Rehabilitation Of Infants Research Articles

Effectiveness of task specific trunk movement training exercise protocol in rehabilitation of infants and children with high predictive value of cerebral palsy

Effectiveness of task specific trunk movement training exercise protocol in rehabilitation of infants and children with high predictive value of cerebral palsy

Promising biomarkers of blood-brain barrier permeability impairment in rehabilitation of infants with perinatal hypoxic-ischemic central nervous system injury

Promising biomarkers of blood-brain barrier permeability impairment in rehabilitation of infants with perinatal hypoxic-ischemic central nervous system injury

Дети первого года жизни после искусственной вентиляции легких при рождении. Новые подходы к реабилитации

Objective. To improve rehabilitation of infants who received respiratory support at birth. Patients and methods. This prospective comparative study was conducted in the Children's City Polyclinic No 13 of Yekaterinburg and included 131 infants who received different types of artificial lung ventilation (ALV) for some respiratory disorders. All patients were followed up by a pediatrician, neurologist, pulmonologist, and an infectious disease specialist; all of them received appropriate therapy. The experimental group comprised 99 infants who additionally received a course of osteopathic (manual) correction for 8–10 weeks, whereas the control group included 32 infants who received standard therapy only. Patients in the experimental and control groups were matched for all parameters. In addition to chest X-ray, all study participants underwent an assessment of their neurological, somatic, and biomechanical statuses. Osteopathic treatment (4 to 6 sessions lasting 30–40 minutes each) was performed by one osteopathic doctor. Statistical analysis was conducted using the SPSS Statistics.26 software; we calculated Pearson's linear correlation coefficient and used Fisher's exact test and McNemar's test. Differences were considered significant at p < 0.05. Results. Seventy-nine infants (79.8%) initially had both neurological and somatic disorders. Ten patients (10.1%) had either somatic disorders (such as labored nasal breathing, regurgitation, constipation, thermoregulation disorder) or neurological disorders (weather sensitivity, sleep disorders, delayed motor and/or neuropsychiatric development, impaired blood and cerebrospinal fluid dynamics) alone. We identified three groups of major somatic dysfunctions (SDs) in the biomechanical status: local (levels: С0–СI, sternum, thoracoabdominal diaphragm, sacrum); regional (cervical spine–level СII–СVI, laryngopharyngeal complex, lungs, abdominal cavity, skull); and global dysfunction of the dura mater. After treatment, the frequency of all neurological and somatic disorders, as well as the frequency of all SDs reduced in the experimental group (p < 0.001). Pathological changes on chest X-rays (elevated diaphragm, low mobility of the thoracic diaphragm, bullae, pleurodiaphragm atic adhesions, etc.) were detected in 89 patients (67.9%), including 66 infants from the experimental group (66.7%) and 23 infants from the control group (71.8%). Osteopathic (manual) treatment significantly reduced the number of patients with abdominal diaphragm dysfunction (56.6% vs. 26.3%), bullae (35.3% vs. 11.1%), and middle lobe syndrome (8.1% vs. 2%) (p < 0.001). The number of patients with thoracoabdominal diaphragm dysfunction in the control group did not change (n = 18; 56.2%). Positive radiological dynamics was observed in 90.9% of patients from the experimental group and 43.5% of patients from the control group. Moreover, only infants from the control group demonstrated negative radiological dynamics (17.4%). Conclusion. Newborns (both preterm and full-term) with different respiratory disorders who had received all types of ALV were found to have a typical spectrum of SDs. The key aspect of their pathogenesis is primary lesions to the phrenic nerve. Correction of SDs using osteopathic manipulations significantly increased the efficacy of comprehensive treatment, which is confirmed by the results of X-ray examination. Key words: somatic dysfunctions, thoracic diaphragm, phrenic nerve, artificial ventilation, manual therapy, preterm newborns, newborns, osteopathic correction

Factors affecting rehabilitation of infants with Central Coordination Disorders during a three-month-long observation

