Vol 14, No 6 (2015)

The article is devoted to actual medical and social problem - the development of new diagnostic technologies for individualized assessment, monitoring of the functional body state and improvement the rehabilitation effectiveness of children with disabilities. The results and effectiveness of using personalized diagnosis of cerebral metabolism in the children with disabilities are shown. The study was conducted in the State Center for Rehabilitation of the children with disabilities «Correction and development», Astrakhan Region. The study included 64 patients (from 4 to 14 years old with symptoms of cognitive and behavioral disorders). The children were divided into 5 groups; each group received the treatment - monotherapy or a course of physical therapy for 10 days (hypoxic therapy or DENAS-therapy). The necessity of taking into account the level of cerebral metabolism in the appointment of drugs and physical therapy to improve the effectiveness of rehabilitation of children is shown in the article. Nootropic drugs with neuroprotective effect are recommended to patients, suffered from the phenomena of brain hypoxia with the reduction of energy. The drugs and physical therapy with antioxidant effect are recommended for children with disabilities, suffered from brain hypoxia and increased cerebral metabolism.

In the last decade there has been a steady increase in the number of children with disorders of the nervous system. Up to 70% of the child's disability and impaired social adaptation of children and adolescents associated with damage to the nervous system in the perinatal period. In this regard, the issue of early rehabilitation of children becomes a priority. Medical rehabilitation of children with perinatal encephalopathy is based on the following principles: early correction, individualization of treatment and rehabilitation actions; consider the nature and severity of the main and concomitant pathology, the degree of maturity of the child; the integrated use of various means of rehabilitation, phasing, continuity when carrying out rehabilitation; the close interaction of physicians with the family of a sick child at all stages of treatment and rehabilitation. Among the important tasks of medical rehabilitation in children is to improve blood circulation and metabolism in cerebral tissue, neuromuscular conduction, normalization of the Central and peripheral regulation of muscle tone. To perform these tasks using the following methods of physiotherapy: sinusoidal modulated currents, galvanization, electrophoresis, alternating magnetic field, paraffin baths, mineral and medicinal baths. At the present time, scientifically substantiated and proposed for inclusion in the complex medical rehabilitation of children with perinatal lesions of the Central nervous system innovative technology: structural - resonance therapy, polarized light. The importance of rehabilitation of children with perinatal pathology has kinesitherapy: medical massage, medical gymnastics, treatment by "position" (laying, splints, "collars", etc.), therapy Vojta; fitball - gymnastics, the thin finger training, exercise in water; dry immersion (simulated weightlessness); using cots "Saturn" (effect of weightlessness and vibratory); "dry pool", homeopathy, music therapy, methods of psycho-pedagogical correction. Thus, modern non-drug technologies are widely introduced in the program of medical rehabilitation of children with perinatal pathology, reduce pill burden, improve overall treatment efficiency.

Development of medical rehabilitation of the landmark health care system of children with spinal dizrafizmom is an important and urgent task of Pediatrics. Spinal dizrafizm accompanied by flaccid paresis or paralysis of the lower limbs, as well as violation of the pelvic organs. In most cases, there are a variety of foot deformities, uncommon congenital hip dislocation. Basic principles of medical rehabilitation of children with spinal dizrafizmom include: early start of rehabilitation measures, subject to phasing and continuity, the development of individual rehabilitation programs. Medical rehabilitation of children is carried out on stationary and outpatient stages to include physical factors, means physical therapy and other methods, carried out in medical institutions multidisciplinary team of specialists with higher and secondary medical education, with appropriate training. Medical rehabilitation begins immediately after surgical treatment in intensive care units and specialized offices. In the first stage a great attention is paid to the correction of pelvic disorders. For this purpose, administered electrostimulation, iontophoresis, magnetic, depending on the type of neurogenic bladder dysfunction. The efficiency of magnetic stimulation in children with areflektornym bladder. The second stage of medical rehabilitation is performed in rehabilitation departments and medical rehabilitation centers, aimed at correction of motor disorders. Along with the hardware physiotherapy recent years actively introducing modern technology exercise therapy. The third stage of medical rehabilitation is the longest, conducted in outpatient and includes a variety of health technologies, such as aeroionotherapy, halotherapy, balneotherapy, mud therapy. Thus, currently under development - stage system of medical rehabilitation of children with spinal dizrafizmom, introduction of modern medical rehabilitation technologies that have an impact on various pathogenetic links of the disease and improve their quality of life.

