Method of treating children suffering motor disturbances

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely - to paediatrics, neurology. A method involves segmented electrical stimulation by means of Lymphavision apparatus. It is added with dynamic proprioceptive correction by means of Graviton reflex-load apparatus. The apparatus comprises a closed waist-foot system and generates conditions for spastic stretching from an upper limb girdle to feet. A procedure length at the first session makes 15 minutes. It is shown to be gradually increased to 20 minutes by the 5th procedure. Further prolongation of the procedure up to 30 minutes is achieved by the last procedure. The therapeutic course is 10 procedures.

EFFECT: method provides higher clinical effectiveness ensured by segmented electrical stimulations and dynamic proprioceptive correction that enables to create the most favourable conditions for improved blood flow and venous outflow through the whole spinal cord centred on the cervical and lumbosacral plexus thereby facilitating the antagonistic muscles and depressing the spastic muscles, allows avoiding physical disability.

3 ex, 2 tbl

 

The invention relates to medicine, in particular to Pediatrics, neurology, physiotherapy and balneology, namely the treatment of children with motor impairment.

Known methods of treatment of children with motor impairment medication, such as metabolic and antioxidant therapy (nootropics: nootropil, piracetam; muscle relaxants: midokalm), vascular (tanakan) and vitamin therapy (especially b vitamins).

The disadvantages of this drug therapy is the presence in some cases of allergic reactions to vitamins in children.

Known physical methods of treatment of children with motor impairment: miorelaksiruyuschee methods (vibrotherapy, warm fresh bath), fibromyaligia methods (pelotherapy, paraffin, mineral wax therapy), myostimulating methods (bioelectrochemistry, pulse magnetotherapy), scalp-stimulating method (massage therapy, diadynamic therapy), toning method (shower), psychoactive methods (medicinal electrophoresis of stimulants and stimulants cerebral circulation, long aerotherapy, non-selective chromotherapy).

The disadvantages of these methods are the restriction of the use of children of early age (shower), technical difficulties during the procedure needed is here a more integrated approach to maximize the effectiveness of the treatment of children with motor impairment.

The closest technical solution, selected as a prototype, is a method of treatment of children with consequences of perinatal lesions of the Central nervous system using the apparatus "Lifewithin", which includes segmental electro-stimulation effect, carried out by specific selective currents using apparatus "Lifewithin", in which electrodes have and cervical and lumbar spine of a child paravertebral first electrode placed on the region of the cervical plexus, the second electrode - on the area of the lumbar plexus, the third electrode on the region of the cervical plexus on the opposite side from the first and fourth electrode on the region of the lumbar plexus to the opposite side from the second electrode, the daily exposure of 10-15 minutes for 10 days.

The disadvantage of this method is the lack of effectiveness of the treatment when applying this method, since the presence of a pronounced locomotor defect achieve positive dynamics harder for a short period of hospitalization, therefore, a complex of rehabilitation measures using segmental electro-stimulation effects carried out by specific selective currents using apparatus "Lifewithin', and add the eno dynamic proprioceptive correction.

The objective of the invention is to increase the efficiency of treatment of children with movement disorders due to the use of the complex of rehabilitation measures: applications segmental electro-stimulation effects carried out by specific selective currents using apparatus "Impovised", and dynamic proprioceptive correction using reflex-loading device "Graviton".

This task is achieved by a method for the treatment of children with motor impairment includes segmental electro-stimulation effect, carried out by specific selective currents using apparatus "Lifewithin", characterized in that the additional use of dynamic proprioceptive correction using reflex-loading device "Graviton", consisting of a closed system belt - stop, creates the conditions for stretching spastic muscles from the shoulder girdle to the stop, the duration of the treatment 15 minutes 1 session, with the gradual achievement of 20 minutes for the 5th procedure, with subsequent increase in time up to 30 minutes to the last procedure, the treatment is 10 procedures.

On the body of the child have segmental electro-stimulation effect, carried out by specific selective currents using apparatus "Lifewithin" and the dynamic range is Oh proprioceptive correction using reflex-loading device "Graviton", similar to the physical indicators, biological, similar to the send of the autonomic nervous system, smooth muscles, which activates peristalsis last. Thus, starts the action of the muscle pump. It is known that the mechanism of the effects of perinatal lesions of the Central nervous system plays the leading role of the circulatory and venous outflow on liquidation which directed the suggested method of treatment.

Treatment of children with motor impairment is as follows: using device "Lifewithin" (certificate of conformity ROSS DE.46.19106, registration certificate of Ministry of health of the Russian Federation No. 99/65), including segmental electro-stimulation effect, carried out by specific selective currents using apparatus "Lifewithin", in which electrodes have and cervical and lumbar spine of a child paravertebral first electrode placed on the region of the cervical plexus, the second electrode - on the area of the lumbar plexus, the third electrode on the region of the cervical plexus on the opposite side from the first and fourth electrode on the region of the lumbar plexus on the opposite side of the second electrode of the daily exposure of 10-15 minutes for 10 days, in addition use dynamic proprioceptic the percent correction with reflex-loading device "Graviton" (certificate of conformity № ROSS RU.M25.H00009, registration certificate № FS 01012001/2657-06), comprising a closed system, the belt stops, creating conditions for stretching spastic muscles from the shoulder girdle to the stop, the time required 15 minutes for the first session with the gradual achievement of 20 minutes for the 5th procedure, with subsequent increase in time up to 30 minutes to the last procedure, the treatment course is 10 sessions.

Thus, through the use of complex rehabilitation: applications segmental electro-stimulation effects carried out by specific selective currents using apparatus "Lifewithin", and dynamic proprioceptive correction using reflex-loading device "Graviton" creates the most favorable conditions to improve circulation and venous outflow throughout the spinal cord, with emphasis on the cervical and lumbar plexus, with the leading role in the occurrence of musculoskeletal disorders in the upper and lower extremities, thereby facilitating the work of the antagonist muscles, which reduces the tone of spastic muscles.

The effectiveness of treatment for children with motor impairment is shown in the following examples.

Example 1.

Baby K., 1 year 6 months, the girl.

Diagnosis: a Consequence of perinatal lesions of the Central nervous system is epoxidase-ischemic Genesis (PPCS). Delay in the rate of motor development.

Complaints about the impossibility of independent walking, walks with support arm, restless sleep, decreased appetite.

Objective: upon examination of muscle dystonia, increased tendon reflexes, more in the lower extremities. Reflex support - pressed fingers.

The appointed course of standard medical therapy (vascular - tanakan and metabolic therapy - nootropil, vitamin - B6). The complex of rehabilitation measures included the rate of segmental electro-stimulation effects carried out by specific selective currents using apparatus "Lifewithin", with practice in reflex-loading device "Graviton", comprising a closed system, the belt stops, creating conditions for stretching spastic muscles from the shoulder girdle to the stop, the time required 15 minutes for the first session with the gradual achievement of 20 minutes for the 5th procedure, with subsequent increase in time up to 30 minutes to the last procedure in the number of 10 daily procedures on the basis of the neurological Clinic SC PTSRC WITH the RAMS in 2010.

During treatment the girl improved sleep and appetite, increased motor activity. If re-admission after 6 months there was a strong positive dynamics - girl samostoyatelnoe.

Example 2.

Baby Yu, 3 years old, boy.

Diagnosis: a Consequence of perinatal lesions of the Central nervous system hypoxic-traumatic Genesis (PPCS). Syndrome cerebral palsy. Left-side hemiparesis, with moderate motor impairment.

Complaints: the stiffness in the left upper and lower extremities, restriction of movements in the left hand, while walking primulaceae left leg.

Objectively: in the motor area revealed the limitation of movements in the left upper extremity, in the form of forced position, the arm bent in the elbow joint and the trunk. Marked hypertonicity flexor muscles, increased tendon reflexes on the left. Lower limb bent at the knee, when walking is not bent, "describes the movement of the compass". Characteristic posture of the Wernicke-Mana. There is also increasing tendon reflexes on the left.

The child was prescribed a course of standard medical therapy (vascular - tanakan and medications that improve neuromuscular conductivity - gliatilin, vitamin - B6). The complex of rehabilitation measures included the rate of segmental electro-stimulation effects carried out by specific selective currents using apparatus "Lifewithin", with practice in reflex-loading device "Graviton", including Zam is by a system of belt-foot, creating conditions for stretching spastic muscles from the shoulder girdle to the stop, the time required 15 minutes for the first session with the gradual achievement of 20 minutes for the 5th procedure, with subsequent increase in time up to 30 minutes to the last procedure in the number of 10 daily procedures on the basis of the neurological Clinic SC PTSRC WITH the RAMS in 2010.

