METHOD FOR TREATING PATIENTS AT JUVENILE CEREBRAL PALSY Russian patent published in 2007 - IPC A61H1/00 

FIELD: medicine, neurology.

SUBSTANCE: the present innovation deals with elaborating remodeling of motor act as a new type of curative physical training that affects directly the system of motor regulation in central nervous system by taking into account the localization of the focus of its organic lesion in children in case of cerebral palsy. One should affect the muscles in preset area, moreover, it is necessary to detect posture-tonic lesions and those of the volume of basal physiological motor stereotypes from this posture while examining a patient in the following sequence of postures: in back lying position, in abdomen lying position, in side lying position, on one's hands and knees position and at standing position; then, at the first stage of impact it is necessary to correct posture-tonic lesions: for this purpose in the first detected pathological posture one should choose a key joint or joints for the impact out of the joints the position of which is considered to be pathological for this posture by taking into account the predominant localization of lesion focus in central nervous system, that is, at predominant lesion of cerebral cortex - these joints are distal among all affected ones; at predominant lesion of subcortical structures - these are proximal joints, and at stem-spinal lesion - these are vertebral joints; then it is important to detect the target muscles being antagonists of the muscles the hyperfunction of which gives the joint its pathological position and stimulate them with multiple stretching in statics at first by capturing manually the areas of tendinous fixation of these muscles towards the bones, and then - during passive reproducing physiological basal motor stereotype in which this target muscle takes part by capturing manually the ends of muscular fibers beyond the area of their tendons; moreover, the target muscles should be chosen in the following order depending upon their function: rotation, flexing-unbending, adducting-abducting; at the second stage of the impact one should correct the determined failure of locomotions in basal physiological motor stereotypes, for this purpose in the framework of affected physiological chain of muscular contractions it is necessary to detect a key muscle by taking into account the predominant localization of lesion focus, similarly to the first stage, to affect it several times by stretching at capturing by the ends of muscular fibers to reproduce the movement at trajectory of physiological stereotype.

EFFECT: higher efficiency of therapy.

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