Vol 16, No 3 (2017)

For the purpose of preservation and promotion of health of children creation of qualitative and effective system of recovery and sanatorium treatment is necessary. Data on the organization of sanatorium treatment of children in the city of Moscow, problems of standard and legal regulation of activity of the children’s sanatorium organizations are presented in article, the analysis of incidence of children in the city of Moscow and rendering sanatorium treatment to them in sanatoria of Department of health care of the city of Moscow is carried out. Urgent tasks of development of service of sanatorium treatment of children in the city of Moscow are defined.

The aim of the research: evaluation of the effectiveness of integrated medical rehabilitation in treatment of pathologically movable kidney in children with idiopathic scoliosis. Materials and methods. The effectiveness of treatment of 94 % of patients with idiopathic scoliosis and diagnosed pathological kidney mobility of varying degrees is analyzed. The main group consisted of 52 patients with three-dimensional deformation of the spinal column. The comlex treatment of these patients included a number of procedures aimed at correction of deviations in the state of urinary system. The comparison group included 42 patients with similar topographical disorders who hadn’t been treated in the suggested way. Complexes of physiotherapy, kinesitherapy and mechanical treatment were used. The state of kidneys was tested by ultrasound in both groups. For the criteria of improvement indicators of displaceability were used: for nephroptosis - 1,9 % - 2,9 %; for pathological mobility - up to 1,8 %. Results. The decrease of pathological mobility of kidneys in the patients with idiopathic scoliosis was observed in 73 % in the main group and in 14,3 % in the comparison group. Conclusion. Complex treatment of children with scoliosis should be carried out according to a special programme of medical rehabilitation taking into account disturbances in kidney topography.

It describes the phenomenon of heart damage in cases when children and adolescents falling from height. Symptoms of changes are identified as postcontusion myocardial syndrome (PCMS). The algorithms of pathogenetic treatment PCMS are described.

Purpose of the study: The purpose of research: to develop optimally differentiated therapeutic complexes sanatorium rehabilitation of children with cardiac pathology in order to increase the effectiveness of treatment, depending on the nature of the problem and the degree of hemodynamic disturbances. Material and Methods. To solve the problems we have analyzed the clinical and functional parameters of 43 children with CHD non-operated, with atrial defect (ASD) and ventricular septal (VSD) treated in the sanatorium "Anniversary" and "The Seagull" Gelilovichey name. Analysis: complain, objective data with the assessment of physical development and cardiac status. Estimated cardiorespiratory system (ECG data spirography), the state of central and peripheral hemodynamics (according to TRG, PKG, REG, RVG), the functional reserves of cardiovascular system (according to the CPC, CIG with an estimate of autonomic tone and autonomic reactivity), state simpatoadrenalovoj system (content of catecholamine hormones in the urine). The studies were conducted twice: before and after spa treatment. Method of treatment: for electrosleep orbito-occipital procedure with a frequency of 5-10 Hz pulse rising to 15 Hz, a current intensity of 0.5 mA lasting treatments from 15 to 30 minutes. Children from 11 years duration was increased to 45 minutes. Treatments received daily, number 8. Results. The studiesin the majority of children notoperate congenital heart in fringements indicators cardiohemodynamics, respiratory and autonomic nervous systems simpatoadrenalovoj. On the basis of the results developed indications for differentiated use of preformed physical factors (electrosleep procedures orbito-occipital technique) depending on the initial state of clinical and functional parameters in the complex sanatorium rehabilitation of children with congenital not operate heart defects (a defect atrial and ventricular septal). Conclusion. Conducted clinical and functional studies of children with not operate congenital heart disease identified violations cardiohemodynamics indicators, respiratory and autonomic nervous systems simpatoadrenalovoj the majority of patients. Under the influence of the complex spa treatment using the method electrosleep observed favorable dynamics of the phase structure of the left ventricular systole, autonomic reactivity in patients with atrial septal defect, indicating an improvement of adaptation and compensatory possibilities. In patients with ventricular septal defect had improved central hemodynamics indicators IOC data, CRM, UPS, automatism and conduction function and ECG data.