The article is devoted to topical issues of the use of magnetic therapy in pediatric practice. Magnetic therapy - a method based on the use of a preventive, curative and rehabilitative purpose of various types of magnetic fields. Magnetic fields are among the most physiological, benign and easily portable physical factors. At present ongoing research on the scientific rationale for the use of various types of magnetic fields in pediatrics (alternating, rotating, running, impulse, pulsing), expanded age range. There were opportunities to influence the magnetic field in a gentle pulse mode, which is extremely important for pediatrics due to the reduction of energy load. The advantages of pulsed magnetic therapy is the possibility of a wider variation of dosimetric parameters impact on the availability of a more deep - seated organs and tissues, more pronounced specificity and physiological influence. Established therapeutic efficacy of pulsed magnetic therapy in traumatic injuries of extremities and scoliosis in children. At present, scientifically grounded the possibility of applying high - intensity pulsed magnetic therapy, that has a stimulating effect on the neuromuscular system in patients with chronic constipation, enuresis, neurogenic bladder dysfunction in children. The expediency of integration of magnetic stimulation in complex regenerative treatment in children operated on for scoliosis III - IV degree was found. One of the important areas of modern magnetic therapy is to study the phoretic properties of magnetic fields. Magnetophoresis - is the combined use of magnetic fields and drugs. Magnetic fields accelerate the diffusion processes, improve the epithelial and vascular permeability, increase the bioavailability of drugs. Methods of transcranial magnetic therapy in pediatrics require further scientific substantiation. A new area of children's physiotherapy is to study the possibility of using a common low - intensity magnetic therapy in pediatrics. However, you need to study the optimal parameters biotropic total magnetic therapy in pediatrics from the standpoint of evidence - based medicine. Latest research on use in children of various combined and the combined effects of magnetic fields. We need to study the optimal parameters of total magnetic therapy in pediatrics from the standpoint of evidence - based medicine. Research on the use of various combined magnetic fields in children are relevant.

Among the natural healing factors important place belongs to bio-climatic resources, which are present at each resort, regardless of their profile. Turning climatotherapy methods in medical and rehabilitation programs have a positive impact on the psycho - emotional state, contribute to the back - up capacity and nonspecific resistance. One of the basic conditions for the effective application of climatic factors in the prevention, treatment and rehabilitation is the knowledge of the physiological mechanisms of their action on the body, as the impact of climate and weather cause responses. For rational and scientifically sound assessment of the use of climate - needed weather conditions derived from meteopoint or modern medical and meteorological systems that monitor weather conditions in real time. Perform automated medical-meteorological monitoring micro - climatic conditions of the territory of a sanatorium complex "Vulan" (Gelendzhik) allowed us to determine bioclimatic potential and the most comfortable weather conditions aerotherapy (air bath) and heliotherapy (sun baths) in the seasonal aspect. In this work the first time, on the basis of automated medical - meteorological monitoring of the main meteorological parameters in the 10 - minute mode of the 8 major periods of observation defined repeatability of comfortable conditions in the seasonal aspect of the assessment of thermal and radiation regime that allowed the inclusion of a sanatorium in the program the treatment of children suffering from bronchial asthma, klimato procedure determine the comfort zone and the most favorable timing for climate. Application climatotherapy improves the functional condition of the body after a spa treatment and improve the body's tolerance to external adverse factors. Complex use klimatotherapeutic factors in the sanatorium treatment of children with asthma, significantly reduced the number of exacerbations caused by the weather and promote positive changes in the structure of the manifestations meteosensitivity.

Task of this review is synthesis of the data on a current state of cryotherapy published in scientific literature. Mechanisms of action of low temperatures on a human body are stated, clinical effects of cryotherapy are presented. Results of clinical supervision at application of cryomassage and a modern naprvleniye of cryoimpact on the patient - local air cryotherapy at treatment of various diseases at adults and children are given in the review. The special place in the presented material is allocated for a statement of new technologies of cryotherapy in pediatrics.

Investigated women’s group (150 patients) ranging in age from 47 to 57 years: 50 - with a mild climacteric syndrome, 50 - with an average degree of gravity, 50 - with severe. Patients were prescribed 10 sessions of ozone therapy by the method of parenteral administration of ozonized physiological solution. The results of the study showed that ozone therapy used in the treatment of climacteric syndrome, has a direct positive effect on the clinical picture of this disease. The treatment of women with climacteric syndrome, regardless of its severity with the use of the ozonized solution is highly effective and can be used as an alternative therapy medicines in women premenopausal and menopausal age.

Indicators of free radical oxidation and antioxidant system of protection of an organism at 176 adult not aboriginals of Khanty-Mansiysk Autonomous Region are studied (middle age - 39,6±11,2 g). It is established that average values of indicators of free radical oxidation (GPL and TBK) appeared above physiologically optimum sizes, and indicators of antioxidant system of protection (OAA, vitamin E, selenium) - below. The revealed considerable direct correlation connections between vitamin E and OAA (r=0,624) and Se and OAA (r=0,596) and the return strong interrelations between vitamin E and GPL ( - 0,737) and Se and GPL ( - 0,802) of adult not indigenous people of the North testify to possibility of increase of reserves of antioxidant protection of an organism by means of dietary supplements to food and the food enriched with these micronutrients.