[The changes in the brain's electrical activity in children with cerebral palsy during the complex rehabilitation].

One hundred and five children, aged from 3 to 7 years, with the diagnosis "spastic diplegia cerebral palsy" were treated. Patients were stratified into three groups: group I (n=36) received three courses of microcurrent therapy (MENS) in addition to standard treatment; group II (n=38) received three courses of MENS in the combination with two treatment courses with the nootropic drug cortexin; children of group III (n=31) received standard therapy using massage and gymnastics. MENS was carried out in courses, including 15 sessions each, using the apparatus "MEKS". Cortexin was introduced intramuscular in dosage 10 mg, the treatment course consisted of 10 injections. To the end of the rehabilitation program, positive changes were found: 50% patients of group I, 66% patients of group II and 16% patients of group III could perform complex instructions and acquired skills in modeling and recognition of geometric forms. Positive changes in the brain's electrical activity were found in 75% of children in group I, in 82% of children in group II and in 64% of children in group III.

[Efficacy of reflexology in the combination with neuroprotective treatment in hemiparetic form of children cerebral palsy].

Sixty patients with the diagnosis of cerebral palsy with hemiparesis at the age from 2 to 7 years were treated. All 60 patients had conventional treatment including massage and exercise therapy. Patients were divided into 2 randomized groups. The patients of the first group were given 3 sets of microcurrent reflexology sessions and 2 courses of treatment with cortexin. Patients of the second group were given reflexology treatments only. The microcurrent reflexology treatment included 15 sessions using the apparatus MAKS. Cortexin was introduced intramuscularly in dosage 10 mg. The bottle content was diluted in 2 ml of 0.5% novocaine. The treatment included 10 injections. This treatment showed the beneficial effects: 29 patients of the first group (97%) and 27 patients of the second group (90%) developed some ambulation skills. The progress in complicated manipulative activity of paralyzed upper extremities under microcurrent reflexology with cortexin was 2.2 times more visible in patients of the first group compared to the second one (11 patients (37%) versus 5 patients (17%), respectively). Positive changes in the encephalon functional status according to electroencephalography results were found in 21 patients (71%) of the first group and in 16 patients (53%) of the second group.

[The correction of cognitive and psychological disorders in the patients presenting with vertebrogenic pain syndrome].

The objective of the present study was the dynamic estimation of the intensity of pain syndrome with the use of a visual-analog scale (VAS), characteristics of the psychological status and cognitive disorders, quality of life, and brain electrogenesis in 50 patients presenting with vertebrogenic pain syndrome of lumbar-sacral localization. It was shown that long-standing pain syndrome plays the dysadaptive role, causes structural and functional changes in the central nervous system (CNS), and is responsible for psychoemotional and cognitive disorders. The introduction of transcranial stimulation in the combined treatment of such patients promotes correction and reversibility of the above disorders, enhances the efficacy of electrotherapy, and improves the quality of life in the subjects with vertebrogenic pain syndrome.

[The application of microcurrent reflexotherapy for the rehabilitative treatment of patients presenting with the diplegic form of juvenile cerebral palsy].

Sixty children suffering the diplegic form of juvenile cerebral palsy were admitted to a specialized therapeutic center for medical examination and treatment. In 30 patients, background therapy (remedial gymnastics, manual massage) was supplemented by microcurrent reflexotherapy targeted at biologically active points (BAPs) located paravertebrally in the paretic limb muscles and in the zones of craniotherapy. The remaining children (n = 30) were given medicines affecting neurotrophic processes in the central nervous system in addition to background therapy. It was shown that introduction of microcurrent reflexotherapy in the program of combined rehabilitation of the children presenting with the diplegic form of juvenile cerebral palsy results in the 2-2.3 times improvement of their initially impaired motor activity.

[Potential of combined physiobalneotherapy for the treatment of circulatory insufficiency in the vertebro-basiliar system].

The main causes of the development a nd subsequent chronization of circulatory insufficiency in the vertebro-basiliar system is the deficient blood flow in vertebral arteries (VA) resulting from extravasal effects of degenerative and dystrophic changes (DDC) in the cervical segment of the spinal column. The rehabilitative treatment of the patients presenting with these disorders including either radon or iodine-bromine baths in combination with low-frequency pulsed currents (LFPC) applied to the cervico-nuchal region was shown to produce a fairly good therapeutic effect. The proposed physiobalneological combination (radon baths + LFPC) proved more efficacious than treatment with iodine-bromine baths + LFPC for the patients with exacerbation of cervical dorsopathy. The latter combination gave better results when applied to the patients with circulatory insufficiency in the vertebro-basiliar system having the history of vegetovascular dystonia, craniocervical injury, and cervical dorsalgia.

[Reflexotherapy combined with cortexin in the complex treatment of speech disorders in patients with cerebral palsy].

