DYNAMICS OF CLINICOFUNCTIONAL INDICES IN PATIENTS WITH CEREBRAL SPASTIC INFANTILE PARALYSIS AGAINST THE BACKGROUND OF COMPLEX THERAPY USING FUNCTIONAL ELECTROSTIMULATION IN SANATORIUM CONDITIONS

Aim. To estimate the dynamics of clinicofunctional indices in patients with cerebral spastic infantile paralysis (CSIP) in complex structure of rehabilitation using functional electrostimulation by means of the apparatus “Myoneuroton”. Materials and methods. The efficiency of rehabilitation therapy conducted in 150 patients (aged 6 to 18 years), who were diagnosed CSIP in the form of spastic diplegia, was studied. Patients were divided into 2 groups: the main group ( n = 76) received complex rehabilitation including exercise therapy, massage, paraffin-ozokerit applications, needle reflexotherapy (NRT), functional electrostimulation with the apparatus “Myoneuroton”, the comparison group ( n = 74) - electrostimulation with the apparatus “Amplipulse-5”. Patients’ mean age was 12,5 ± 0,8 years. Results. After treatment, clinical studies carried out in the main group indicated the following: increase in force in mm. quadriceps femoris dex. et sin by 13 %, in mm. tibialis anterior dex. et sin. by 28 %; 8 % growth in range of motions in the knee and ankle joints, 26 % rise in the number of steps; 45 % increase in the mean pace; 96 % growth in duration of the right leg balance holding, 93 % - of the left leg. Conclusions. Electrostimulation significantly reduces manifestations of neurological deficit; stato-locomotor functions are improved versus the generally accepted methods of treatment.

Cerebral spastic infantile paralysis, rehabilitation, low-frequency electrostimulation