BackgroundCentral coordination disorders (CCD) encompass various abnormalities observed in infants but early therapy may have an impact on their condition. The aim was to seek factors that may affect the early results of therapy of infants with CCD.MethodsWe analyzed the outcomes of a three-month period of rehabilitation of infants living with CCD. Children were treated at Non-public Specialist Healthcare Institution Medi-Reh in Kalisz in the period from 1 Jan 2014 to 31 Nov 2019. In our retrospective study results of three-month therapy of infants, aged 1 to 6 months, with CCD were analysed regards to the effectiveness and the potential impact of different factors. Therapy and assessment of children were conducted with the use of the Vojta method, which was performed during the first visit (WW) and the follow-up visit (after 3 months- 1WK). The analysis of the influence of various factors on the effect of therapy included: mother's age at the time of delivery, duration of breastfeeding, child APGAR, gestational age in which the child was born, sex of the child, birth weight, age of the child at WW, type of delivery, craniosacral therapy as an additive treatment.ResultsBased on the examination results from 66 medical records it was demonstrated that after active period of the therapy, improvement was observed in 54 (81.81%) (p=0.48) children (condition during WW versus 1WK among the group). The sole factor impacting improvement after 3 months was the age of the child at WW, when the child started therapy. This factor significantly (p=0.002) increased the chance of achieving improvement - by 3.2 times (OR= 3,2; CI= 95). No statistically significant differences were shown for the other studied factors.ConclusionsPrompt implementation of rehabilitation in children with CCD provides a better chance of improving their motor function. The rehabilitation should be started as soon as possible after the diagnosis is constituted.

Ocular manifestations of Fraser syndrome in children. A clinical case

A clinical case of rare genetic disease, Fraser syndrome, in a 1.5-month-old infant is presented. Fraser syndrome is a congenital pathology characterized by diverse clinical symptoms, which involves a combination of acrofacial and urogenital abnormalities and may be accompanied by cryptophtalmos (anophthalmos or microphthalmos). A complex clinical and instrumental examination of the infant revealed the following ophthalmic manifestation of the Fraser syndrome: congenital abnormalities of eyelids, reduced palpebral fissures, significant reduction of the conjunctival sac, microcornea, vitreous fibrosis and retinal detachment. Non-surgical treatment and rehabilitation of infants with congenital microphthalmos consists in stepwise ocular prosthetics.

Comparison of the efficacy of electrotherapy and neuromuscular retraining techniques in restoring function of children with obstetric palsy

Background: Obstetric palsy (OP) is defined as the paralysis or paresis of all or part of the upper limb that occurs in the newborn during childbirth. It can be treated surgically and conservatively. Physiotherapy and in particular electrotherapy and neuromuscular retraining techniques help to restore the function of the upper limb. The purpose of this review is to describe and compare recent research data on the efficacy of electrotherapy and neuromuscular retraining techniques in the rehabilitation of infants with OP. The Google Scholar and PubMed databases were searched in English and Greek with the following keywords: obstetric palsy, physiotherapy, electrotherapy, rehabilitation. The review included clinical trials, case studies and systematic reviews. The review included 10 articles: three clinical trials, two case studies, two research articles and three systematic reviews. Conclusions: Electrotherapy and neuromuscular retraining techniques are equally useful methods for treating OP. Electrotherapy is applied during the acute stage, while the techniques begin in the 2nd week of life with the most common choices being the Vojta and Bobath methods and in older age the Proprioceptive Neuromuscular Facilitation and Constraint-Induced Movement Therapy.

Clinical efficacy of the affinity purified antibodies to the protein S100 in the complex rehabilitation of the infants with acute obstructive bronchitis affected by perinatal pathology of central nervous system

Objective: The objective is to assess the clinical efficacy of the inclusion of release-active medication of affinity purified antibodies to protein S100 in complex rehabilitation of infants with old acute obstructive bronchitis affected by perinatal pathology of central nervous system of hypoxic genesis.Methods: 210 infants aged from 2–36 months, who suffered events of acute obstructive bronchitis, were examined. Along with clinical methods of examination, a computer bronchophonography and assessment of heart rate variability were performed.Results: Additional inclusion of release-active medication ‘Tenoten for children’ in the complex of rehabilitation of these patients had a positive effect on autonomic balance and autonomic component of bronchial obstruction. At the same time, the short course of Tenoten (1 month) did not prevent recurrent events of bronchial obstruction.Conclusions: Probably, patients with recurrent events of acute bronchial obstruction in combination with pronounced functional disorders of vegetative state require longer courses of release-active medication which normalized the activity of the central nervous system.

Features rehabilitation of infants with congenital hip dislocation on the stages of conservative treatment

Congenital dislocation of the hip is one of the most common diseases in children leading to disability, which is difficult to diagnose in the first days of life. In the structure of congenital orthopedic diseases congenital dislocation of the hip holds one of the first places. This determines the importance and urgency of the problem, as the most complete restoration of anatomical structures and functions of the hip joint in children occurs in the early diagnosis and comprehensive, timely begun treatment. Rehabilitation of children in the first year of life should be early, systematic, comprehensive and differentiated. Technique of rehabilitation stages conservative treatment includes: wearing functional tires, gymnastics, massage, physiotherapy, therapeutic swimming. This prevents the progression of the disease, the development of early and late complications, does not violate the static-dynamic functions without delay verticalization.

