THE USE OF MUSCLE RELAXANTS IN COMPLEX REHABILITATION OF CHILDREN WITH SPASTIC-DYSKINETIC FORMS OF CEREBRAL PALSY


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The article considers the mechanisms of action of two muscle relaxants - botulinum toxin type A (BoTN-A) and baclofen, and analyzes their effectiveness in complex rehabilitation of children with spastic-dyskinetic forms of infantile cerebral palsy (ICP). It was noted that BoTN-A is the most effective drug for correcting motor disorders in this category of patients. The following conclusion is made: in complex rehabilitation, muscle relaxants of peripheral (BTTA) and central (baclofen) actions can have a positive effect on the development of motor functions in children with spastic-dyskinetic forms of cerebral palsy; however, the use of botulinotherapy allows accelerating the formation of motor skills, improving coordination and posture, and preventing occurrence of secondary biomechanical complications in severe motor disorders.

Full Text

Restricted Access

About the authors

O. N Berdina

FSPSI “Scientific Center for Family Health and Human Reproduction Problems"

Email: goodnight_84@mail.ru
PhD, Leading Researcher at the Laboratory of Pediatrics and Neurophysiology Irkutsk

V. I Mikhnovich

FSPSI “Scientific Center for Family Health and Human Reproduction Problems"

Irkutsk

T. A Belogorova

FSPSI “Scientific Center for Family Health and Human Reproduction Problems"

Irkutsk

S. E Bolshakova

FSPSI “Scientific Center for Family Health and Human Reproduction Problems"

Irkutsk

L. V Rychkova

FSPSI “Scientific Center for Family Health and Human Reproduction Problems"

Irkutsk

References

  1. Долгих В.В., Рычкова Л.В., Мандзяк Т.В. Состояние здоровья детского населения в связи с сочетанным воздействием факторов окружающей среды. Вопр. современ. педиатрии. 2005;4(Suppl. 1):154.
  2. Колесникова Л.И., Долгих В.В., Дзятковская Е.Н., Поляков В.М. Особенности психосоматического статуса у детей дошкольного и школьного возраста. Сибирский науч. мед. журн. 2003;23(2):17-23.
  3. Amirsalari S., Dalvand H., Dehghan L., Feizy A., Hosseini S.A., Shamsoddini A. The efficacy of botulinum toxin type A injection in the hamstring and calf muscles with and without serial foot casting in gait improvement in children with cerebral palsy. Tehran. Univ. Med. J. 2011;69(5098):517.
  4. Shamsoddini A., Amirsalari S., Hollisaz M.T., Rahimnia A., Khatibi-Aghda A. Management of spasticity in children with cerebral palsy. Iran. J. Pediatr. 2014;24(4):345-51.
  5. Aisen M.L., Kerkovich D., Mast J., Mulroy S., Wren T.A., Kay R.M., et al. Cerebral palsy: clinical care and neurological rehabilitation. Lancet. Neurol. 2011;10(9):844-52.
  6. Shikako-Thomas K., Dahan-Oliel N., Shevell M., Law M., Birnbaum R., Rosenbaum P., et al. Play and be happy? Leisure participation and quality of life in school-aged children with cerebral palsy. Int. J. Pediatr 2012; ID 387280:1-7.
  7. Colver A., Rapp M., Eisemann N., Ehlinger V., Thyen U., Dickinson H.O., et al. Self-reported quality of life of adolescents with cerebral palsy: a cross-sectional and longitudinal analysis. Lancet. 2015;385:705-16.
  8. Куренков А.Л., Бургасова Б.И., Кузенкова Л.М., Намазова-Баранова Л.С. Что такое ДЦП диалог врача с пациентом. М., 2013. 20 с.
  9. Heinen E., Desloovere K., Schroeder A.S., et al. The updated European Con-sensus 2009 on the use of Botulinum toxin for children with cerebral palsy. Eur. J. Pediatr. Neurol. 2010;14:45-66

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2017 Bionika Media

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies