Kinesitherapy methods in the medical rehabilitation of children with perinatal lesion of the central nervous system

Abstract

Nowadays the leading place in the structure of diseases of children in the perinatal period, is occupied by the perinatal lesion of the central nervous system. Special attention should be paid to the issue of minimal use of medicines in children with perinatal pathology, which is why one of the main tasks of medical rehabilitation is still the development and scientific justification of new methods of kinesitherapy.
 To study the results of research conducted by Russian and foreign authors on the issues of physical rehabilitation of children with perinatal damage to the central nervous system and to conduct an analysis of the effectiveness of the proposed technologies. The literature review for this article was conducted from the eLibrary, PubMed, Cochrane Library databases with a search depth of 10 years. The selection of publications was carried out using keywords: non-drug technologies; perinatal damage to the central nervous system; perinatal hypoxic-ischemic encephalopathy; kinesotherapy; neurodevelopmental therapy; massage, thin finger training method; dry immersion; fitball gymnastics; V. Voit therapy; Bobat therapy.
 It is shown that the motor development of a child in the first year of life is the most important criterion in the formation of further processes of structural and functional maturation of the nervous system. Medical rehabilitation of children with perinatal lesions of the central nervous system is aimed at improving blood supply and metabolic processes in brain tissue, stimulation of neuromuscular conduction and normalization of central and peripheral regulation of muscle tone.
 Currently, the issues of substantiating the use of various physical factors in the medical rehabilitation of children with perinatal lesions of the central nervous system from the standpoint of evidence-based medicine remain relevant.