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Possibilities of complex rehabilitation of young children with epilepsy and movement disorders

Vopr Kurortol Fizioter Lech Fiz Kult. 2022;99(3):25-31. doi: 10.17116/kurort20229903125.


Epilepsy is a chronic disease characterized by recurrent, mostly unprovoked seizures with impaired motor, autonomic, mental or mental functions that occur as a result of excessive neuronal discharges in the gray matter of the cerebral cortex. The problem of the activity of medical rehabilitation for epilepsy in the professional community remains debatable, despite the obviousness of the arguments and judgments presented.

PURPOSE OF THE STUDY: Development of an effective and safe complex for the rehabilitation of young children with epilepsy, accompanied by impaired movement function.

MATERIAL AND METHODS: The study included 123 young children (from 9 to 24 months) with epilepsy accompanied by impaired motor function. By the method of simple randomization, all patients were divided into 4 groups: 3 main groups and a comparison group. All children of the study groups, except for the comparison group, received medical rehabilitation: in the 1st group – classical massage with the exception of the cervical-collar zone; in the 2nd group – kinesitherapy according to the method of V. Voigt; in the 3rd group – a complex effect, including classical massage with the exclusion of the neck-collar zone and kinesitherapy according to the method of V. Voigt. Children of the comparison group received basic therapy. The effectiveness of medical rehabilitation was analyzed using the Gross motor function classification system (GMFCS) and the Griffiths intellectual development scale.

RESULTS: Differences in GMFCS scores before and after medical rehabilitation were statistically significant in group 3. In patients with impaired movement function and suffering from epilepsy, the positive dynamics during complex rehabilitation was more pronounced than when using one isolated technique.

CONCLUSION: Complexity in planning and prescribing a course of rehabilitation determines the greatest efficiency in reducing the deficit of physical activity. With an increase in the index of epileptiform activity according to electroencephalography data without any clinical manifestations, it is not required to cancel rehabilitation measures, it is necessary to strengthen control over the patient.

PMID:35700373 | DOI:10.17116/kurort20229903125

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