A BIOMECHANICAL METHOD FOR KINESIOTHERAPY AND REHABILITATION OF CEREBRAL PARALYSED CHILDREN

  • A.N. Laputin
  • V.I. Sinigovets
  • L.V. Khmelnitskaya

Abstract

Children's cerebral paralysis occurs at a frequency of 4.0-8.9 per 1000 children according to medical statistics and therefore is attributed to be one of the primary diseases affecting the central nervous systems of children. The objective of present work was to research the possibility of designing physical exercise using hypergravitational overalls [I] that would further increase rehabilitation efficiency with cerebral paralysed children. Special experiment 180 children under rehabilitation treatment at children's psychoneuralgic sanatorium N6 "Svetlyachok" (Kiev) was carried out. The treatment included 20 correction lessons using physical exercises with hypergravitational overalls. The efficiency of the proposed exercises was determined on the basis of biomechanical criteria. Electromyotonography (the frequency-amplitude characters of muscles' tonus), electromyography (EMG) , stabilography and videocomputer analysis of motions were used. It was determined that the exercises with hypergravitational overalls influenced the biomechanical properties of skeletal muscles through the static stability of the patients' vertical posture. There was a reduction in muscle tonus, elastic and damping characteristics, increase of frequency parameters and reduction of amplitude parameters of body's oscillations. The efficiency is confirmed by a comparison of initial and final biomechanical measures during natural locomotion. There are essential differences with the structure of time characteristics of walking phases before the treatment and after the treatment. rehabilitation efficiency of these exercises was determined by the degree of patients' biomechanical structure and biomechanical profile. This was based the patients' motorics, morpho-function psychological status, stage of motion development, disease level, degree of pathology and stage of therapy process. received data can be widely used in clinics for the treatment of cerebral paralysis in children.