Rehabilitation Treatment Of Children Research Articles

Use of canisterapy in the rehabilitation treatment of children

The article analyzes methods of treatment and rehabilitation using dog therapy for children evacuated from the combat zone to Bukovina. Animal therapy is one of the types of therapy that includes the use of animals as a means of treatment. The goal of such therapy is to improve the patient's social, emotional, or cognitive functions. One of the methods of positive psychosocial and physical rehabilitation influence on people who need it, through specially managed and trained dogs, is canister therapy. There are several types of canister therapy in the world. The presence of a dog reduces psychological and physiological excitement, thus the shaggy therapist has a stabilizing effect on the patient. Canister therapy is also used as an auxiliary psychotherapeutic method to solve various situations when other methods are ineffective or unsuitable. Since special norms and requirements for animal treatment have not yet been developed in Ukraine, and specialists work exclusively according to the protocol of the World Organization for Canister Therapy and cynology. In the field of rehabilitation, work’s not certified specialists, but certified ones who have passed first-level canister therapy courses, under the guidance of Polish specialists according to international EU standards, who are valid members of the International Association of the Human-Animal Interaction Organization. There is a system of training dogs, testing them and admitting them to work in addition to the training of a rehabilitator, Since the full-scale invasion, the “City of Goodness” has sheltered more than 3,000 people, currently housing 320 wards. Among them are three evacuated children's boarding schools from Odesa and Mykolaiv regions. Today it is the largest shelter in Ukraine. “City of Goodness” provides everyone with individual support, depending on their needs. The war made adjustments to the way of life for all of us - we have to live, work and take care of each other in unusual conditions.

Vibration perception among children and adolescents with Charcot-Marie-tooth disease and implications for foot posture

BackgroundAlterations in vibration perception among children and adolescents with Charcot-Marie-Tooth disease might explain observed changes in foot posture. Therefore, this cross-sectional study compared the vibration perception of the lower limbs in youths with and without Charcot-Marie-Tooth disease and verified the cut-off value of the distal vibration perception for the Charcot-Marie-Tooth group. In addition, associations between dynamic plantar pressure, vibration perception and isometric muscle strength were investigated. MethodsParticipants aged 9–18 (Charcot-Marie-Tooth group n = 32; Typical group n = 32) had vibration perception measured by a 128-Hz graduated tuning fork. The static and dynamic foot posture were evaluated by the Foot Posture Index and pressure distribution measuring system, respectively. For the Charcot-Marie-Tooth group, a hand-held dynamometer evaluated the isometric muscle strength of the lower limbs. FindingsChildren with Charcot-Marie-Tooth disease presented impaired vibration perception at the distal phalanx of the hallux and head of the first metatarsal compared to their typically developing peers, while adolescents with Charcot-Marie-Tooth disease showed impairment in all the tested regions compared to their typically developing peers. The cut-off value for vibration perception for participants with Charcot-Marie-Tooth disease was 5.7, considering the original grade of the tuning-fork 128 Hz. Among the associations established for the Charcot-Marie-Tooth group, a greater vibration perception at the distal phalanx of the hallux was associated with a longer rearfoot contact time (β = 31.02, p = 0.04). InterpretationThese new findings may guide the clinical evaluation and rehabilitation treatment for children and adolescents with Charcot-Marie-Tooth disease.

ЭФФЕКТИВНЫЕ ПРОГРАММЫ В ВОССТАНОВИТЕЛЬНОМ ЛЕЧЕНИИ ДЕТЕЙ С НАРУШЕНИЕМ ОСАНКИ НА ФОНЕ НАСЛЕДСТВЕННЫХ ИЗМЕНЕНИЙ РАЗВИТИЯ СОЕДИНИТЕЛЬНОЙ ТКАНИ В УСЛОВИЯХ ГОРОДСКОЙ ДЕТСКОЙ ПОЛИКЛИНИКИ

The purpose of the study. To show the importance of effective programs in the rehabilitation treatment of children with posture disorders against the background of hereditary disorders of connective tissue development in the conditions of the city children's polyclinic. 60 patients took part in the research work. All were diagnosed with hereditary disorders of connective tissue development. 30 patients were included in the main group and 30 in the comparison group.Under observation were 30 healthy children who made up the control group. According to gender and age, patients in groups were distributed equally. Patients were dynamically observed on the basis of the city children's polyclinic in the period from 2013 to the present. At the time of the beginning of dispensary observation, the average age of patients was 5.5±0.46 years. In dynamic observation in patients of the main group, laboratory parameters were positively stabilized. In the future, the number of complications decreased by the age of 14. These are scoliosis, kyphosis, other pathological deformities of the spinal column, osteochondropathy of the spine, the development of early osteochondrosis. This was not observed in patients of the comparison group (p = 0.024).