The article deals with the issues of the scientific substantiation and effectiveness of the combined effect of conduction cryotherapy and percutaneous electroneurostimulation in children with chronic constipation. Clinical and functional studies were conducted in 120 children aged 2 to 18 years. According to the results of the research, it has been established that the use of combined effects of conduction cryotherapy and percutaneous electroneurostimulation-cryoelectronic neurostimulation improves the effectiveness of treatment of children with chronic constipation in comparison with patients who received separate effects from each of the physical factors and children of the control group. During the study, data were obtained on the beneficial effect of physical factors on the indices of the functional state of the colon (anorectal profilometry) and bioelectric brain processes (electroencephalography). The obtained results allow to substantiate the possibility and necessity to recommend methods of conduction cryotherapy and cryoelectronic neurostimulation to the program of medical rehabilitation of children with chronic constipation.

This article is devoted to the complex application of new technologies for medical rehabilitation of children suffering from cystic fibrosis. Cystic fibrosis is a hereditary disease characterized by clinical polymorphism, early disability and short life expectancy of patients, requiring continuous medical and rehabilitation measures aimed at improving drainage function of the bronchi and evacuation of sputum. At present, research on the scientific substantiation of new technologies for medical rehabilitation of such patients continues. One of the important areas of modern physiotherapy is the development of combined effects that increase the effectiveness of treatment by enhancing the synergistic components of the mechanism of therapeutic action. Based on the conducted studies, high efficiency of complex application of pulsed low-frequency electrostatic field and flutter therapy in medical rehabilitation of children suffering from cystic fibrosis is established. Based on the studies carried out, the effectiveness of the complex application of a pulsed low-frequency electrostatic field and flutter therapy in the medical rehabilitation of children with cystic fibrosis was studied. The analysis revealed a high therapeutic efficiency of the complex application of pulsed low-frequency electrostatic field and flutter therapy in the medical rehabilitation of children suffering from cystic fibrosis. The inclusion of a complex application of pulsed low-frequency electrostatic field and flutter therapy in the medical rehabilitation of children with cystic fibrosis has a beneficial effect on the clinical symptoms of the disease (improves the drainage function of the bronchi, promotes a change in the sputum character, reduces auscultatory changes in the lungs), significantly increases the chest excursion in Such patients, improves bronchial patency at the level of central and peripheral bronchi, reduces the degree of hypoxemia.

One of the most significant problems during the sanatorium treatment of children with cerebral palsy is the epilepsy. The aim of our study was to assess the risk of epilepsy in children with cerebral palsy during sanatorium treatment. The study involved 170 children with cerebral palsy of varying severity on GMFCS. Among the surveyed children with cerebral palsy in 96 (56.5%) patients were indications of epilepsy. In children with different levels of GMFCS identified differences in the degree of severity of epilepsy. The EEG of children with cerebral palsy epileptiform activity reported in 113 (66.4%) persons. After treatment in the EEG were detected amplification of epileptiform changes in the majority of children with cerebral palsy. The dependence of the severity of motor disorders and the risk of developing epilepsy during sanatorium treatment.

The need for a comprehensive study of craniocerebral injuries due not only to increased frequency and prevalence in children and adolescents, but also the formation in most cases, the current process traumatic or aggravation of the residual organic changes in the brain that often leads to disability, as most (63,0-75,0%) children with craniocerebral injury, in the future, there are different syndromes of a distant period, and with approximately 20,0% of the victims in the future cannot proceed to a normal school, which sometimes leads to socio-educational, and then and labor maladjustment. The analysis of the nervous system on the Statute of limitations injuries have 183 children. The results of these studies showed that children with consequences of craniocerebral trauma there comes quite a long recovery period revealed differences in clinical and functional indicators depending on the type of the injury suffered and the period of its limitations.