THE USE OF ROBOTIC MOTOR REHABILITATION IN COMPLEX TREATMENT OF SUBLUXATION AND DISLOCATION OF THE HIP IN CHILDREN WITH SEQUELAE OF SPINA BIFIDA

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The article presents the results of rehabilitation in children with sequelae of spina bifida using the robotic complex “Pediatric Lokomat” produced by «Hocoma» company (Switzerland). In such patients, one of the most significant orthopedic problems in frequency and clinical relevance is the instability of the hip joint. The approach to rehabilitation treatment in children after reconstructive surgery of the hip involves the principle “early motion - late weight bearing”. Conventional methods of rehabilitation treatment are performed in supine position, and don’t allow to combine this principle with training the skills of vertical posture, which leads to the development of osteoporosis and the risk of pathological fractures. Robotic mechanotherapy enables to cope with this problem by working in isokinetic mode with no load on the supporting surface.

作者简介

Stanislav Ivanov

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

Email: turner01@mail.ru
MD, research associate of the department of foot pathology, neuroorthopedics and systemic diseases

Vladimir Kenis

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

Email: kenis@mail.ru
MD, PhD, DMedSc, head of the department of foot pathology, neuroorthopedics and systemic diseases.

Galina Ikoeva

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation; NWSMU n. a. I. I. Mechnikov under the Ministry of Health of the Russian Federation

Email: ikoeva@inbox.ru
Chief of the department of motor rehabilitation; MD, PhD, assistant professor of the chair of pediatric neurology and neurosurgery.

Evgeniya Kochenova

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

MD, PhD student of the department of arthrogryposis.

参考

  1. Иванов С. В., Кенис В. М. Комплексное ортопедохирургическое лечение нестабильного тазобедренного сустава у детей с вялыми параличами. Материалы конгресса «Нейрореабилитация-2010». 2010. С. 9. [Ivanov S.V., Kenis V.M. Comprehensive orthopedic and surgical treatment of unstable hip in children with flaccid paralysis. Proceedings of the Congress «Neurorehabilitation 2010». 2010: 9.]
  2. Баиндурашвили А. Г., Кенис В. М., Иванов С. В., Икоева Г. А. Реабилитация детей с нейроортопедической патологией на этапах хирургического лечения с применением роботизированной механотерапии. Вестник восстановительной медицины. 2012 (2):57-60. [Baindurashvili A.G., Kenis V.M., Ivanov S.V., Ikoeva G.A. Rehabilitation of children with neuroorthopedic pathology at stages of surgical treatment with the use of robotic mechanical therapy. Bulletin of regenerative medicine. 2012;(2):57-60.]
  3. Баиндурашвили А. Г., Икоева Г. А., Иванов С. В., Коченова Е. А. Роботизированная система «LOKOMAT» - новое звено в комплексе двигательной реабилитации детей с нарушением локомоторной функции. Человек и его здоровье: Матер. XIV Рос. нац. конгр. СПб., 2009. С. 83. [Baindurashvili A.G., Ikoeva G.A., Ivanov S.V., Kochenova E.A. Robotic system “LOKOMAT” - a new link in the complex motor rehabilitation of children with impaired locomotor function. Human health: Mater. XIV Ros. nat. kongr. St. Petersburg, 2009:83.]

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版权所有 © Ivanov S.V., Kenis V.M., Ikoeva G.A., Kochenova E.A., 2014

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