Rehabilitation of children with cerebral palsy and epilepsy: an assessment of the effectiveness and safety
https://doi.org/10.26295/OS.2020.57.65.005
Abstract
A study of the clinical effectiveness of the method of plantar pneumostimulation in the rehabilitation of 82 children with spastic and atonic-astatic forms of infantile cerebral palsy, aged 11 months to 17 years, suffering from symptomatic epilepsy, was carried out. When using the assessment of dynamics using the GMFM-66 and GMFCS scales, positive dynamics in motor status was revealed, which turned out to be significant in the younger age group. The authors believe that the reason for this phenomenon is the application of proprioceptive-corrective action in the case of an incomplete process of neuroontogenesis, which allows the maximum use of the reserves of the child's plastic brain. All children underwent an electroencephalographic study before and after the course of plantar pneumostimulation, and in none of the cases there was no clinical or neurophysiological exacerbation of the epileptic process. A conclusion is made about the effectiveness and epileptological safety of the plantar pneumostimulation technique, which allows us to recommend it for widespread implementation in neurorehabilitation practice.
About the Authors
E. A. Bukreeva
State Budgetary Institution of Healthcare of the City of Moscow «Scientific and Practical Center for Specialized Medical Care for Children named after V. F. Voino-Yasenetsky Department of Healthcare of the City of Moscow»
Russian Federation
Russian Federation
Moscow
T. A. Sednenkova
State Budgetary Institution of Healthcare of the City of Moscow «Scientific and Practical Center for Specialized Medical Care for Children named after V. F. Voino-Yasenetsky Department of Healthcare of the City of Moscow»
Russian Federation
Russian Federation
Moscow
E. Yu. Sergeenko
N. I. Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Moscow
N. V. Chebanenko
FSBEI FPE RMACPE MOH Russia
Russian Federation
Russian Federation
Moscow
K. V. Osipova
State Budgetary Institution of Healthcare of the City of Moscow «Scientific and Practical Center for Specialized Medical Care for Children named after V. F. Voino-Yasenetsky Department of Healthcare of the City of Moscow»
Russian Federation
Russian Federation
Moscow
O. A. Laisheva
N. I. Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Moscow
I. A. Shavyrin
State Budgetary Institution of Healthcare of the City of Moscow «Scientific and Practical Center for Specialized Medical Care for Children named after V. F. Voino-Yasenetsky Department of Healthcare of the City of Moscow»
Russian Federation
Russian Federation
Moscow
A. G. Prityko
State Budgetary Institution of Healthcare of the City of Moscow «Scientific and Practical Center for Specialized Medical Care for Children named after V. F. Voino-Yasenetsky Department of Healthcare of the City of Moscow»
Russian Federation
Russian Federation
Moscow
D. V. Kovalev
State Budgetary Institution of Healthcare of the City of Moscow «Scientific and Practical Center for Specialized Medical Care for Children named after V. F. Voino-Yasenetsky Department of Healthcare of the City of Moscow»
Russian Federation
Russian Federation
Moscow
V. P. Zykov
FSBEI FPE RMACPE MOH Russia
Russian Federation
Russian Federation
Moscow
P. L. Sokolov
State Budgetary Institution of Healthcare of the City of Moscow «Scientific and Practical Center for Specialized Medical Care for Children named after V. F. Voino-Yasenetsky Department of Healthcare of the City of Moscow»
Russian Federation
Russian Federation
Moscow
P. A. Romanov
State Budgetary Institution of Healthcare of the City of Moscow «Scientific and Practical Center for Specialized Medical Care for Children named after V. F. Voino-Yasenetsky Department of Healthcare of the City of Moscow»
Russian Federation
Russian Federation
Moscow
References
1. Klosovskiy B. N. Prichiny rozhdeniya detey s nepolnotsennym mozgom [Causes of the birth of children with a defective brain] Vestnik AMN SSSR. 1962. № 1.
2. Sokolov P. L. Detskiy tserebral'nyy paralich: dizontogenez i vosstanovitel'noye lecheniye. [Cerebral palsy: dysontogenesis and rehabilitation treatment.] M., 2012. 217 p.
3. Semenova K. A. Vosstanovitel'noye lecheniye bol'nykh s rezidual'noy stadiyey detskogo tserebral'nogo paralicha. [Rehabilitation treatment of patients with residual stage of infantile cerebral palsy.] M.: Antidor, 1999. P. 71.
4. Kremneva Ye. I., Chernikova L. A., Konovalov R. N. i dr. Aktivatsiya sensomotornoy kory pri ispol'zovanii apparata dlya mekhanicheskoy stimulyatsii opornykh zon stopy [Activation of the sensorimotor cortex when using the apparatus for mechanical stimulation of the supporting zones of the foot] Fiziologiya cheloveka. 2012; 38 (1): pp. 61-68.
5. Sokolov P. L., Chebanenko N. V., Prityko A. G., Zykov V. P., Bukreyeva Ye. A., Sednenkova T. A., Romanov P. A. Klinicheskaya effektivnost' metoda opornoy pnevmostimulyatsii v korrektsii motornogo defitsita u detey s tserebral'nymi paralichami [Clinical effectiveness of the support pneumostimulation method in the correction of motor deficit in children with cerebral palsy] Detskaya i podrostkovaya reabilitatsiya. 2020; 41 (1): pp. 22-27.
6. Prityko A. G., Chebanenko N. V., Zykov V. P., Sokolov P. L., Bukreyeva Ye. A., Sednenkova T. A., Sergeyenko Ye. YU. Opyt primeneniya propriotseptivnogo modelirovaniya khod'by u detey rannego vozrasta s dvigatel'nymi rasstroystvami [Experience of using proprioceptive walking modeling in young children with movement disorders] Russkiy zhurnal detskoy nevrologii. 2019; 14 (3): pp. 16-27.
Review
For citations:
Bukreeva E.A., Sednenkova T.A., Sergeenko E.Yu., Chebanenko N.V., Osipova K.V., Laisheva O.A., Shavyrin I.A., Prityko A.G., Kovalev D.V., Zykov V.P., Sokolov P.L., Romanov P.A. Rehabilitation of children with cerebral palsy and epilepsy: an assessment of the effectiveness and safety. Lechaschi Vrach. 2020;(10):24-27. (In Russ.) https://doi.org/10.26295/OS.2020.57.65.005
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