Newborn hearing screening: analysis and outcomes after 100,000 births in Upper-Normandy French region

ObjectivesNeonatal hearing impairment is a common disorder with a prevalence of 1 to 2‰ worldwide, with significant consequences on overall development when rehabilitated too late. New-born hearing screening has been implemented in the 1990s in most European countries and the USA. The Upper-Normandy region of France has been conducting a pilot program since 1999. The aim of this prospective study was to evaluate and critically analyse it. MethodsThe Upper-Normandy universal new-born hearing screening program is performed in two steps. Between 1999 and 2004, first, we administered a Transient Evoked Oto Acoustic Emission (TEOAE) test was administered a few days after birth for healthy newborns without risk factors. For newborns admitted to a neonatal intensive care unit (NICU) or presenting risk factors, was administered an automated auditory brainstem response (AABR) test prior to discharge. Second, newborns who failed the initial hearing screening were retested as outpatients using TEOAE. Since 2004, infants who failed the initial screen were tested with AABR 3 to 4 weeks later as outpatients, providing an opportunity to compare the two protocols. ResultsOverall screening coverage in the Upper-Normandy region is 99.8%. First step coverage is 99.58% in well-infant nurseries and 97.09% in the NICU. The test–retest procedure during the first step and the use of AABR for the second resulted in higher follow-up rates and lower false positive rates. ConclusionsThe Upper-Normandy region universal newborn hearing screening program facilitated diagnosis and rehabilitation of infants before age of 9 months, most notably when severe to profound hearing impairment was found.

P25.12 Optimization of medical rehabilitation of infants and children of early age with severe pre-perinatal CNS lesions

P25.12 Optimization of medical rehabilitation of infants and children of early age with severe pre-perinatal CNS lesions

Physical rehabilitation of infants with congenital hip dislocation

Physical rehabilitation of infants with congenital hip dislocation

148. Rehabilitation of Infants with Birth Injury to the Brachial Plexus Breda Jesensek-Papez, Zmago Turk, Bozena Majcen (all from Ljubljana, Slovenia

148. Rehabilitation of Infants with Birth Injury to the Brachial Plexus Breda Jesensek-Papez, Zmago Turk, Bozena Majcen (all from Ljubljana, Slovenia

Potentialities of glycine in rehabilitation of infants with encephalopathy : V.A. Ternovskaya, L.N. Ternovsky, N.G. Sidorovskaya. Arkhangelsk Medical Academy, Arkhangelsk, Russia

Potentialities of glycine in rehabilitation of infants with encephalopathy : V.A. Ternovskaya, L.N. Ternovsky, N.G. Sidorovskaya. Arkhangelsk Medical Academy, Arkhangelsk, Russia

SPECIAL REHABILITATION CONSIDERATIONS IN THE MANAGEMENT OF OBSTETRICAL BRACHIAL PLEXUS INJURIES

This article outlines important aspects in the rehabilitation of infants and children with brachial plexus injuries.

Rehabilitation of Infants with Osteogenesis Imperfecta

Experience gained over twelve years of treating infants with Osteogenesis Imperfecta is described. Emphasized are the facts that no child, including those with OI Sillence II, is too severely involved to not benefit at least from positioning to prevent severe secondary deformities; the Sillence classification does not predict functional ability, particularly regarding patiens with type III OI; disuse weakness and osteoporosis due to immobilization may be more handicapping than the underlying disease itself.

Rehabilitation of infants and children with neuromuscular disorders.

Rehabilitation of infants and children with neuromuscular disorders.

Malnutrition and Adoption—Two Variables in Infant Development

It is difficult to differentiate the effects of nutritional and psychologic factors during the recovery of malnourished children in the adoptive home. Our investigation attempted to differentiate the nutritional from psychologic stimuli in severely malnourished children who were institutionalized before being adopted by families. Twenty-six children were placed for adoption after hospitalization in the Dr. N. H. Sbarra hospital. All of this study group had suffered from second or third degree malnutrition at the time of admission to the hospital. The mean age at hospitalization was 5 months and the mean stay in the hospital was 6 months. The physical and developmental progress was compared with a control group of 17 well nourished children of similar age at hospitalization and adoption. During the period of hospitalization, all infants received an individualized psychomotor stimulation program along with an adequate nutritional intake. Weight, supine length, language, and adaptive behaviour and developmental quotient were assessed at admission, at the time of adoption, and 6 and 12 months after adoption. All malnourished infants demonstrated a rapid catch-up growth during nutritional rehabilitation in the hospital and during the first months after adoption. There was a significant reduction in rate of psychomotor development in both the malnourished and the control groups during hospitalization despite the stimulation plan. However, the effects of hospitalization on psychomotor development were no longer evident after 6 months of adoption. These observations indicate the independence of nutritional recovery from psychomotor development and confirm the importance of a stable family environment in the rehabilitation of infants.