METHOD FOR DETERMINING THE REHABILITATION PROGNOSIS AND INITIATING REHABILITATION MEASURES FOR THE 3-STAGE MEDICAL REHABILITATION OF YOUNG CHILDREN WHO UNDERWENT CEREBRAL ISCHEMIA Russian patent published in 2018 - IPC A61B5/00 A61B10/00 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, pediatrics, neurology,

can be used to determine the rehabilitation prognosis and initiation of rehabilitation measures for 3-stage medical rehabilitation in young children who have undergone cerebral ischemia. Initially, degree of disturbance of the nervous system is determined – the functional class (FC), in points, according to Table 1, given in the description, from FC-0 to FC-4, then the rehabilitation potential (RPL) of the child according to the criteria given in Table 3, in points. If FC is not lower than FC-2 and RPL is not lower than the average score, the criteria for starting the first stage of rehabilitation according to Table 4, given in the description, are determined in the child in points. At 14–19 points, the first stage of rehabilitation (FSR) is carried out - to restore the corresponding impairments in the child's functions at this stage. Before and after FSR, the child's condition is determined according to the scales corresponding to the existing violations from the group: INFANIB, Zhurba-Mastyukova, Munich functional diagnostics, Griffiths psychomotor development scale, evaluation of consciousness in newborns by Volpe, pediatric coma scale. With improvement of the scores of the scales after the FSR in comparison with their values before it, FSR is considered effective. Then determine the RPL of the SSR according to Table 7, given in the description, in points. With a high RPL for a child, the criteria for starting a SSR are determined according to Table 8, given in the description, in points. At 20–24 points SSR is carried out – to restore the corresponding violations of functions in the child at this stage. Before and after SSR determine the state of the child on similar scales, corresponding to the existing violations. With improvement of the scores of the selected scales after the SSR in comparison with their values before it, the SSR is considered effective. Then, criteria for the transfer of the child from the SSR to the third stage of rehabilitation (TSR) are determined according to Table 11, given in the description, in points. At the sum of 4 and more points, TSR is performed – to restore the corresponding violations of functions in the child at this stage.

EFFECT: method ensures accuracy of evaluation of the phased restoration of the impaired functions of the nervous system of the child who has undergone cerebral ischemia, thus preventing the risk of formation of functional limitations, shortens the period of stay in the hospital.

1 cl, 1 ex, 18 tbl