Introduction: Temporomandibular disorders can be a challenge for both clinicians and patients. It is unclear what factors are associated with prolonged conservative care and patient dissatisfaction ...with treatment outcomes.Material and research method: A literature review was carried out in terms of methods of physiotherapeutic treatment following disorders of temporomandibular joints in pediatric patients. This work is for reference only. The PubMed and Google Schoolar databases were analyzed. The keywords used in the search were: "physiotherapy, temporomandibular joints and children", "manual therapy, temporomandibular joints and children". The authors focused on reports published in Polish and English from the last 10 years.Results: There is a need to combine standard therapy with physiotherapy in order to accelerate the treatment process.Conclusions: Physiotherapy is highly effective and non-invasive in the treatment of stomatognathic system disorders. A physiotherapist provides a number of therapeutic treatments that improve disorders in the temporomandibular joints.
Background. The adverse social situation in Ukraine and an increase in the number of injured children lead to a burden on trauma departments and rehabilitation centers. Looking for simple methods to ...help detect violations of compensatory mechanisms, one of which is the centralization of blood circulation, and impaired perfusion at the microcirculatory periphery level is of great current relevance. Materials and methods. A comprehensive clinical and functional examinations were applied to 44 children aged 10–15 years, 21 of them had home-related upper extremity fractures (main group), 23 otherwise healthy children served as the control group. All the children underwent the Box and Block Test (BBT), and the perfusion index (PI) from the extremities was recorded. Results. The BBT performance was characterized by a 1.6-fold decrease (p < 0.05) in the affected extremity of children aged 10–15 years under the rehabilitation treatment compared to that of the non-dominant extremity in healthy children and a 1.3-fold decrease (p < 0.05) in the healthy extremity compared to the dominant one. PI decreased to 2.52 ± 0.58 at rest in the main group children who underwent upper extremity rehabilitation treatment for injuries compared to 3.49 ± 0.34 (p < 0.05) in healthy children. PI reduced to 1.57 ± 0.56 in injured children at exercise loads versus 2.93 ± 0.91 (p < 0.05) in healthy children. The dynamics of recovery also differed and amounted to 2.82 ± 0.45 in the main group versus 4.00 ± 0.64 in the control group. Children with PI up to 1.5 ± 0.4 had significantly lower BBT scores at the beginning of exercise training. PI reduction to less than 1.5 allowed predicting a decrease in muscle functions, delayed wound healing, and the need for analgesia. With an increase in PI to 2.40 ± 0.54 during exercise training, children performed BBT better, while those who had a decrease in perfusion up to 0.98 ± 0.20 performed it twice as slowly (p < 0.05). As a study result, an association between the physical exercise load, changes in PI and BBT has been revealed. Conclusions. BBT scores were characterized by a 1.6-, 2.0- and 1.8-fold (p < 0.05) reduction during the first, second and third measurements, respectively, compared to those of healthy children. Characteristic feature of perfusion index was a statistically significant decrease before and during exercise training as well as slow dynamics of recovery. The correlations between perfusion index and BBT have proven the association of the rehabilitation processes and blood flow restoration.
Introduction
Children with acute brain damage make up a large group of patients who require multi-stage rehabilitation. Rehabilitation requires the creation of special conditions for psychiatric care ...and psychological and pedagogical correction of the consequences of severe damage to the nervous system.
Objectives
To identify the options for mental activity during the restoration of the level of consciousness in children after acute severe brain damage.
Methods
210 children under the age of 18 with severe brain damage (traumatic brain injury, hypoxia, hydrocephalus). Clinical-psychopathological, pedagogical methods were used; additionally diagnostic scales, questionnaires.
Results
4 groups were formed: 1st 37 (18%) patients had manifestations of mental activity with physical, cognitive and social capabilities in the minimal consciousness “+” (a- / hyperkinetic mutism with emotional reactions, understanding of addressed speech); 2nd 67 (32%) - manifestations of physical and cognitive abilities with minimal consciousness “-” (a- / hyperkinetic mutism without reactions); 3rd 95 (40%) - only the manifestation of physical capabilities at the exit from the vegetative status. 4th 11 (10%) - a low manifestation of mental activity in the form of physical capabilities with a vegetative status.
Conclusions
4 variants of mental activity in children after acute severe brain damage have been identified: from minimal involuntary reactions or their absence in vegetative status to voluntary actions according to the instructions of an adult in minimal consciousness “+”. Taking into account the variability of mental activity helps to differentiate the methods of psychiatric and psychological-pedagogical assistance in the recovery of children already in the early stages of rehabilitation.
