[Efficiency of the differentiated use of physiobalneotherapy for borderline mental disorders in mothers of children with cerebral palsy]. / Éffektivnost' differentsirovannogo primeneniia fiziobal'neoterapii pri pogranichnykh psikhicheskikh rasstroistvakh u materei detei c tserebral'nym paralichom.

BACKGROUND: Child disability, especially as a result of nervous system diseases, affects all aspects of family life, causing extreme emotional and physical exhaustion in parents. However, today there is not enough scientific evidence on the features of development of nonpsychotic mental disorders in parents raising children with cerebral palsy and on the possibilities of using modern physiotherapy methods to correct these conditions and comorbidities. Considering that sanatorium-resort rehabilitation in children with cerebral palsy is accompanied by their parents, it is urgent to optimize clinical and functional approaches to treating mothers with borderline mental disorders with the simultaneous rehabilitation of children in sanatorium-resort conditions. AIM: To study the efficiency of sanatorium-resort treatment aimed at the psychological correction of mothers accompanying children with cerebral palsy to a sanatorium. MATERIAL AND METHODS: The study enrolled 151 mothers who had borderline mental disorders and raised children with cerebral palsy. A study group included 103 women aged 33.2±0.6 years; a comparison group consisted of 48 mothers aged 31.8±0.5 years. The examination was conducted before sanatorium-resort treatment and after a therapy cycle. The mothers underwent clinical and psychodiagnostic examinations via the standardized Minnesota Multiphasic Personality Inventory (a short form) MMPI-mini (adapted by L.N. Sobchik, 2000); emotional and motivational sphere study the WAM (well-being, activity, mood) questionnaire, the Spielberger-Khanin Inventory, and the Depression Rating Scale (adapted by T.I. Balashova). The patients of both groups received combination treatment: the comparison group (n=48) had a general sanatorium-resort therapeutic complex and group psychotherapy; the study group (n=103) additionally took valerian-bromine baths based on sodium chloride water with a mineralization of 20 g/dm3), and a transcranial magnetic therapy cycle. RESULTS: The general sanatorium-and-resort complex with psychotherapy predominantly affected the quality of night sleep (p<0.01) and reduced personality disorders according to the hypochondria scale (from 74.60±7.52 to 52.91±4.04 scores, p<0.01). The additional use of transcranial magnetic therapy and valerian-bromine baths based on sodium chloride water in the mothers had a psychocorrecting effect recorded according to basic (hysteria, psychopathy, psychasthenia) scales. Reduced depression was noted in 36.4% of the mothers (7% in the comparison group). CONCLUSION: Transcranial magnetic therapy used in combination with valerian-bromine baths based on sodium chloride water and with psychotherapy in mothers with borderline mental disorders, by taking into account psychological dysregulation, contributed to increases in the body's clinical and functional reserves within 6-8 months and to the preservation of psychological adaptation in 54.7% of cases. Incorporation of a maternal psychocorrective complex into the sanatorium-resort treatment of a child with cerebral palsy is a promising method for improving the quality of treatment outcomes in a sanatorium.

[Sanatorium-health resort treatment in the correction of the functional disorders in children with cardiovascular pathology who live in a large industrial city]. / Sanatorno-kurortnoe lechenie v korrektsii funktsional'nykh narushenii u detei s serdechno-sosudistoi patologiei, prozhivaiushchikh v krupnom promyshlennom gorode.

The incidence rate of functional disorders in the cardiovascular system as well as in the vegetative nervous system was found out to be on the increase in those children with cardial pathology residing in a large industrial centre. Sanatorium-health resort treatment was noted to make for improvement of vegetative regulation of the cardiac activity, enhancement of compensatory-and-adaptive potentialities of the organism, which facts warrant a wider use of health resorts in the rehabilitative treatment of children experiencing additional environmental loads of a large industrial centre.

[The sanatorium-health resort treatment of children with thyroid hyperplasia]. / Sanatorno-kurortnoe lechenie detei s giperplaziei shchitovidnoi zhelezy.

A favourable effect of sanatorium treatment on the key body functions was found in children with thyroid hyperplasia consequent to environmental pollution due to Chernobyl accident. It is emphasized that balneofactors in the above children should be used in sparing regimens.

[The optimization of the sanatorium-health resort treatment of children with cardiovascular diseases]. / Optimizatsiia sanatorno-kurortnogo lecheniia detei s serdechno-sosudistymi zabolevaniiami.

Functional systemic changes as compared to pretreatment characteristics served criteria of adaptation in children suffering from cardiovascular diseases. A load test with a single balneological procedure was used. Adaptation and compensation response proved useful as individual test loads to make therapy most efficient.

[The action of sanatorium-health resort treatment on autonomic endocrine regulation in children with functional changes in cardiac activity]. / Deistvie sanatorno-kurortnogo lecheniia na sostoianie vegetativno-éndokrinnoi reguliatsii u detei s funktsional'nymi izmeneniiami serdechnoi deiatel'nosti.

During sanatorium treatment children with cardiac disturbances developed equilibrium between adrenergic and cholinergic effects on cardiac activity. Vegetative dysfunctions declined. There was a positive trend in glucocorticoid and thyroid conditions. Individual application regimens of mud and galvanic mud therapy have been designed basing on changes in the vegeto-endocrine status.