DIAGNOSIS, TREATMENT AND COMPREHENSIVE REHABILITATION OF CHILDREN WITH DISEASES OF THE PERIPHERAL NERVOUS SYSTEM
Keywords:
Ashner test, Kerdo index, comparison group, muscle hypotrophy, physical rehabilitation, tremors, hypesthesia, dysesthesia, Phallena testAbstract
Objective: The research was carried out to improve the criteria for rehabilitation including drug Ipigrix of sick children with limited movement as a result of damage to the neuromotor system. Methods: All patients underwent clinical-neurological, anthropometric and electrophysiological examination. Clinical research methods included analysis of patient complaints, life and disease Anamnesis, general and neurological conditions. The complaints analysis provided information on the intensity, nature and degree of localization of the pain syndrome, the side of the lesion, the degree of movement restriction, the factors that cause or aggravate the pain syndrome, changes in muscle strength and sensitivity. Clinical and neurological examination aimed at detecting sensitivity, movement, reflex and trophic disorders in patients was carried out according to universally established methods. Results: After rehabilitation measures with the use drug Ipigrix we noted that in almost all children the condition of the ankle has become normal. After all the rehabilitation (course of rehabilitation for 45 days), the pre-treatment scoliosis of children decreased, 90% of children returned to normal, indicating the high effectiveness of the rehabilitation. After extensive rehabilitation in the main group, there was a decrease in movement restrictions in BDS by 6.6 times, an increase in muscle strength in the legs by 3.5 times, a decrease in response reactions to functional tests by 11.5 times, as well as a recovery in clinical and neurological indicators. Changes in reflexes, muscle strength and sensitivity in the legs were not observed. Conclusion: An objective examination revealed different levels of muscle tension in the legs, positive reactions to functional tests and restrictions on active movements. In patients in the comparison group after treatment, the average acute pain decreased, persistent painand periodic pain decreased.
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