Physical factors in the medical rehabilitation of children with atopic dermatitis

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription Access

Abstract

The results of numerous studies allow us to conclude that atopic dermatitis is one of the most common inflammatory skin diseases in children. Most often, atopic dermatitis debuts at an early age and its prevalence in the child population can reach 10–30%. Scientific forecasts, as well as data from various researchers, indicate not only a significant increase in the number of patients, but also a worsening of the course of atopic dermatitis, which causes a high medical and social significance of the problem of this disease. The main manifestations of the disease are itching, typical morphology and localization of skin rashes, dry skin, chronic recurrent course. Also, atopic dermatitis is a very serious chronic disease that can be emotionally difficult for patients and their family members. Emotional factors often increase the manifestations of the disease. With the appearance in recent years of modern active and effective, but sufficiently safe corticosteroid drugs approved for use in children, real progress has been noted in the treatment of atopic dermatitis. However, the use of elimination measures and diets, the exclusion of food allergens, taking antihistamines, local and systemic pharmacotherapy does not always allow to stop inflammation and achieve long-term remission. Non-drug methods of treatment of atopic dermatitis have recently been given great importance due to the high frequency of undesirable effects when using medications. The main objectives of physiotherapy for atopic dermatitis are: normalization of the central and autonomic nervous system, hyposensitization, soothing, antitoxic, anti-inflammatory, resorbing, trophic, antipruritic and restorative.

About the authors

Natalya A. Lyan

Moscow Scientific Practical Center of Medical Rehabilitation, Restorative and Sports Medicine; Sechenov First Moscow State Medical University (Sechenov University)

Author for correspondence.
Email: nlyan@yandex.ru
ORCID iD: 0000-0003-1566-2739

MD, Cand. Sci. (Med.)

Russian Federation, Moscow; Moscow

Maya A. Khan

Moscow Scientific Practical Center of Medical Rehabilitation, Restorative and Sports Medicine; Children’s City Hospital named after N.F. Filatov

Email: 6057016@mail.ru
ORCID iD: 0000-0002-1081-1726

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow; Moscow

Elena A. Turova

Moscow Scientific Practical Center of Medical Rehabilitation, Restorative and Sports Medicine; Sechenov First Moscow State Medical University (Sechenov University)

Email: aturova55@yandex.ru
ORCID iD: 0000-0002-4397-3270

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow; Moscow

Irina A. Bokova

Sechenov First Moscow State Medical University (Sechenov University)

