Вісник медичних і біологічних досліджень (Dec 2022)
Analysis of physical rehabilitation measures for children with spastic forms of children's cerebral palsy
Abstract
Summary. The article deals with the physical rehabilitation of children with cerebral palsy, which is an actual problem and is being dealt with by scientists from different countries of the world. Cerebral palsy is a disease of the central nervous system that occurs as a result of organic damage to the brain and is accompanied by non-progressive motor syndromes, often combined with mental and speech disorders, epileptic seizures, fluid-dynamic changes, pathology of hearing, vision, organs and systems or without them. Cerebral palsy is one of the most common causes of childhood disability. Despite the violation of the musculoskeletal system, children with cerebral palsy often have disorders of psycho-emotional development, which significantly reduces their contact, often have problems with the cardiovascular and respiratory systems, which require additional control of vital functions on the side of physical rehabilitation, epileptic seizures can be observed, as well as vision often worsens due to a change in the tone of the ciliary muscles. The problem of physical rehabilitation of children with cerebral palsy is extremely important. The aim of the study – to expand and deepen knowledge of physical rehabilitation of children with spastic forms of cerebral palsy. Materials and Methods. With the help of Internet search databases, a bibliographic review of information sources and analysis of materials on new and often used means of physical rehabilitation of children with spastic cerebral palsy was carried out. Results. As a result of a bibliographic review of literary sources, it was established that the effectiveness of physical rehabilitation of children with cerebral palsy depends on their personal rehabilitation potential, which is influenced by accompanying somatic pathology, general psychophysical condition, autonomic regulation, etc. Physical rehabilitation of children with cerebral palsy is necessary to identify disorders of somatic health, disorders of psychophysical development, peculiarities of the functional activity of the body of children with cerebral palsy in the first year of life in order to increase the rehabilitation potential. In the works "Bibliosemantic analysis of modern methods of physical rehabilitation of children with cerebral palsy" and "Analysis of the latest methods of physical rehabilitation in children with cerebral palsy" it is indicated that the physical rehabilitation of children with cerebral palsy is regulated by the orders of the Ministry of Health of Ukraine dated October 8, 2007 “On the approval of the forms of the individual program of rehabilitation of a disabled child and the order of their preparation” No. 623 (https://zakon.rada. gov.ua/laws/show/z1197-07#Text), No. 214 of October 11, 1993. “On the improvement of neurological care for children” (https://zakon.rada.gov.ua/rada/show/v0214282-93#Text), № 79/10 від 26.02.01. “On the approval of the plan for the implementation of additional measures to ensure the implementation of the National Program "Children of Ukraine" for the period until 2005”. (https://ips.ligazakon.net/document/ MOZ1078), No. 889 of December 1, 2009 “On the approval of the clinical protocol of sanatorium-resort rehabilitation of children with cerebral palsy” (https://zakon.rada.gov.ua/rada/ show/v0889282-09#Text). Treatment of children with cerebral palsy is complex, and physical therapy and massage are of particular importance in the physical rehabilitation of such children. The main means of therapeutic physical culture are breathing and physical exercises of various directions, as well as games. The effectiveness of the use of therapeutic physical culture in the physical rehabilitation of children with cerebral palsy has been described by many scientists who developed their rehabilitation programs based on its means of physical rehabilitation (therapeutic exercises and rehabilitative massage). Conclusion. The results of a bibliographic review of literary sources indicated that a large complex of means and methods of rehabilitation is used in the physical rehabilitation of children with cerebral palsy. Basically, a larger percentage of authors pointed to the effectiveness of the use of physical rehabilitation tools (therapeutic exercises and rehabilitative massage) and methods of physical rehabilitation of children with cerebral palsy
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