EFFECTIVE POSSIBILITIES OF APPLICATION OF THE ROBOT-ASSISTED BIOMECHANOTHERAPY IN REHABILITATION OF PATIENTS WITH INFANTILE CEREBRAL PALSY

Objective: to determine the possibility of more effective correction of motor disorders in patients with infantile cerebral palsy (ICP) due to the use of robot-assisted biomechanotherapy in the complex rehabilitation of children with motor disorders against the background of standard pharmacological therapy, massage, and exercise therapy. Methods. The study included 30 ICP patients aged 2 to 14 years, matched by sex, age, and degree of motor disorders, among which 17 (56.67%) boys and 13 (43.34%) girls matched by sex, age and degree of motor disorders. After the initial examination, including clinical and anamnestic study, all patients were divided into two groups according to the «case-pair» principle. Each group included 15 children. Patients in both groups received the same complex pharmacological and non-drug treatment: intramuscular cerebrolysin at a daily dose of 0.1-0.2 ml/kg once a day, oral Elcar at a daily dose of 100-300 mg 3 times a day, Vermel electrophoresis with bromide sodium, exercise therapy, massage. In addition to the standard pharmacological therapy, physiotherapy and exercise therapy, patients in main group were assigned to training sessions on the robot-assisted COBS/MOTOmed system. The course of treatment in both groups was 10 days. Results. It was noted that the introduction of a training course on the COBS/MOTOmed system in a rehabilitation complex for ICP children had a positive effect on the rehabilitation potential. Conclusion. The results of the study allow to conclude that the use of robot-assisted biomechanics against the background of pharmacological therapy, massage and exercise therapy in the complex rehabilitation of children with motor disorders makes it possible to achive a more effective correction of motor disorders in ICP patients and, as a consequence, to improve the quality of life.

children, robot-assisted biomechanics, infantile cerebral palsy, rehabilitation