended to point out the role played by motor skills proficiency in the academic achievement of typically and atypically developing pupils who are attending primary school. First, the interplay between motor and cognitive development will be presented. Next, the cognitive phenotype, not yet deeply investigated, of a neurodevelopmental condition associated with the atypical development of motor functions (known as Developmental Coordination Disorder) will be illustrated. Thus, the contribution of motor functions to academic learning and the impact of motor difficulties for pupils attending primary school will be discussed. In addition, the importance of developing observational tools to be used in educational settings and the need for effective interventions designed to empower motor functioning and academic achievement of atypically developing pupils with motor deficits will be highlighted. Finally, future directions within the educational agencies for the early detection of the atypically developing motor trajectories and their treatment will be traced.

Влияние информационных технологий на когнитивное развитие детей: обзор современных исследований

Although it is widely accepted that children from the age of two can actively use information technologies including touch screens, the specific ways in which children perceive the content have not been fully identified. The impact of information technology on the cognitive function in children is highly dependent on the type of information, the child’s age, and the social context. The article discusses the features of perception of a video stream by children and the influence of regular video viewing on the development of three-dimensional perception, and motor and executive functions. In children under the age of two, regular video viewing has a negative impact on the development of speech and higher mental functions. It was determined that underdeveloped rules of depth perception block the transfer of experience from a two-dimensional environment to the three-dimensional reality. Regular video viewing leads to a constant activity in the systems associated with the launch of the orienting reflex, and, at the same time, it inhibits the development of executive attention functions, namely the ability to concentrate and the choice of priority stimuli. A comparative analysis of learning by means of illustrative activity and by watching videos made it possible to establish that the first approach provides for a much more dynamic development of a new skill. It was found that the use of computer games has a positive effect on hand-eye coordination and on planning complex behaviour strategies. Yet, regular involvement in computer games provokes hyperstimulation of sensory systems and a decrease in concentration. To conclude, not enough scientific data has been accumulated on the impact of information technologies on child development. As the analysis shows, this is largely due to a lack of systematic research covering different age groups, various types of information technologies, and user scenarios.

A PSYCHO-PEDAGOGICAL STUDY OF MOTOR FUNCTIONS AND SENSORIMOTOR AND VOCAL REACTIONS OF INFANTS WITH PERINATAL LESION OF THE CENTRAL NERVOUS SYSTEM

The article outlines the materials of a psycho - pedagogical study of young infants with lesion of the nervous system. The urgency of the problem for the theory and practice of infancy and early childhood is substantiated. On the basis of literary sources, the article characterizes the peculiarities of the development of infants with perinatal lesion of the central nervous system and demonstrates the need to provide early psycho - logopedic assistance to such children.Based on the analysis of theoretical sources and his own research, the author of the article makes conclusions about the importance of psycho - pedagogical observation of infants with perinatal lesion of the central nervous system and the detection of impairments of their main developmental lines: psychophysical (motor functions) and speech (preverbal vocal reactions) development. The article presents concrete data about these developmental lines in the infants under observation with nervous system lesions. According to the analysis of the data, four groups of infants with different levels of motor functions and vocal responses underdevelopment have been identified.The findings of the study show the need for a comprehensive psycho - medico - pedagogical examination of infants with perinatal lesion of the central nervous system during the first months of their life. This diagnostics should be the basis for appropriate early rehabilitative intervention in order to stimulate the development of motor functions and vocal reactions in this category of children and to prevent disorders in their future psychomotor and speech development

Cerebral blood flow increases across early childhood

Adequate cerebral blood flow (CBF) is essential to proper brain development and function. Detailed characterization of CBF developmental trajectories will lead to better understanding of the development of cognitive, motor, and sensory functions, as well as behaviour in children. Previous studies have shown CBF increases during infancy and decreases during adolescence; however, the trajectories during childhood, and in particular the timing of peak CBF, remain unclear. Here, we used arterial spin labeling to map age-related changes of CBF across a large longitudinal sample that included 279 scans on 96 participants (46 girls and 50 boys) aged 2–7 years. CBF maps were analyzed using hierarchical linear regression for every voxel inside the grey matter mask, controlling for multiple comparisons. The results revealed a significant positive linear association between CBF and age in distributed brain regions including prefrontal, temporal, parietal, and occipital cortex, and in the cerebellum. There were no differences in developmental trajectories between males and females. Our findings show that CBF continues to increase until the age of 7 years, likely supporting ongoing improvements in behaviour, cognition, motor, and sensory functions in early childhood.

KINESITHERAPEUTIC APPROACH IN CHILD CEREBRAL PALSY

Child Cerebral Palsy (CCP) is a non-progressive, chronic brain injury that can occur during pregnancy - prenatal period, during childbirth - perinatal period or postnatal period. It is characterized by a disorder of muscle tone, disturbance of balance, coordination, speech, hearing, etc. Also, some children may experience some degree of cognitive and intellectual deficiency. Damage mainly occurs at the upper motor neuron affecting the cerebellum. This disorder of the central nervous system leads to disruption of the normal development of motor functions, muscle tone, and coordination. Children's cerebral palsy is a disease that very often leads to severe disability, and to successfully battle with the consequences and serious disabilities, early detection, and the onset of treatment is needed from the first days of the child's life. The treatment of CCP is complex in which, besides medical, pedagogical and social rehabilitation, kinesitherapy is included. The aim of the study is to evaluate the effect of the kinesitherapeutic approach and the specialized kinesitherapeutic method in children with CP. Material and Methods: The study was conducted with 8 children with CP due to premature birth and complications at birth and with spastic diplexia after periventricular leucomalation, the leg being more affected than the hand and with no signs of cortical damage and spastic hemiplegia.The study excludes patients with severe and frequent epileptic seizures and serious cognitive problems. For the purpose of the study, a set of diagnostic methods was applied, and the results were scored at the beginning, 3rd month, and 6th month of treatment initiation and were applied to a working datasheet. Were Evaluated: the functionality of a modified test Chedoke-McMaster (Chedoke-McMaster Stroke Assessment), muscle tone with a modified scale of Ashworth and the balanace capabilities with test Berg (Berg Balanace Ssale-BBS). Results: The specialized kinesitherapeutic methodology permanently stabilizes the functional opportunities for rehabilitation and balanced opportunities for children with CP. Conclusion: The complete and in-depth analysis of the tangible results gives us reason to assert that the applied kinesitherapy has both an early and a late therapeutic effect that is related to the duration of administration, the structure of performance and the purpose of the included kinesitherapeutic means.