Мedical rehabilitation of children with spinal dysrafism
- Authors: Novikova E.V.1,2,3, Petrova M.S.4, Nikolaev S.N.2, Prikuls V.F.5
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Affiliations:
- Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine
- Filatov N.F. Children's City Hospital
- The First Sechenov Moscow State Medical University
- Central State Medical Academy of Department of Presidential Affairs
- Moscow Regional Research and Clinical Institute
- Issue: Vol 21, No 3 (2022)
- Pages: 227-232
- Section: Review
- URL: https://rjpbr.com/1681-3456/article/view/115021
- DOI: https://doi.org/10.17816/rjpbr115021
- ID: 115021
Cite item
Abstract
The development of a system of staged medical care for the medical rehabilitation of children with spinal dysraphism is an important and urgent task of pediatrics.
Spinal dysraphism is accompanied by flaccid paresis or paralysis of the lower extremities, as well as a violation of the function of the pelvic organs. In most cases, various deformations of the feet are observed, congenital dislocations of the hip are often found.
Medical rehabilitation begins immediately after surgical treatment in intensive care units and specialized departments. At the first stage, one of the important tasks is the correction of pelvic disorders. For this purpose, electrical stimulation, drug electrophoresis, magnetotherapy are used depending on the type of neurogenic bladder dysfunction. Currently, the effectiveness of high-intensity pulsed magnetotherapy in children with areflex bladder has been proven. The second stage of medical rehabilitation should be carried out if available in rehabilitation departments, medical rehabilitation centers and aimed at correcting motor impairment. Along with instrumental physiotherapy, modern technologies of physiotherapy exercises are actively introduced, aimed at strengthening the muscles of the lower extremities, preventing muscle atrophy.
The third stage of medical rehabilitation is the longest, carried out on an outpatient basis and includes various health technologies, such as aeroionotherapy, halotherapy, balneotherapy, and mud therapy.
Timely implementation of rehabilitation measures with the inclusion of physical factors in the early postoperative period and the consistent expansion of physiotherapy and kinesitherapy technologies at all stages of medical rehabilitation significantly increases the effectiveness of rehabilitation of patients with spinal cord injuries and improves their quality of life.
Full Text
About the authors
Elena V. Novikova
Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine; Filatov N.F. Children's City Hospital; The First Sechenov Moscow State Medical University
Author for correspondence.
Email: minkamal@mail.ru
ORCID iD: 0000-0002-8987-1296
SPIN-code: 7001-7993
MD, Cand. Sci. (Med.), Assistant Professor, Senior Research Associate
Russian Federation, Moscow; Moscow; MoscowMariya S. Petrova
Central State Medical Academy of Department of Presidential Affairs
Email: petrovams@gov.ru
ORCID iD: 0000-0002-9702-5487
MD, Cand. Sci. (Med.), Assistant Professor
Russian Federation, MoscowSergey N. Nikolaev
Filatov N.F. Children's City Hospital
Email: nikolaev1-urol2009@yandex.ru
ORCID iD: 0000-0001-6235-7441
SPIN-code: 3784-1648
MD, Dr. Sci. (Med.), Professor
Russian Federation, MoscowVladislav F. Prikuls
Moscow Regional Research and Clinical Institute
Email: vlad_doc@list.ru
ORCID iD: 0000-0003-3489-7760
SPIN-code: 9247-6389
MD, Cand. Sci. (Med.)
Russian Federation, MoscowReferences
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