After the course of treatment was the reduction of spasticity in the affected limbs, the boy was able to straighten the brush, take small items, when the concentration can straighten your left hand in the elbow joint. Gait became more springy, appeared flexion in the knee joint.

Example 3.

Baby z, 6 year old daughter.

Diagnosis: cerebral palsy. Spastic hemiplegia with severe motor and trophic changes.

Complaints: to limit movements in the upper and lower limbs, walking only with the support hand, spastic gait, weakness of fine motor skills.

Objectively: in the motor area revealed the limitation of movements in the upper and lower extremities, in the form of forced position, arms slightly bent at the elbow joint. Marked hypertonicity flexor muscles, increased tendon reflexes in upper and lower extremities. Small movements of the upper limbs awkward: p mahavamsa when compiling the figures in the cells accurately performs the test with the shuffling of the fingers and other

The child was prescribed a course of standard medical therapy (vascular and medications that improve neuromuscular conductivity, vitamin therapy). The complex of rehabilitation measures included the rate of segmental electro-stimulation effects carried out by specific selective currents using apparatus "Lifewithin", with practice in reflex-loading device "Graviton", comprising a closed system, the belt stops, creating conditions for stretching spastic muscles from the shoulder girdle to the stop, the time required 15 minutes for the first session with the gradual achievement of 20 minutes for the 5th procedure, with subsequent increase in time up to 30 minutes to the last procedure in the number of 10 daily procedures on the basis of the neurological Clinic SC PTSRC WITH the RAMS in 2010.

After the treatment decreased muscle tone in the extremities, increased range of motion in affected joints (elbow and knee). Became more confident to walk with support, mastered Walker.

Dynamics of increase of the scores of muscle strength in the affected limb are presented in table 1.

Table 1.
PatientDiagnosisAssessment of muscle strength in points (before treatment)Assessment of muscle strength in points (after treatment)
Baby K., 1, 6 months.PPCS. Delay in the rate of motor development.4,05,0
Baby Yu, 3 yearsPPCS. Syndrome cerebral palsy. Left-side hemiparesis, with moderate motor impairment.4,04,5
Baby H., age 6Infantile cerebral paralysis. Spastic hemiplegia.3,54,0

As can be seen from table 1, in the treatment process occurred increase muscle strength 0.5-1.0 score that is an objective indicator of the effectiveness of the proposed method of treatment of children with motor impairment using the apparatus "Lifewithin and reflex-loading device "Graviton".

Dynamics of changes in muscle tone during treatment are presented in table 2.

Table 2.
Dynamics of change of muscle tone in the treatment process
PatientDiagnosisAssessment of muscle tone in points (before treatment)Assessment of muscle tone in points (after treatment)
Baby K., 1, 6 months.PPCS. Delay in the rate of motor development.2,01,5
Baby Yu, 3 yearsPPCS. Syndrome cerebral palsy. Left-side hemiparesis, with moderate motor impairment.3,02,5
Baby H., age 6Infantile cerebral paralysis. Spastic hemiplegia.5,04,5

As can be seen from table 2, in the treatment process decreased muscle tone at 0.5 points, which is an objective indicator of the effectiveness of the proposed method of treatment of children with motor impairment using the apparatus "Lifewithin and reflex-loading device "Graviton".

The Clinic SC PLD and RF SB RAMS were given a comprehensive treatment, including segmental electro-stimulation effect is a journey, carry out specific selective currents using apparatus "Lifewithin"reflex-loading device "Graviton" in 25 children with movement disorders. The conditions for inclusion were able seats, head-up position, walk, and hand movements, speech, contractures and deformities of the joints. The performance criteria were the assessment of motor skills and reduced muscle tone, increase muscle strength. For this purpose, we used method of assessing muscle strength on a scale of Committee for medical research (Medical research council scale, R. Van der Ploeg, 1984) and the method of assessing muscle tone on the modified scale of spasticity of Ashworth (Modified Ashworth scale of muscle spasticity, R.Bohannon, V.Smith, 1987; D. Wade, 1992). The highest efficiency was observed in the group of children with spastic diplegia and hyperkinetic form. So, in 19 children (76,0%) showed improvement of motor function, decreased muscle tone, increase muscle strength, correction of the posture and position of body parts relative to each other, increasing the volume of active movements in the affected joints, improve balance and spatial orientation. The lowest results were reported in children with atoniceski-static form. For the obtained results, patients are recommended to have 2-3 of the rehabilitation course of a year.