Early intervention is crucial for the optimal speech and language development of children with impaired hearing. Underwater vibrostimulation could help develop behavioural reactions to low-frequency ...stimuli immediately after diagnosis and facilitate aural rehabilitation after hearing aid (HA) or cochlear implant (CI) activation.
To determine the limits of underwater vibrotactile stimuli perception and to measure the effect of vibrostimulation training on the aural rehabilitation of young children.
Two adults and three children with congenital hearing loss participated in the first part of the study. Pure tones between 100 and 4000 Hz and natural broadband sounds were delivered under water while the participants were sitting in a pool. The lower thresholds of perception and the maximum comfortable levels were measured and the subjective sensations were recorded. In the second part of the study, 15 children <3 years old were presented with the same stimuli until they developed stable conditioned reactions to the stimuli. The time until the development of “hearing behaviour” and the number of fitting sessions after HA or CI activation were compared between the vibrostimulation group and a control group who did not receive such training.
In the first part of the study, participants were most sensitive to 100–400 Hz stimuli, while the stimuli >1000 Hz did not evoke any sensations. The vibrations were felt across all body parts and produced hearing-like sensations in the ear. In the second part of the study, children in the vibrostimulation group required fewer fitting sessions and developed “hearing behaviour” sooner than the control group.
Underwater vibrostimulation is a promising new method of early aural rehabilitation that could be recommended for implementation in paediatric audiology centres.
The childhood incidence of bronchial asthma is the most common chronic pathology in children. Due to the influence of many factors,as well as due to the widespread prevalence, the problem is becoming ...particularly relevant today. In recent years, a frequently usedconcept of medical rehabilitation is the so-called “multidisciplinary approach”, which also consists in the implementation of a personalizedapproach.
Aim. To develop a comprehensive targeted program for the medical rehabilitation of children with bronchial asthma, to study the effectivenessof a comprehensive targeted program selected taking into account the individual characteristics of the child.
Material and methods. There was developed an individual targeted program of medical rehabilitation was developed, in accordancewith the procedures and standards of medical care, taking into account indications and contraindications, taking into account a multidisciplinaryapproach, and rehabilitation methods, namely, such as: climatotherapy, physiotherapy, speleotherapy, aromatherapy,inhalation therapy, oxygen therapy, hypoxytherapy, mechanotherapy, psychocorrection, massage, physical therapy, phytotherapy.The patients were divided into three groups by randomization, without reference to the treatment method or any other factor. Allthree groups of patients received a basic program of medical rehabilitation, which included magnetotherapy, dry carbon dioxidebaths,speleotherapy and physical therapy. Results. Positive indicators of clinical and laboratory results and subjective data as a resultof rehabilitation were obtained in all patients from all 3 groups. In children with bronchial asthma of mixed genesis, as a result of complextreatment, a significant improvement was noted. These results allow us to speak about the significant effectiveness of individuallyselected targeted medical rehabilitation programs in patients with bronchial asthma.
Conclusion. As a result of the analytical work carried out according to the results of the study, it can be concluded that the use of anindividual rehabilitation complex of procedures and therapeutic techniques in children’s patients with bronchial asthma is effective.The implementation of these methods in a complex improves the condition and well-being of patients according to a subjective feeling,and also allows us to reliably speak about the improvement of the condition according to clinical and diagnostic indicators. It ispossible to recommend the introduction of the use of these programs in the medical rehabilitation of this group of patients. Drawingup targeted programs for use in children’s patients with a history of bronchial asthma is an important link in medical rehabilitation,as it allows each patient to conduct an individually selected targeted rehabilitation program in the conditions of the department ofmedical rehabilitation for patients with somatic diseases.
Introduction
. Infectious diseases make a significant contribution to the recurrence and disability, and therefore cause economic damage to the country, which is an indisputable argument in favor of ...the creation of a system of rehabilitation of children with infectious diseases.
The objective
of the study was the economic justification of the need to organize a multidisciplinary children’s rehabilitation center, including after infectious diseases.
Material and methods
. Based on the long-term experience of the only center in the Russian Federation for the treatment of children’s infections and the data of the statistical service we calculated the economic effect obtained as a result of reducing the recurrence of infectious diseases and disability caused by them among the child population.
Results.
The study found that the annual economic losses associated with the treatment of relapses of infectious diseases among children would be 4.344 billion rubles and 39.713 billion rubles due to the payment of disability benefits. The economic loss associated with the reduction of days of incapacity of parents obliged to care for children who need care due to infectious diseases is 2.791 billion rubles. In addition, the indirect economic loss caused by the under-produced products and the GDP decline due to the disability of such children already in working age is 30.102 billion rubles.
