TREATMENT METHOD OF MOVEMENT DISORDER SYNDROME IN CHILDREN

摘要

FIELD: medicine; neurology.;SUBSTANCE: physical exercises performed on the child are taken consistently in seven stages. Thus the initial impact stage is determined in compliance with the motoric age of the child which depends on his motor skills. At the first stage development of a protective reflex is stimulated, a labyrinthine righting reflex by performance of classical and acupressure massage of neck and back extensors muscles, carrying the child which is on a stomach on the forearm bracing him for femur, passive turnover by hands and legs from back to stomach and vice-versa, tractions by the top hand with a small abruption from a surface when the child is in lateral position, tractions by hands of the child laying at an angle of 45 degrees with an abruption of a head from a surface. At the second stage all the exercises are carried out on stomach putting a wedge or platen under chest, thus alternate serial massage of arms, passive carrying out of hands forward, drawing hands asides, abduction upwards with keeping head in the lifted position. At the third stage the child is taught how to turn from back to side and to crawl on his stomach. At the fourth stage the child is taught how to sit with legs spead forward, to stand up and to stand on all fours. At the fifth stage crawling on all fours is taught. At the sixth stage the child is taught how to rise on his feet by the support. At the seventh stage walking skills are taught. In case of spastic form of cerebral infantile paralysis, starting from the second stage intramuscular injections of type A botulotoxin preparation are made at the rate of 30 units per 1 kg of the child weight with a 8-12 week interval.;EFFECT: extension of the range of treatment methods of the movement disorder in children.;3 cl, 15 dwg, 2 ex, 1 tbl