運動発達障害のリハビリテーション治療

運動発達障害のリハビリテーション治療

Possibilities of rehabilitation treatment of children with lymphoblastic leukemia (literary review)

According to nowaday protocols of acute lymphoblastic leukemia (ALL) treatment, the percentage of recovering patients has increased significantly. This determines the necessity for comlex long-term rehabilitation, as chemotherapeutic drugs are highly toxic and contribute to the development of comorbid diseases of the gastrointestinal tract, nervous and musculosceletal systems. The purpose of the study was to review and analyze data from foreign and domestic literature concerning possibilities for rehabilitative treatment of children with ALL and to reveal informative methods assessing the effectiveness of rehabilitation. Important elements of rehabilitation goals and assessment of its the effectiveness are the International Classification of Functioning, Disability and Health of Children and Adolescents, and the Quality of Childrens’ Life. Rehabilitation begins at the hospital and includes psychological support for the child with the involvement of psychotherapists and family, as well as the performance of certain physical exercises lasting for 15-30 minutes, which are selected individually, taking into account the functional capabilities and motivation of the child. After the acute period, physical activity is carried out in accordance with an individual plan, which takes into account the peculiarities of the disease and includes active video games, cycling and other activities. Rehabilitation treatment on the basis of sanatorium-resort institutions with the participation of a multidisciplinary team is actual. Such treatment, in addition to physical exercises, includes the use of natural and preformed physical factors in order to influence the manifestations of comorbid pathology, and also contributes to an increase of the social activity and independence of the child. However, the number of such studies is limited, which determines the necessity to develop clear practical recommendations regarding methods of exposure, their duration and intensity.

Orthopaedic Disorders in Cerebral Palsy in International Cooperation Projects: A Descriptive Cross-Sectional Study.

Background: In international cooperation projects that are carried out in less developed and developing countries, a large number of children with disabilities present cerebral palsy (CP). Orthopaedic disorders are frequent complications associated with this disorder. Their prevention and early intervention are essential to achieve an appropriate therapeutic approach for children with PC and to improve their quality of life. Objective: To describe the treatment approach that is currently used in international cooperation projects for the rehabilitation management of the orthopaedic disorders in children with cerebral palsy. Methods: This is an observational, descriptive, cross-sectional study, carried out by means of an online questionnaire to professionals in the field of Physiotherapy and Rehabilitation working in international cooperation projects. The inclusion criteria were professionals working in the rehabilitation field in development aid, humanitarian action or emergency projects that provided rehabilitation services, working with children with cerebral palsy from 0 to 18 years old. Results: Ninety-eight questionnaires were analysed. The average age of the participants was 33.2 years, they were mainly working in development cooperation projects (83.33%) that were implemented in rehabilitation centres and through community-based rehabilitation services (60%). The projects were located in countries all over the world but mainly on the Asian continent (71.4%). Physiotherapists and orthopaedic technicians (72.22%) were the main professionals working in these projects, followed by occupational therapists and social workers (55.56%). The results indicated that the orthopaedic disorders were very frequent in the sample (66.67%), with hip subluxation (50%), scoliosis (77.78%), kyphosis (61.1%), clubfoot (88.7%) and varus foot (61.11%) standing out. The most commonly used treatment approaches were positioning (88.89%) and the Bobath concept (83.33%). The technical aids that were used by the professionals were ankle foot orthosis (AFO) (94.44%), bracing (66.67%), standing frames (83.33%), moulded seats (100%), corner seats (93.75%) and adapted seats (92.85%). Conclusions: In international cooperation projects, the rehabilitation treatment of children with cerebral palsy is based on a holistic approach. This is reflected in the interventions that are carried out to treat their orthopaedic disorders and in locally produced devices, awareness raising and community education. However, the professionals surveyed considered that the aids or orthoses used are insufficient in the treatment and prevention of orthopaedic disorders in cerebral palsy.

Peloidotherapy in Pediatric Practice in the Conditions of a Ballogray Resort

Introduction. Currently, sulfide silt mud of Lake Saka has been widely used in both adult and pediatric practice, which has a positive effect in the treatment of various diseases. The effectiveness of peloidotherapy in the rehabilitation treatment of children with a number of chronic and disabling diseases has been established. The purpose of the review is to summarize and analyze the accumulated experience of applying peloidotherapy in children with various diseases. In order to achieve a targeted effect, it is necessary to study previously carried out scientific studies on the in-depth study of the mechanism of therapeutic action of natural factors. Data on methodology of application of peloidotherapy based on highly mineralized silt sulphide mud of Black Sea resorts are presented. It is necessary to take into account the response of the child body to peloidotherapy, which depend on the individual capabilities of the body, in connection with which the parameters of mud treatment methods in pediatrics should be justified. Indications for peloidotherapy for diseases of the cardiovascular system have been developed. The purpose of application method of peloidotherapy in the complex of sanatorium treatment of children with chronic bronchitis, pneumonia and other bronchopulmonary diseases is recognized in order to provide reparative and regenerative, anti-inflammatory, trophostimulating, anti-inflammatory, resolving effect, to improve bronchial permeability, ventilation function.. The dynamics of endothelial dysfunction indices in children with rheumatoid arthritis under the influence of spa treatment using mud applications, the results of complex spa treatment of children with different forms of pyelonephritis in clinical-laboratory remission against the background of application of Saki silt mud were studied. In children with celiac disease the efficiency of therapeutic complex of physical factors influence on pathogenetic links of the disease is shown. Extensive experience has been gained in mud treatment of children with cerebral palsy. Conclusion. In peloidotherapy, individual approaches to comprehensive rehabilitation are applied depending on the clinical picture of the disease with repeated treatment courses.

The Use of Humanoid Robotic as Assistive Rehabilitation Treatment for Children with Autism According to Objectives of Shariah in Islam

The Use of Humanoid Robotic as Assistive Rehabilitation Treatment for Children with Autism According to Objectives of Shariah in Islam

Practice and Challenges of Rehabilitation Treatment for Children in Need of Upper Limb Prosthetics: Parents Survey

Background. Upper limb prosthetics can be required in many conditions, and congenital as well. The situation in Russian healthcare system with rehabilitation of children with upper limb prosthetics has not been studied before. Objective. The aim of the study was to study current situation and challenges in rehabilitation of children in need of upper limb prosthetics due to congenital diseases. Methods. The simultaneous qualitative research was performed — in depth semi-structured interview of parents whose children had got active prosthetics of upper limbs due to congenital diseases in the period from October 2017 to April 2018. There were 8 open-ended questions and 13 closed-ended question in the interview about availability and timeliness of rehabilitation, complexity and personality of the approach, observance of the phasing and continuity principles, and also involvement into rehabilitation process. The interview was performed after obtaining of the active prosthetic. Results. 20 parents of children aged from 2 to 17 years from 8 regions of Russian Federation have undergone the survey. Only 75% of children undergone rehabilitation treatment over the years (before prosthetic positioning), and 93% of them only during the first phase (in health resort institution). Active prosthetic was delayed in 90% of cases. The complex and individual approach to rehabilitation was disrupted in 75% of cases. The child and his family were not actively involved in rehabilitation process in all cases. All respondents have mentioned low availability of rehabilitation. Most of the parents (80%) mentioned as well that they have to pay their own money to cover all the expenses. Conclusion. The interview of parents whose children are in need of active prosthetic revealed that one in four child did not get rehabilitation treatment. In cases when rehabilitation had been carried out many imperfection in its organization were identified. Low awareness about rehabilitation itself among parents and low interest in changing of the existing rehabilitation system were revealed.

Experience of application of proproceptive modeling of walking in children of early age with motor disorders

Background. In the pathogenesis of cerebral palsy, the pathology of the proprioceptive modality plays an important role. Proprioceptive correction is an effective method for habilitation of children suffering from this disease. "Stimulation of the feet" is one of the methods of proprioceptive correction. In the process of treatment, pressure is applied to the receptor zones of the feet with pneumatic elements. The pressure is produced in walking mode and simulates the effect of the step on the foot. Objective: the rehabilitation treatment of children with the consequences of perinatal damage to the central nervous system and various forms of cerebral palsy.Materials and methods. The results of the rehabilitation treatment of 51 children with the consequences of perinatal damage to the central nervous system in 2 age groups: from 7 months to 1 year and from 1 year to 2 years are described. The average age of children was 1.8 ± 0.054 years, standard deviation 0.385. Among them, 27 (52.9 %) were boys, 24 (47.1 %) girls. The children had various motor dysfunctions. Children with a predominance of spasticity in the muscles of the lower extremities were 70.6 %, children with a predominance of reduced tone in the muscles of the lower extremities were 29.4 %. Rehabilitation treatment was carried out from the simulator of the base load "Сorvit". The course of basic stimulation was 10 procedures lasting from 10 to 15 minutes. The mode of stimulation was selected individually as in the classroom for physiotherapy. The duration and intensity of the pressure on the foot were selected.Results. As a result of treatment, positive dynamics of motor functions was noted. It was expressed in the normalization of muscle tone and with its decrease, and with an increase. The effect of tonic reflexes decreased. In the older group, normalization of the step structure was revealed. A reliable positive dynamics of speech and mental development was recorded. In children aged 7 months to a year with severe spastic paresis, it was statistically significant (p <0.05).Conclusions. Support stimulation is an effective and safe method of physical habilitation of children with the effects of perinatal brain lesions and cerebral palsy.

