Treatment of Cognitive and Behavioral Disorders in Children Using Transcranial Magnetic Stimulation: Literature Review

Background. Speech development impairment is urgent and common problem in pediatric neurology. Transcranial magnetic stimulation (TMS) is one of the promising treatment variants for children with speech disorders. Objective. The aim of the study is to evaluate efficacy and safety of the developed approaches to TMS usage in the management of children with speech disorders. Methods. It was non-randomized controlled study. It included 46 children with speech disorders aged from 3 to 6.5 years. All children were divided into two groups comparable by gender and age: 26 children of the treatment group received TMS course, 20 children of the control group received treatment with hopantenic acid. All patients with speech disorders underwent psychological and pedagogical evaluation of speech and cognitive development, electroencephalography (EEG) before and after treatment. Moreover, comparative analysis of TMS and nootropic therapy efficacy was carried out. Specialized examination of speech and cognitive development was also performed via E.A. Strebeleva method for psychological and pedagogical diagnosis of children development. Furthermore, we carried out side reactions / adverse events registration according to patients and/or their parents complaints confirmed by physical examination, patient’s behavior observation, data from specially developed questionnaire for assessing child’s behavior and well-being (filled up by parents). Finally, we evaluated brain bioelectric activity recorded by EEG. Results. The study results have shown that it is possible to achieve significant positive dynamics in cognitive and speech development in preschool children with speech disorders in both groups (TMS course and medical treatment). But hereby, TMS treatment has demonstrated significantly higher positive dynamics in two out of the three evaluated parameters. There were no cases of adverse events in TMS group leading to early course discontinuation. Conclusion. TMS is non-invasive and safe method for treatment of children with speech disorders. This study has demonstrated the efficacy of the method in the field of personalized management of children with impaired speech and cognitive development.

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Management of Children with Speech Disorders via Transcranial Magnetic Stimulation: Non-Randomized Controlled Study

Nesterova

Каркашадзе

Yatsik

et al. 2022

Pediatr. farmakol.

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Scientific Research in the Field of Children’s Health and Development

Starodubov,

Namazova-Baranova,

Baranov

2024

Annals RAMS

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The focus on the interests of children has always been inherent in the Russian State, but the most effective measures have been implemented already in this century: 4 years before WHO announced the Global Strategy for Mothers and Children in 2016, Russian President Vladimir Putin signed the Decree on the National Strategy for Children for 2012–2017, in 2017. The President announced the “Decade of Childhood”, and in 2020 The priority of childhood was enshrined in the Constitution of the Russian Federation. In the Russian Federation, the most child-oriented system of children’s healthcare has been built, in medical and scientific organizations of the pediatric profile of the Russian Federation, specialists with medical, biomedical, psychological, pedagogical, and social education are specially trained to work with children of different ages, and scientific research in the field of pediatrics is carried out by specialized researchers within the framework of special programs focused on the needs of children’s healthcare. A detailed analysis of the structure and content of the projects implemented in 2022 has been carried out. Scientific projects involving children compared to 2018, when the implementation of the “Decade of Childhood” program began, which indicates that scientific research in the field of children’s health and development is voluminous, but uncoordinated. Many topics are carried out simultaneously by several scientific and medical or educational organizations, but they are not coordinated in unified scientific and methodological approaches. At the same time, there are systemic problems, to solve which it is necessary to switch to network scientific research of population health; to strengthen the integration of research teams both in the context of interdepartmental cooperation (the Ministry of Education and Science of the Russian Federation and the Ministry of Health of the Russian Federation — Rospotrebnadzor — Federal Medical and Biological Agency), and joint scientific work with other ministries (the Ministry of Education of the Russian Federation, the Ministry of Sports of the Russian Federation, the Ministry of Culture of the Russian Federation, etc.); as well as to improve financial mechanisms for managing scientific activities.

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Treatment of Cognitive and Behavioral Disorders in Children Using Transcranial Magnetic Stimulation: Literature Review

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Management of Children with Speech Disorders via Transcranial Magnetic Stimulation: Non-Randomized Controlled Study

Management of Children with Speech Disorders via Transcranial Magnetic Stimulation: Non-Randomized Controlled Study

Scientific Research in the Field of Children’s Health and Development

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