Non-Drug Habilitation of Children With Perinatal Affections of the Nervous System

Беляева, И. А.; Бомбардирова, Е. П.; Токовая, Е. И.; Харитонова, Н. А.; Лазуренко, С. Б.; Турти, Т. В.; Illarionova, Mariya S.

doi:10.15690/vsp.v16i5.1802

Cited by 7 publications

(4 citation statements)

References 30 publications

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“…Многократное повторение двигательных комплексов переворота и ползания восстанавливает функционально блокированные нервные связи между головным и спинным мозгом ребёнка. Вследствие близости сенсорных и моторных областей коры стимуляция моторных навыков опосредованно влияет на развитие и восстановление когнитивных функций [23].…”

Section: войта-терапияunclassified

“…Так, после проведённых курсов Войта-терапии у подавляющего большинства детей (60%) формировались новые двигательные навыки, наблюдалось снижение мышечной спастичности, угасание позотонических рефлексов. У 40% детей положительная динамика отмечалась по окончании курса -через 3-4 мес [25].…”

Section: войта-терапияunclassified

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

Khan

Degtyareva²,

Ivanova³

et al. 2022

Russian Journal of Physiotherapy, Balneology and Rehabilitation

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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.

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Section: войта-терапияunclassified

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

Khan

Degtyareva²,

Ivanova³

et al. 2022

Russian Journal of Physiotherapy, Balneology and Rehabilitation

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“…В последние годы в связи с нарастающей «фармацевтической агрессией» увеличилась значимость пошаговой этапной немедикаментозной коррекции резидуальных неврологических нарушений: анти-и гипогравитационной терапии (укладки, моделирование невесомости), новые методы гидрокинезио-и кинезиотерапии, мягкой физиотерапии. Этапная абилитация перинатально пострадавших детей на протяжении всего раннего детства требует применения не только медицинских, но и коррекционно-педагогических методик: необходимо целенаправленное медико-педагогическое сопровождение пациентов и их семей [112].…”

Section: общие принципы комплексной абилитации детей пострадавших в unclassified

Abilitation of Infants with Combined Perinatal Pathology: Capabilities of Approaches and Methods Personalization

Баранов

Намазова-Баранова

Беляева

et al. 2019

Vopr. sovr. pediatr.

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Perinatal pathologies and foremost perinatal central nervous system injury are attended with delayed neurosomatic disorders frequently leading to disability. The success of realisation of individual compensation potential of every child depends on dynamics analysis of patient's condition on every survey stage, personalized choice of necessary and sufficient methods of polysystemic diseases correction. The contemporary view on ethiology and pathogenesis of main perinatal pathologies are presented in this review, main mechanisms of its development are also revealed. Recent non-invasive diagnostic technique allow to perform correction of vital signs and prevent cascade reactions of neuronal apoptosis. The sanogenetic importance of some therapeutic interventions (therapeutic hypothermia, erythropoietin, caffeine) is established in early neonatal period. The role of implementation of external factors causing epigenetic effects is clear: optimal nutrition, correction of intestinal microbiota, sensory and motional stimulation. The abilitation success depends largely on successive team activity of specialists and their collaboration with the family. Methods of multifactorial statistical analysis allow not only to prognosticate the outcomes of perinatal affection, but also to create effective mathematical models for personalized choice of facilitation measures.

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“…установлены связи между недостаточным уровнем образования матерей и риском негрубых поведенческих и речевых нарушений у недоношенных детей не только в возрасте 2, но и в 5, и в 10 лет [6]. Именно при посредничестве семьи, прежде всего -матери, возможно наиболее эффективное проведение педагогической коррекции, музыкотерапии, тактильной стимуляции [30], поэтому в зарубежных исследованиях немаловажное значение уделяют мотивации родителей недоношенного младенца и их активному обучению, в т. ч. кинезиотерапии [5]. В последние годы большинство исследователей говорят о необходимости раннего восстановительного лечения недоношенных детей с перинатальным поражением мозга, поскольку те нарушения, которые сформировались у них к возрасту 18-24 мес, как правило, носят стойкий характер [5,6].…”

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New Paradigm in Abilitation of Premature Children with Perinatal Pathology — Therapeutic Stages Personalization: Cohort Study

Баранов¹,

Намазова-Баранова²,

Беляева³

et al. 2020

Vopr. sovr. pediatr.

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Background. The abilitation of premature infants acquires importance due to the increased prevalence of delayed health disorders in these children. The article considers the issues of individualization of rehabilitation treatment for premature infants according to prediction of perinatal pathology outcomes, determining the individual levels of «abilitation windows» and developing personalized abilitation programs.Objective. The aim of the study was to determine individual timely sensitive ontogenesis stages («abilitation windows») for premature children with various perinatal pathology, as well as the most effective methods of rehabilitation treatment according to the maturity of the child and the type of neurosomatic deficiency.Methods. Two-stage cohort study of premature children with gestational age of 250–6–300–6 weeks was conducted. Stage 1 — retrospective analysis of «abilitation windows» in 115 premature children, development of prognostic scenarios. Stage 2 — prospective cohort study of 109 premature children, using abilitation methods in this cohort according to predicted events and estimation of abilitation efficacy. Medical interventions: familyoriented educational counseling, kinesiotherapy, physiotherapy, neuroprotectors, music therapy.Results. Information matrixes on filling ontogenetic abilitation periods have been developed, as well as age limits for «abilitation windows» have been defined on the 1st stage. Sensitive interval has been established for the use of stimulating effects in extremely immature children (postconceptional age of 34–37 weeks). The leading role of abilitation protective measures has been identified. Perinatal pathology outcomes have been analyzed in children from retrospective analysis group. Direct abilitation of premature children (from birth to 18 months) was carried out on the 2nd stage of the study according to probability forecasts. The priority of non-drug abilitation methods usage in immature children was confirmed. The need in step-by-step dynamic correction of abilitation programs was established.Conclusion. Prognostic significance of perinatal period events and individual postconceptional age in «abilitation windows» development for premature children was determined. The priority of non-drug abilitation for such patients (including family-oriented pedagogics) is established.

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Non-Drug Habilitation of Children With Perinatal Affections of the Nervous System

Cited by 7 publications

References 30 publications

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

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

Abilitation of Infants with Combined Perinatal Pathology: Capabilities of Approaches and Methods Personalization

New Paradigm in Abilitation of Premature Children with Perinatal Pathology — Therapeutic Stages Personalization: Cohort Study

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