In the treatment of children with motor is diversified violations through the use of the complex of rehabilitation measures, the application of segmental electro-stimulation effects carried out by specific selective currents using apparatus "Lifewithin", and dynamic proprioceptive correction using reflex-loading device "Graviton" creates the most favorable conditions to improve circulation and venous outflow throughout the spinal cord, with emphasis on the cervical and lumbar plexus, with the leading role in the occurrence of musculoskeletal disorders in the upper and lower extremities, thereby facilitating the work of the antagonist muscles, which reduces the tone of spastic muscles.

This method of treatment of children with motor impairment is clinically highly effective and contributes to a significant improvement of the clinical course of the disease, namely the increase in motor activity and muscle strength, with timely initiation of treatment and the presence of reversible changes in the nervous system avoids disability, that is cost-effective, well tolerated, does not cause acute and negative reactions and is recommended for use in hospitals and rehabilitation centers.

Treatment of children with movement disorders, including segm tarnee the electro-stimulation effects, carry out specific selective currents using apparatus "Lifewithin", characterized in that the additional use of dynamic proprioceptive correction using reflex-loading device "Graviton", consisting of a closed system belt-stop, creating conditions for stretching spastic muscles from the shoulder girdle to the stop, the duration of the treatment 15 min on the first session, with the gradual achievement of 20 min to the 5th procedure, with subsequent increase in time up to 30 minutes to the last procedure, the treatment course is 10 sessions.



 

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2 ex, 7 tbl

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to cardiology, balneology and physiotherapy. Method includes climatotherapy, diet therapy, therapeutic physical training, physio-hydrothermotherapy and drug therapy. Climatotherapy is performed from the first day of patient's stay at resort, daily, at the background of psychotherapy and teaching programs in cardioschool. The first, second and third procedures are carried out with duration 15-30-45 minutes respectively. From the fourth to the seventh procedure duration is 90 minutes. The remaining procedures last 120 minutes each. During entire course of treatment diet therapy with day ration 2000-2500 Kkal is used. Frequency of food intakes constitutes not less than four times per day, but not more than 500 Kkal per 1 intake. Break between evening and morning food intake is not longer than 10 minutes. Physiotherapy is realised in form of dry carbon dioxide baths. Concentration of carbon dioxide in bath is 15%, temperature is 28-30°C, duration is 15-20 minutes. Baths are carried out every second day, 7-10 baths per a course. Normobaric interval hypoxitherapy is performed on apparatus "Mountain air". Procedures include breathing gas mixture which contains 16-18% of oxygen at pressure, equal atmospheric pressure. Time of procedure is 50-60 minutes. Procedures are carried out in fraction-cyclic regimen: 5 minutes - breathing the mixture, 5 minutes - breathing atmospheric air in increasing mode. Course includes 15-17 procedures. Hydrothermotherapy is realised by means of Sharko shower, Scottish, underwater shower-massage, training and thermorelaxation therapy. Personalised physical activity is realised by means of training-diagnostic system Kardiomed, treatmill test, bicycle ergometry, Novakki test. Drug therapy is performed with intake of aspirin, sartans, beta-blockers, potassium antagonists, statins. After sanatorium and resort treatment rational nutrition, diet therapy, physical activity and hydrotherapy with application of Alexeev shower are continued. Hypoxi-hypercapnotherapy is carried out with application of apparatus "Samozdrav". Autogenic training is performed. Regimen of labour and rest is observed. Control over health state and disease course is performed by keeping a diary of inter-sanatorium observation.

EFFECT: method ensures increase of efficiency of sanatorium-resort and outpatient treatment, increases terms of remission.

2 ex, 7 tbl

FIELD: medicine.

