O.N. Berdina, V.I. Mikhnovich, T.A. Belogorova, N.Ya. Dutova, T.V. Taskaeva, A.V. Vlasenko, O.V. Bugun, L.V. RychkovaScientific Center for Family Health and Human Reproduction Problems, Irkutsk, Russia
Background. The atonic-astatic form of infantile cerebral palsy (ICP) is quite rare, but represents a serious problem in modern pediatrics due to the difficulty of curability.
Objective. The evaluation and comparison of the effectiveness of the combined use of kinesio taping (KT) with robot-assisted training sessions and the standard neurorehabilitation scheme with robot-assisted mechanotherapy against the background of pharmacotherapy in children with atonic-astatic form of ICP.
Methods. An open, prospective, nonrandomized comparative study included children with the atonic-astatic form of ICP. Patients were consistently included in the main or control group with the appointment of neurometabolic and non-drug therapy (massage, exercise therapy, physiotherapy, robot-assisted training on the «MOTOmedgracile12» apparatus). In patients of the main group, KT of the muscles of the lower limbs was additionally used. The duration of treatment was 10 days. The effectiveness of the therapeutic measures was evaluated using MRC Muscle Strength Scale, visual and palpatory determination of muscle tone, and parents’ questionnaire for registration of improved and/or new motor skills. A p value of <0.05 was considered statistically significant.
Results. The study included 30 patients (main group, n=15; control group, n=15), mean age – 6.75±3.34 years, 73.3% boys. The groups were matched by gender, age and degree of motor impairment (according to the GMFCS and MRS classifications). After completion of the course of neurorehabilitation, an increase in muscle strength and tone was observed in 12 patients of the main group and 5 patients of control group (p=0.031); improvement of support function – in 14 (appearance – in 1) and 5 (p=0.023), and improvement of the walking pattern – in 10 (appearance – in 1) and 3 patients (p=0.036), respectively.
Conclusion. The use of KT significantly increases the success of robot-assisted training sessions, exercise therapy and massage therapy against the pharmacotherapy, improves the self-maintenance and socialization of a disabled child, which in turn increases the medical and economic effectiveness of neurorehabilitation measures and improves the quality of life of patients with atonic-astatic form of ICP.
For citations: Berdina O.N., Mikhnovich V.I., Belogorova T.A., Dutova N.Ya., Taskaeva T.V., Vlasenko A.V., Bugun O.V., Rychkova L.V. The use of kinesio taping in the comprehensive rehabilitation of children with atonic-astatic form of infantile cerebral palsy. Farmateka. 2019;26(10):59–65. (in Russian). DOI: https://dx.doi.org/10.18565/pharmateca.2019.10.59-65
Corresponding author: Olga N. Berdina, PhD, Leading Researcher at the Laboratory of Pediatrics and Neurophysiology, Scientific Center for Family Health and Human Reproduction Problems, Irkutsk, Russia; tel/fax: +7(3952)20-76-36, e-mail: firstname.lastname@example.org; eLibrary SPIN: 4280-7010
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