A study on the effect of guided education half-day process in rehabilitation treatment of children with cerebral palsy

Objective To explore the effect of guided half day education in rehabilitation of children with cerebral palsy. Methods 100 children with cerebral palsy were selected and randomly divided into experimental group and control group according to the length of hospitalization, 50 cases in each group. The control group was given routine rehabilitation treatment and nursing, while the experimental group was given half-day education based on routine rehabilitation treatment and nursing. The changes of gross motor function (GMFM) and daily living activity (ADL) were observed and compared between the two groups before and 6 months after intervention. Results The GMFM scores of the experimental group before and after intervention were (41.85 ±4.26), (66.85 ±4.73) respectively, and those of the control group were (42.59±3.24), (56.59 ±3.63). There was no significant difference between the two groups (Z=1.33,12.17, P<0.05). The ADL scores of the experimental group before and after intervention were (40.43±9.78), (63.21±12.34), respectively. There were significant differences between the two groups (Z=0.51, 4.42, P < 0.05). After intervention, the scores of five single A, B, C, D and E areas of GMFM in the experimental group were (94.8 ± 18.2), (76.3 ± 16.5), (36.4±16.7), (30.4±14.5), (19.4 ± 15.2), respectively. The control group was (85.1±14.7), (58.5±13.6), (26.1±13.4), (18.3±12.3), (12.7±10.7). There were significant differences between the two groups (Z=2.55-5.89, P<0.05). Conclusion Guided half-day process teaching combined with routine rehabilitation treatment and nursing can improve the gross motor and self-care ability of children with cerebral palsy, and its effect is better than that of simple medical rehabilitation.. Key words: Cerebral palsy; Leading education; Coarse motor; Self-care ability of life

The nature of rehabilitation services provided to children with cerebral palsy: a population-based nationwide study

BackgroundCerebral palsy (CP) is a serious neurodevelopmental disorder that occurs in childhood and requires a range of treatments over a person’s lifetime. The aims of this study were to investigate the nature of the rehabilitation treatments provided to children with CP and to determine if there were any changes in patterns over time.MethodsFrom 2003 to 2013, the nature of rehabilitation treatment was analyzed for children diagnosed with CP. In addition, the medical data of rehabilitation treatments over a 10-year period (from birth to nine years of age) were analyzed for children born in 2004 diagnosed with CP. Furthermore, we analyzed whether there was a difference in the costs of medical expenditures according to family income. All studies were based on data from the Korean National Health Information Database.ResultsIt was found that, in recent years, rehabilitation therapy and spasticity treatment of children with CP have started being performed at a younger age than in the past. Among the children with CP born in 2004, 28.6% had physical therapy and 25.4% had occupational therapy on an inpatient basis; 81.3% had physical therapy and 62.2% had occupational therapy on an outpatient basis. Additionally, 22.2% of children received botulinum toxin injection therapy at least once. The numbers of children receiving rehabilitation therapy and botulinum toxin injection were highest at 1–5 years of age and 6–7 years of age, respectively. The expenditure on rehabilitation therapy was not affected by the economic level of the family.ConclusionThis study investigated the nature of rehabilitation services provided to children with CP. More recently, the treatment of children with CP has started to be performed earlier than in the past. In addition, it was confirmed that the nature of rehabilitation treatment for children with CP changed according to age. Based on these results, services and health policies may need to be better organized to enhance the benefits to children with CP.

The state of musculoskeletal system in children cured of cancery

Successful implementation of modern treatment modalities for children with oncological and hematological diseases resulted in significant increase in overall and relapse-free survival. These patients are at risk of developing musculoskeletal late effects. The assessment of musculoskeletal late effects and mineral metabolism and the development of solutions for comprehensive rehabilitation and prevention of late effects are challenging issues for pediatrics. A literature review summarizes information related to musculoskeletal late effects associated with special treatment and demonstrates a need for the optimization of diagnostic approaches and corrective therapy of mineral metabolism. Up-to-date multidisciplinary rehabilitation treatment for children in remission can correct the consequences of their main disease and treatment-related side effects.

