Vol 15, No 6 (2016)

The analysis of classical and modern sources of literature confirms pathogenetically reasonable possibility of use of polychromatic polarized light in pediatrics. Data of the given results of scientific researches record beneficial influence of the polychromatic polarized light on the clinical course of pyoinflammatory diseases of a skin, on immunologic and reparative processes in the postoperative period of newborns. Changes in skin result in concentration of biologically active agents in a systemic blood flow that promotes realization of therapeutic effects of the polychromatic polarized light at such diseases as atopic dermatitis, bronchitis, bronchial asthma, neurogenic dysfunction of a bladder, traumatic damages of extremities, on a clinic-functional condition of sickly children. In order to optimize therapeutic effects of polarized light special color filters , allowing the device to generate a narrowband portion of the visible spectrum while maintaining the polarization effect, have been developed. As a result of the research was revealed, that courses of a monochromatic polarized light application contributes to the pronounced regression of symptoms of acute respiratory disease, reduce the frequency of recurrent acute respiratory diseases. A significant reduction in the severity of clinical symptoms, improvement of bronchial passability in children with bronchitis, bronchial asthma was found under the influence of a monochromatic polarized light. Biologically positive effects of monochromatic polarized light are reflected in the elimination of itching, soak and elimination of hotbeds of inflammation in children with atopic dermatitis.

Objectives: to evaluate the efficiency of peripheral nerve neurostimulation for enhancement of the movement rehabilitation in children with cerebral palsy (CP). Device: The electrolingual stimulation was performed by portable neurostimulation device (PoNS). The device delivers electrical impulses through the matrix of 143 flat golden electrodes to the frontal part of the tongue surface. Design: The unblinded pilot controlled trial with a quasi-randomized design. Measures occurred before and after ten days of training. Setting: Sankt Petersburg City Clinic №40. Method: Sixty-five (65) children with CP, who had Gross Motor Function Classification Scores (GMFCS) that ranged from II-IV, age from 3 to 13 years, participated in 10 days of standard physical therapy and movement control training. Active group (n=45) received an additional 20-25 minutes neurostimulation that was performed once a day. The primary outcome measure was scored in three different tests: Ashworth Scale (spasticity), Berg Scale (balance) and GMFCS (general motor control). The secondary measures were the preferred walking speed, step length, lower extremity strength, quality of life. Results: The noninvasive electrolingual neurostimulation, indeed, facilitate and reinforce the efficiency of standard physical therapy. We found statistically significant difference between active and control groups in spasticity of the lower limbs and gross motor functions. The positive changes in quality of life, cognitive functions, and social status were also observed. Conclusions: These preliminary findings support the use of noninvasive electrolingual stimulation for enhancement and facilitation of standard physical therapy for cerebral palsy children. The use of PoNS device can improve the motor control of children with CP.

The purpose of study: the aim of this work was the comparative analysis of these subjective and objective methods in 74 children with chronic tonsillitis and in 106 children with recurrent bronchitis under the influence of complex sanatorium rehabilitation treatment, including aerophytotherapy with the use of some essential oils of plants. Materials and Methods. In terms of children's health resorts of Evpatoria resort, mainly in spring and autumn the seasons of the year, surveyed 180 children aged 9 to 15 years (boys and girls equally), including 74 with chronic compensated tonsillitis and 106 with recurrent bronchitis. Aerophytotherapy with essential oils of plants (5-6 procedures) was performed in 104 children based on psychological testing and the features of autonomic regulation. Survey methods: assessment of subjective state, peripheral hemodynamics, spectral analysis of heart rate, electrocardiography (ECG), the test SAN, an evaluation of the estimated parameters of the "double works” (DP), adaptive reactions in hematological data and index for immunological resistance. Some of the children before and after rehabilitation therapies have identified indicators of spirography, held psychological test definition of anxiety by the method of CMAS, indicators of fatigue, anxiety and comfort by test TDSFS Doskina. For the objectification of the immediate results of restorative Spa treatment we have proposed a 5-point assessment of the effectiveness of the complexes of sanatorium-resort rehabilitation. Complex restorative treatment included gently-toning sanatorium climatic and motor regime, physical therapy, respectively nosology - massage the neck region or thorax (No. 10), all children were held mud treatment with galvanic current the submandibular lymph nodes or interscapular region (No. 10). 26 children with chronic tonsillitis received a course of sodium chloride baths (10 g/l, 36-37°С, 12-15 minutes, daily, No. 9), 25 children with recurrent bronchitis - salt therapy in the salt chamber in the first mode (No. 10) . In 27 children with chronic tonsillitis and 28 with recurrent bronchitis used lemon essential oil, 21 of the child - essential oil of fir, 28 children with recurrent bronchitis were used E. oil of eucalyptus, which has antiseptic activity. The Results. In children with chronic tonsillitis after applying lemon essential oil improved the performance of autonomic regulation and ECG according to test SAN 12.2% improved well-being; under the influence of the essential oil of fir marked tension regulation at the tissue level and the level of the metabolism and 6.3% improved activity according to the test SAN. Against the average level of functional reserves of the cardiovascular system the most pronounced positive changes of peripheral hemodynamics was observed under the influence of E. oil of lemon. In children with recurrent bronchitis under the influence of essential oil of lemon according veloergometry was a more economical indicator of aerobic provide of the body (largest of maximum oxygen consumption per unit body mass). In children with recurrent bronchitis after treatment, the increased fatigue and irritability moved from the average level in the low gradation level (under the influence of essential oil of lemon and eucalyptus essential oil), but the initial average level of anxiety remained virtually unchanged (in children without conduct of aerotherapy he reached high values moderate level). In children with recurrent bronchitis immediate results of treatment were 3.3% higher when the E. oil of lemon or eucalyptus than without its use. Under the influence of aeropittura in half of the cases noted the high level of reactivity in children with the use of eucalyptus essential oil it was mainly average; the children remained adaptive response activation, mainly of high, characteristic for healthy children. Conclusion. Immediate results of sanatorium treatment was higher when performing basic sanogenetic shown complexes of sanatorium rehabilitation treatment in children with chronic tonsillitis galvanogryazelechenie and sodium chloride baths in children with recurrent bronchitis - galvanogryazelechenie and halotherapy (from the result of the "improvement”). In children with chronic tonsillitis the use of lemon essential oil in the aeropittura in the complex sanatorium treatment contributes to the effect on the regulation mechanisms of the cardiovascular system and improve psychological well-being indicator. In children with recurrent bronchitis treatment there are more economical changes in the indices of respiratory function and aerobic capacity in the application of the aeropittura with lemon essential oil. In children with chronic tonsillitis and recurrent bronchitis complexes of sanatorium-resort treatment of aerotherapy with essential oils of lemon and eucalyptus (with the closest result of sanatorium-resort treatment in the form of ”minor improvement”) can be choices.