Conclusion
. We proved the significant economic effect that would be received at the opening of the rehabilitation center for children. The economic effect is caused by the reduction of both direct and indirect economic losses.
Introduction.
The increased attention from the state to the organization of rehabilitation measures, especially among children, requires evaluation and development of measures to improve the ...effectiveness of all areas of rehabilitation – medical, social and professional rehabilitation. The development of measures increasing efficiency is especially important among children, since children are the main potential of the country.
The
objective
of the study was to evaluate the medical and social effectiveness of the rehabilitation measures carried out for children after neuroinfections.
Material and methods.
During the study, parents of children after neuroinfections were interviewed, as well as the examination of changes in large motor functions and functional state was carried out by doctors of the Clinic of “Scientific and Research Institution of Children’s Infections”. Medical experts used special evaluation scales in order to objectify the research.
Results.
The overwhelming majority of parents (90.4 %) note an improvement in the condition of their children in terms of medical and social adaptation. More than one third of parents (35.9 %) note the improvement of their children’s condition, according to all seven criteria proposed for the answer (formation of independent walking skills, stabilization of emotional-volitional activity, acquisition of new social household skills, ability to sit, decrease of muscle tone, speech development and improvement of manipulative functions of the hand). According to the expert opinion of the doctors of the Clinic, 78.8 % of children suffered from the disruption of large motor functions, and children of the first level, i.e. the lightest, according to the classification scale for large motor functions (GMFCS), was only 17 %. After four courses of rehabilitation in the Clinic, the proportion of children of the first level increased significantly and amounted to 48.2 %. Improvements in the opinion of medical experts, based on the results of the questioning, were also observed in functional status, in such positions as communication, everyday life skills, socialization and motor skills.
Сonclusion.
Thus, the effectiveness of rehabilitation measures for children after neuroinfections has been proved. Moreover, with the increase in the number of rehabilitation courses, the state of children improves both by the medical and social criteria.
Recent years show a gradual increase in births of children with cerebral palsy. All children affected by this disease entity should be supported neurodevelopmental. The aim of the work is to assess ...the long-term development of children with cerebral palsy. It is intended, allowed to increase opportunities and leveling development differences neurological rehabilitation of children covered by unifying therapeutic support and education of parents. An important aspect is the assessment of the effects of neurodevelopmental therapy in the context of the intensity and complexity of the treatment and analysis of the development of motor skills of children covered by development assistance.
Recent years show a gradual increase in births of children with cerebral palsy. All children affected by this disease entity should be supported neurodevelopmental. The aim of the work is to assess ...the long-term development of children with cerebral palsy. It is intended, allowed to increase opportunities and leveling development differences neurological rehabilitation of children covered by unifying therapeutic support and education of parents. An important aspect is the assessment of the effects of neurodevelopmental therapy in the context of the intensity and complexity of the treatment and analysis of the development of motor skills of children covered by development assistance.
The purpose of the study: the study of expert opinions of specialists from different regions of the Russian Federation on the organization of rehabilitation of children with diseases of the central ...and/or peripheral nervous system, including pediatric patients after the neuroinfections.Materials and methods: The scientific method of expert evaluation of the state and prospects of the development of children’s rehabilitation in the regions of the Russian Federation: the North-Western, Southern and Central Federal Districts was used.Results: physicians in different regions of the Russian Federation as a whole have professional work experience related to issues of providing rehabilitation assistance to children. However, only a little more than a third of medical workers working in the field of rehabilitation care for children received special training in the medical rehabilitation of children with diseases of the central and peripheral nervous system. Existing system of organizing children’s rehabilitation in the North-West Federal District turned out to be more effective. Nevertheless, the problem of high technology development and the difficult situation with trained medical personnel in the rehabilitation system turned out to be relevant for the latter region. Among the proposals to improve the effectiveness of rehabilitation of children with diseases of the central and / or peripheral nervous system, specialists noted the need to introduce new (for certain institution) types and methods of rehabilitation, increase funding and logistics for medical organizations, resolve the issue with the training of rehabilitation specialists for work with this contingent of sick children, expand the network of medical rehabilitation centers and improve the accessibility of sanatoriums and resorts where treatment is performed on a budgetary basis.Conclusion: the study revealed the presence of organizational problems in providing rehabilitation care for children with diseases of the central and / or peripheral nervous system in different regions of Russia.
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