Impact of malignant neoplasms on musculoskeletal system in children (literature review)

Because of the successful implementation of modern treatment technologies at any stage of therapy of children with oncohematological diseases, their overall and disease-free survival has increased significantly. According to recent observations, 80 % of children after the completion of a special antitumor treatment continue to have changes of different organs. Almost all patients are at risk for late complications from the musculoskeletal system but little attention is paid to this issue. Evaluation of long-term complications from the musculoskeletal system and mineral metabolism in patients, development of their complex rehabilitation and prevention is an actual problem of pediatric oncology and hematology. This review summarizes data on long-term complications from the musculoskeletal system after special therapy. The necessity of diagnostics approaches harmonization and correction of not only the most common complications, but also little studied conditions, such as reduction of bone mineralization, is shown. It is noted that multidisciplinary rehabilitation treatment of children in remission can not only correct the consequences of the underlying disease, concomitant pathology and the consequences of special therapy but also reduce the disability of children.

Опыт применения препарата Когнум у детей с функционально-органическими заболеваниями нервной системы различной этиологии

В статье приведены разнообразные этиологические факторы и клинические проявления когнитивной дисфункции при различных функционально-органических заболеваниях центральной нервной системы у детей. Обоснована целесообразность применения ГАМКергического препарата Когнум при данной патологии. Описан опыт применения препарата Когнум в комплексе реабилитационного лечения детей с синдромом гиперактивности и дефицитом внимания, психоречемоторной задержкой, судорожным синдромом, последствиями черепно-мозговых травм и апаллического синдрома, тяжелыми формами энуреза и энкопреза. Эффективность лечения оценивалась при помощи шкал Векслера, VABS, HASS.

The structure of correction work on elimination of the secondary alalia in children after cochlear implant

The authors offer the way of rehabilitation treatment for children after cochlear implant according to the sign of the structure of alalia (speech disorder) and the correction work specifity.

Direction-specific impairment of stability limits and falls in children with developmental coordination disorder: Implications for rehabilitation

Limit of stability (LOS) is an important yet under-examined postural control ability in children with developmental coordination disorder (DCD). This study aimed to (1) compare the LOS and fall frequencies of children with and without DCD, and (2) explore the relationships between LOS parameters and falls in the DCD population. Thirty primary school-aged children with DCD and twenty age- and sex-matched typically-developing children participated in the study. Postural control ability, specifically LOS in standing, was evaluated using the LOS test. Reaction time, movement velocity, maximum excursion, end point excursion, and directional control were then calculated. Self-reported fall incidents in the previous week were also documented. Multivariate analysis of variance results revealed that children with DCD had shorter LOS maximum excursion in the backward direction compared to the control group (p=0.003). This was associated with a higher number of falls in daily life (rho=−0.556, p=0.001). No significant between-groups differences were found in other LOS-derived outcomes (p>0.05). Children with DCD had direction-specific postural control impairment, specifically, diminished LOS in the backward direction. This is related to their falls in daily life. Therefore, improving LOS should be factored into rehabilitation treatment for children with DCD.

Psychosocial aspects in the treatment of children with myelomeningocele: an assessment after a decade.

The aim of this study was to recognize the possible psychological advantages when children with a severe CNS disorder like myelomeningocele (MMC) are given very early rehabilitation treatment. One hundred and seven newborns with MMC seen between 1971-1992 were prospectively analysed with respect to two different therapeutic approaches. The children born during the period 1971-1980 did not receive very early therapeutic rehabilitation treatment, whereas those born during the period 1981-1992, received this treatment. In the latter group, special attention was paid to support an improvement in the difficult relationship between the parents and the child with MMC as well as between parents and caregivers. The following statistically significant differences between the two treatment programmes were found: (1) all children achieved independent locomotion at 5 years, in the very early intervention group, compared to only 35% (P < 0.001) in the group without this programme. Orthopaedic operations in the first-mentioned group were markedly reduced; (2) urological surgery decreased drastically in the group with very early urodynamic rehabilitation. Thus, there were 0.6 operations per patient in the older group, but only 0.06 operations per patient in the younger one (P < 0.001); (3) normal schooling was reached by 76% (22/29) and social continence by 80% (23/29) of the children with very early interventional therapy. In the older group only 54% reached normal schooling (P < 0.05) and 29% social continence (P < 0.001). The very early co-ordinated medical and physiotherapeutic rehabilitation treatment of children with MMC usually reduces the psychosocial stress and improves the quality of life of these children and of their families.