SUBSTANCE: invention refers to restorative and sports medicine, physiotherapy and may be used for sportsmen's body spare capacities recovery. That is ensured by prescribing drinking mineral water commercially produced with trade name "Chvizhepse" 200 ml 3 times a day 40 minutes before meals and between meals, 2.5 ml a day for 14 days. Temperature of mineral water makes 15-18°C. From the third day of therapy, 5-minute intranasal inhalation by the Boreal F 400 apparatus with the preparation 1.8-2.0 ml containing biologically active substances 10 mg of animal origin in each 450 ml of physiologic saline. The preparation represents a perfusate prepared by passing through a hemofilter filled with mixed ground vital animal organs such as thyroid, spleen, the tail of the pancreas, epinephros, kidneys, hypothalamus, hypophysis, epiphysis, physiologic saline or blood-substitute liquid. The first inhalation is conducted 2 hours after breakfast, while the second one is prescribed two hours after the first one, and the third one - in 7 days two hours after breakfast.

EFFECT: method provides higher adaptive capability, physical efficiency and adequate body spare capacities recovery in the environment of preparation, action or afteraction of maximum permissible physical loads due to certain regimen of the mineral water intake and opotherapy by the inhalation exposure.

FIELD: medicine.

SUBSTANCE: invention relates to medicine and can be used in practice of physicians, immunologists, infectious disease specialists, rehabilitation specialists. Method includes application of immunomodulator of natural origin with additional administration of procedures by programme of resonance-acoustic fluctuations (PIAF), radon-containing mineral baths, procedures in halochamber and mini-sauna "Cedar barrel". Also performed is intestinal lavage. Course is carried out during 14 days at the background of diet therapy.

EFFECT: method ensures complex immunorehabilitation with adequate activation of cell and humoral immunity, reduction of inflammation, achievement of immune system balance, self-regulation, improvement of functional adaptive and protective possibilities of organism, relieving emotional stress.

5 cl, 2 ex, 1 tbl

FIELD: medicine.

SUBSTANCE: invention relates to medicine and can be used in practice of physicians, immunologists, infectious disease specialists, rehabilitation specialists. Method includes application of immunomodulator of natural origin with additional administration of procedures by programme of resonance-acoustic fluctuations (PIAF), radon-containing mineral baths, procedures in halochamber and mini-sauna "Cedar barrel". Also performed is intestinal lavage. Course is carried out during 14 days at the background of diet therapy.

EFFECT: method ensures complex immunorehabilitation with adequate activation of cell and humoral immunity, reduction of inflammation, achievement of immune system balance, self-regulation, improvement of functional adaptive and protective possibilities of organism, relieving emotional stress.

5 cl, 2 ex, 1 tbl

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to cardiology, physiotherapy. Method includes carrying out medical and physical training complex, "dry" carbon dioxide baths, hydrogen sulfide baths. Manual classical massage of neck-collar zone, hypoxytherapy "Mountain air" and four-chamber contrast baths on upper and lower extremities are additionally carried out. Course of treatment constitutes 20 days. Daily carried out are medical physical training including 15-20 exercises, manual massage of neck-collar zone 10-15, hypoxytherapy "Mountain air" 10-15 in number and four-chamber contrast baths on upper and lower extremities 10-15 in number. "Dry" carbon dioxide baths are carried out every second day, 10 procedures, for 15-20 minutes, at temperature 35-37°C. They are alternated with hydrogen sulfide baths at temperature 35-37°C, 10 procedures, for 15-20 minutes. Hypoxytherapy is carried out with gradual reduction of procedure time from 60 to 30 minutes and reduction of percent content of oxygen to 10-12%. Four-chamber contrast baths are carried out for 10 minutes in 9 modes, with change of temperature from 22°C to 42°C.

EFFECT: method increases treatment efficiency due to impact on humoral and vegetative reaction of vessels, normalisation of liquid and electrolyte balance and increase of nitrogen oxide synthesis.

2 ex

FIELD: medicine.

SUBSTANCE: table has frame, desk with the opening, support of jack with the traverse provided with members for massage and gymnastics, which can be moved with respect to the opening in the desk. The table is additionally provided with electromagnetic therapy. Each therapy block is connected with the power source, programmer, timer, and commutating device.

EFFECT: improved design.

2 cl, 12 dwg, 2 ex

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