The article describes the features of the application of modern preformed physical factors in pediatric gynecology, taking into account the peculiarities of development of the organism girls in different age groups - childhood, pre-pubertal, puberty, concomitant somatic pathology. The main stages of the use of physical therapy - prevention, therapy, medical rehabilitation; refined testimony kinds of factors, treatment appointment, methodological features of physiotherapy in relation to children’s gynecology; the sequence of destination and the need to dynamically monitor the girls in the course of treatment; the importance of evaluating the cardiovascular, nervous system, metabolism, psycho-emotional state for an adequate response to treatment. On the basis of research refined the methods of objective individual control over the body’s response to the intensity of physiotherapy effects: according leukogram - the ratio of lymphocytes and segmented neutrophils, lymphocytic index (LI) and nuclear index of neutrophils (NIN), vegetative index Kerdo, EcG and heart rate variability analysis (index of variability), electroencephalography and rheoencephalography, algometric parameters (numerical, verbal and rank, visual-analogue, or a combination thereof the scale, adapted for different ages of children), according to an eight Luscher’s test to assess the psycho-emotional status of patients.

Important benefit of the Crimean region is availability of fields of peloid and mineral water which are provided by silt sulphidic and sopochny mud. Data on a possibility of development of a pelotherapy on the basis of use of a number of fields of peloid are provided in the western and east regions of the Crimea. The methodology of application of peloid in conditions the balneopelotherapy of the resorts of Saky and Yevpatoria in complex sanatorium treatment is provided. One of the main directions of use of a pelotherapy are: enhancement of a range of technologies of a pelotherapy, continuation of researches of physical and chemical characteristics of natural medical resources of the Crimea of a limanno-valley and volcanic origin, fixed analysis of safety and rational use of medical salt lakes.

According to results of multiple researches it was strongly proved that the most efficient method of spasticity control at children with cerebral palsy (CP) is Botulinum toxin A (BTA). However, BTA usage has been limited by hesitations about BTA safety in children among Russian colleagues. Review of a wide range of foreign researches and our own results have given us a strong evidence of BTA safety and efficacy in treatment of children with cerebral palsy. In addition to a high grade of efficacy this could be the strong basis to include BTA on a regular basis as an important part of treatment of children and adolescents with cerebral palsy. That could help with improving of rehabilitative potential of patients with CP

Preservation and promotion of health of children is one of the urgent tasks facing the Moscow health care. For this purpose ensuring the advancing rates of development of medical rehabilitation of the population, including system of recovery and sanatorium treatment, palliative medical care, including children is necessary. In article data on the organization of medical rehabilitation and sanatorium treatment of children in the city of Moscow at all stages of medical rehabilitation are provided, the analysis of incidence of children and rendering medical rehabilitation to them in stationary, out-patient and polyclinic, sanatorium conditions is carried out. Tasks are determined by development of service of medical rehabilitation and sanatorium treatment of children in Moscow.

Locomotor apparatus injuries and congenital orthopaedic abnormality in children have stable trend to the growth and remain actual medico-social problem. Medical rehabilitation is of great significance due to possibility to prevent some complications provide a more favorable course and outcome. But really rendering of complex medical rehabilitation is considered to be a great problem, caused by insufficiently developed material and technical base of institutions for rehabilitation , deficiency of rehabilitation beds and skilled medical stuff. The work analyzes rehabilitation children care in the Novosibirsk region, as well as the results of the project on rendering of specialized traumatologic and orthopaedic care for children including mechanisms of the state-private partnership. Traumatologic and orthopaedic care for children is conducted as a closed (complete) cycle: specialized reception of children Orhtopaedic Trauma (policlinic)-specialized medical care (including high tech care) (surgery hospital ) - complex medical rehabilitation (ambulance, hospital, in follow-up care in specialized rehabilitation centers, spa treatment) - specialized reception of children Orthopaedic Trauma (policlinic). It allows to provide continuity at the stages of its rendering. The main trends of such care rendering to children are: timely detection-reliable diagnostics and definition indications for treatment -definition of time for treatment-rendering of specialized medical care (including high tech care) rehabilitation - dynamic observation.

Disability resulting from loss of vision, difficult social adaptation and are often the cause of reduced quality of life. Study of factors multimodal nature, affecting the process and mechanisms of social and psychological adaptation, and causing the quality of life of people with profound visual impairment, is the most important aspect for effective work aimed at medical and psychological rehabilitation and restoration of the lost functions of the visually impaired. This article describes the key risk factors, which may cause difficulties of life, reduce the quality of life and prevent social and psychological adaptation of persons with profound disabilities.