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Comprehensive rehabilitation of patients with movement disorders with spastic forms of cerebral palsy

https://doi.org/10.29413/ABS.2021-6.6-2.9

Abstract

Until now, there is no radical method of treating children with cerebral palsy, which allows us to consider scientific research in this direction reasonable and promising.
The aim of the research: to study the effect of exercises on the mini-simulator “Kinesioplatform-swing” with biofeedback on the indicators of motor skills in children with spastic cerebral palsy.
Materials and methods. We conducted an open, non-randomized, prospective, comparative, controlled study in pairs (each participant in the main group corresponds to a participant in the control group). The study involved 53 patients aged 4–12 years with cerebral palsy: the intervention group (group 1: n = 27 (13 boys, 14 girls)) and the control group (group 2: n = 26 (11 boys, 15 girls)), comparable in terms of gender, age and severity of movement disorders. Characteristics of the medical intervention: group 1 – botulinum toxin type A (BTA, for exercising against the background of relative muscular normotonus) + exercise therapy + exercises on the mini-simulator “Kinesioplatform-swing” with biofeedback (BFB); group 2 – BTA + exercise therapy. Duration of the study: 2019–2020. The difference between groups in terms of motor skills on the day of hospitalization and after completion of the training program (10 sessions each) was determined. Motor skills were assessed according to the GMFM-66/88 (Gross Motor Function Measure) table using the “Scales for measuring global motor functions”.
Results. The inclusion of additional exercises on the mini-simulator “Kinesioplatformswing” with biofeedback in the rehabilitation of patients with movement disorders with spastic cerebral palsy (BTA + exercise therapy) in comparison with the control group. However, the question of the long-term effects of such training remains open and requires further study.

About the Authors

O. V. Bugun
Scientific Centre for Family Health and Human Reproduction Problems
Russian Federation

 Dr. Sc. (Med.), Chief Physician of the Clinic, Deputy Director for Clinical Work

 Timiryazeva str. 16, Irkutsk 664003, Russian Federation 



A. V. Mashanskaya
Scientific Centre for Family Health and Human Reproduction Problems; Irkutsk State Medical Academy of Postgraduate Education – Branch Campus of the Russian Medical Academy of Continuing Professional Education
Russian Federation

 Cand. Sc. (Med.), Associate Professor at the Department of Physical Medicine and Rehabilitation; Reflexologist at the Department of Physiotherapy, Physical Therapy and Massage

Timiryazeva str. 16, Irkutsk 664003, Russian Federation 

 Yubileyniy 100, Irkutsk 664049, Russian Federation 



A. V. Atalyan
Scientific Centre for Family Health and Human Reproduction Problems
Russian Federation

 Cand. Sc. (Med.), Senior Research Officer, Head of the Functional Group of Information Systems and Biostatistics 

Timiryazeva str. 16, Irkutsk 664003, Russian Federation 



V. I. Mikhnovich
Scientific Centre for Family Health and Human Reproduction Problems
Russian Federation

 Cand. Sc. (Med.), Neurologist at the Department of Neurology 

Timiryazeva str. 16, Irkutsk 664003, Russian Federation 



T. A. Belogorova
Scientific Centre for Family Health and Human Reproduction Problems
Russian Federation

 Cand. Sc. (Med.), Head of the Department of Neurology 

Timiryazeva str. 16, Irkutsk 664003, Russian Federation 



A. V. Vlasenko
Scientific Centre for Family Health and Human Reproduction Problems
Russian Federation

 Cand. Sc. (Med.), Head of the Department of Physical Therapy and Massage 

Timiryazeva str. 16, Irkutsk 664003, Russian Federation 



V. R. Minulin
Scientific Centre for Family Health and Human Reproduction Problems
Russian Federation

 Physical Therapy Instructor 

Timiryazeva str. 16, Irkutsk 664003, Russian Federation 



Zh. V. Prokhorova
Scientific Centre for Family Health and Human Reproduction Problems
Russian Federation

 Cand. Sc. (Med.), Medical Psychologist, Head of the Office of Medical Psychology and Psychotherapy 

 Timiryazeva str. 16, Irkutsk 664003, Russian Federation 



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For citations:


Bugun O.V., Mashanskaya A.V., Atalyan A.V., Mikhnovich V.I., Belogorova T.A., Vlasenko A.V., Minulin V.R., Prokhorova Zh.V. Comprehensive rehabilitation of patients with movement disorders with spastic forms of cerebral palsy. Acta Biomedica Scientifica. 2021;6(6-2):82-91. (In Russ.) https://doi.org/10.29413/ABS.2021-6.6-2.9

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