Authors studied 78 outpatients with children cerebral palsy, aged from 2 to 7 years, in the children department of neurology and reflexotherapy. All children had speech disorders of different severity: from a severe mental-speech deficit to muscle asinergia of the speech apparatus. Combined microcurrent reflexotherapy (MCRT) in the author's technique and the neuroprotector cortexin were used for treatment. The main group included 40 patients who received the treatment of MCRT in the combination with cortexin, the comparison group consisted of 38 patients who received only MCRT. MCRT consisted of 15 sessions with one month interval after the first treatment and two months after the second one. The treatment with cortexin included sessions of 10 injections each after the end of the first and the third MCRT sessions. Patient state was measured at baseline and at the end of 6 month treatment program. An analysis of results of the complex treatment demonstrated its high efficacy in the recovery of speech functions in children with cerebral palsy compared to patients of the comparison group.

[Micro-current reflexotherapy in the rehabilitative treatment of the speech function disorders in children with cerebral palsy].

The objective of the present paper was to study the influence of microcurrent reflexotherapy on the compromised speech functions in children (n = 84) presenting with cerebral palsy in comparison with the control group comprised of children (n = 56) with the same problems treated by medicamental therapy. The microcurrent reflexotherapy was shown to be instrumental in the restoration of the compromised speech function. Moreover, it promoted positive dynamics of locomotor and cognitive disorders.

[Analysis of the efficacy of low-frequency pulse therapy in the combination with radon baths for the treatment of patients with different variants of the clinical course of cervical dorsopathy].

The authors present the results of analysis of combined physiobalneotherapy in the patients with neurological manifestations of degenerative lesions in the cervical spine with special reference to the clinical form of the disease. The use of unified criteria for the assessment of cervico-brachial pain syndrome and clinico-neuropsychological status of the patients in conjunction with auxiliary research techniques made it possible to demonstrate the high efficacy of the treatment using low-frequency pulse therapy supplemented by the application of radon baths. The best therapeutic effect was achieved in a group of patients presenting with cervico-brachial syndrome treated during the periods of exacerbation of cervical spine osteochondrosis. A less pronounced positive effect was documented in the group having the recurrent clinical course of cervico-brachial pain syndrome due to degenerative and dystrophic lesions in the cervical spine and diskopathy. The difference between the responses of the two groups of patients can be accounted for not only by the severity of degenerative lesions in the cervical spine but also by the changes in their psychoemotional sphere.

[Application of peloidotherapy at the early stage of rehabilitation after cerebral ischemic stroke].

The objective of the present study was to evaluate clinical efficiency of peloidotherapy in the early reconvalescence period following cerebral ischemic stroke. A rationale for the application of peloidotherapy is presented based on the results of follow-up of 60 patients (26 men and 34 women) aged from 43 to 70 years at the early stage of recovery (within 10 weeks and more after stroke). Special attention was given to clinical dynamics of the post-stroke condition and the influence of peloidotherapy on the mechanisms underlying formation of cerebral hemodynamic effects, adaptive changes in the functional systems of hemostasis and microcirculation, and development of pathophysiological cascade of metabolic processes in the brain. All therapeutic procedures were fairly well tolerated by the patients. Neither allergic reactions nor other adverse effects of the treatment were documented which testifies to the safety of peloidotherapy at the early stage of rehabilitation after cerebral ischemic stroke.

[New technologies of neurometabolic therapy of cerebrovascular diseases].

A purpose of the present research was the development of new treatment technologies for patients with cerebrovascular diseases by the complex application of medical physical factors directed to the correction of brain metabolism. An application of electrophoresis of mexidol and dimephosphon in the treatment of 80 patients with cerebrovascular diseases is substantiated. The clinical dynamics and effect of electrophoresis of mexidol and dimephosphon as a monotherapy as well as in combination with variable magnetic field and darsonvalization on mechanisms of electrophysiological processes, ways of formation of cerebral hemodynamic effects and adaptation in the functional systems of homeostasis and microcirculation and on the pathophysiological cascade of brain metabolism in single/serial applications were studied.

[Laser therapy and cryomassage in rehabilitation of patients with facial nerve neuropathy]. / Lazeroterapiia i kriomassazh v vosstanovitel'nom lechenii bol'nykh s nevropatiei litsevogo nerva.

Cryomassage and its combination with low-intensity infra-red laser radiation have been introduced as a novel treatment of facial nerve neuropathy (FNN) in 32 patients. Electrophysiological investigations (facial thermography, classical electrodiagnosis, electromyography of the mimic muscles) and clinical data including those of long-term follow-up show that neither cryomassage nor infra-red laser radiation studied promote transformation of facial tissues in FNN patients. Use of the above factors is effective in a preclinical stage of forming contracture of the mimic muscles. Special techniques of application of local hypothermia and laser radiation can be used in multimodality treatment of both the established contracture and sluggish paresis of the facial muscles.