Email: ire08@mail.ru
ORCID iD: 0000-0002-1640-1605

MD, Cand. Sci. (Med.), Associate Professor

Russian Federation, Moscow

References

  1. Khaitov RM, Ilyina NI, editors. Allergology and immunology: a national guide. Moscow: GEOTAR-Media; 2012. 640 p. (In Russ).
  2. Namazova-Baranova LS, editor. Allergy in children: from theory to practice. Moscow: Union of Pediatricians of Russia; 2010. 668 p. (In Russ).
  3. Smolkin YuS, Balabolkin II, Gorlanov IA, et al. Consensus document APAIR: atopic dermatitis in children — update 2019 (short version). Part 1. Allergology and Immunology in Pediatrics. 2020;60(1):4–25. (In Russ). doi: 10.24411/2500-1175-2020-10001
  4. Ruiz RG, Kemeny DM, Price JF. Higher risk of infantile atopic dermatitis from maternal atopy than from paternal atopy. Clin Exp Allergy. 1992;22(8):762–756. doi: 10.1111/j.1365-2222.1992.tb02816.x
  5. Bergmann RL, Diepgen TL, Kuss O, et al.; MAS-study group. Breastfeeding duration is a risk factor for atopic eczema. Clin Exp Allergy. 2002;32(2):205–209. doi: 10.1046/j.1365-2222.2002.01274.x
  6. Martinez FD, Antognoni G, Macri F, et al. Parental smoking enhances bronchial responsiveness in nine-year-old children. Am Rev Respir Dis. 1988;138(3):518–523. doi: 10.1164/ajrccm/138.3.518
  7. Balabolkin II, Bulgakova VA, editors. Clinical allergology of children’s age with urgent conditions. Moscow: MIA; 2011. 264 p. (In Russ).
  8. Kulagin VI, Kryazheva SS, Khamaganova IV, et al. Magnetotherapy in the complex treatment of atopic dermatitis and psoriasis in children. Bulletin of Dermatology and Venereology. 1992;(4):64–67. (In Russ).
  9. Bogolyubov VM, editor. Physiotherapy and balneology. Book 3. Moscow: BINOM; 2009:233. (In Russ).
  10. Perminova EV, Gridneva TD. EHF-therapy and infrared radiation in the complex treatment of children suffering from atopic dermatitis. Russian Journal of the Physial Therapy, Balneotherapy and Rehabilitation. 2005;(2):24–26. (In Russ).
  11. Moskvin SV, Nasedkin AN, Osin AYa, Khan MA. Laser therapy in pediatrics. Moscow; Tver: Triada; 2009:88–99. (In Russ).
  12. Kartelishev AV, Rumyantsev AG, Evstigneev AR, et al. Laser therapy and prevention. Moscow: Prakticheskaya meditsina; 2012:337. (In Russ).
  13. Obrosov AN, Karachevtseva TV, editors. Guide to physiotherapy and physioprophylaxis of childhood diseases. 3rd ed. Moscow: Meditsina; 1987. 384 p. (In Russ).
  14. Proshutinskaya DV, Kharitonova NI, Volnukhin VA. The use of selective phototherapy in the treatment of children with vitiligo. Bulletin of Dermatology and Venereology. 2004;(3):47–49. (In Russ).
  15. Protsenko TV, Milus IE. Selective phototherapy in the staged treatment of patients with atopic dermatitis. Ukrainian Journal of Dermatology, Venereology, Cosmetology. 2006;(2):18–20. (In Russ).
  16. Vlasenko AV, Luzgina NV, Mandzyak TV. Experience in the use of chromotherapy in children with atopic dermatitis. In: Psikhosomaticheskiye i somatoformnyye rasstroystva v klinicheskoy praktike: collection of materials of the 9th Baikal Conference; 2013 Oct 4; Irkutsk. Irkutsk; 2013. P:4–6. (In Russ).
  17. Khan MA, Vakhova EL, Lyan NA, et al. The use of selective chromotherapy in the medical rehabilitation of frequently ill children. Doctor.Ru. Pediatrics. 2015;(13):68–73. (In Russ).
  18. Khan MA, Rassulova MA, Chervinskaya AV, et al. The role of halotherapy in the prevention and medical rehabilitation of children. Bulletin of Restorative Medicine. 2015;(6):36–42. (In Russ).
  19. Ponomareva VN, Frolova MM. The effectiveness of halotherapy in the rehabilitation complex for atopic dermatitis in children. In: Sovremennyye problemy i perspektivy razvitiya regionalʹnoy sistemy kompleksnoy pomoshchi rebenku: a collection of materials from an international scientific and practical conference. Arkhangelsk: Pomor State University; 2000:204–206. (In Russ).
  20. Chervinskaya AV. Possibilities of halotherapy in sanatorium-resort dermatology and cosmetology. Resort News. 2006;(3):74–75. (In Russ).
  21. Kaznacheev KS, Kaznacheeva LF, Dubrovina LN, et al. Dynamic electrical nerve stimulation in the treatment of atopic dermatitis in children. Reflexotherapy. 2006;(2):57–59. (In Russ).
  22. Ponomarenko GN, editor. Physical and rehabilitation medicine. Mosow: GEOTAR-Media; 2016: 575–617. (In Russ).
  23. Erokhina EV. The use of magnetic field and iodine-bromine baths in the complex therapy of patients with atopic dermatitis. Bulletin of Dermatovenereology. 1996;(2):38–40. (In Russ).
  24. Gruzdev KD. Electrophysiological characteristics of the action of carbonic and hydrogen sulfide waters on the receptors of skin vessels. Issues of Вalneology and Рhysiotherapy. 1959:103–108. (In Russ).
  25. Masserova VV, Kaznacheeva LF. Features of indicators of autonomic regulation in patients with atopic dermatitis on the background of rehabilitation treatment. Siberian Medical Review. 2010;(5):26–28. (In Russ).
  26. Kaznacheeva LF, Masserova VV, Kaznacheev KS, Gerashchenko NV. Clinical features of the course of atopic dermatitis in children with the use of dry carbonic baths. Mother and Child in Kuzbass. 2011;(2):17–20. (In Russ).
  27. Ogorodova LM, Pashkov VK, Gontarskaya VM, Pashkova EN. Sauna in the treatment of children with atopic dermatitis. Russian Journal of the Physial Therapy, Balneotherapy and Rehabilitation. 2000;(4):37–39. (In Russ).
  28. Ogorodova LM, Pashkov VK, Pashkova EN, et al. Effect of physical therapy on the state of microcirculation in children with atopic dermatitis. Russian Journal of the Physial Therapy, Balneotherapy and Rehabilitation. 2002;(6):42–43. (In Russ).

Copyright (c) 2022 Lyan N.A., Khan M.A., Turova E.A., Bokova I.A.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
 


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies