METHOD FOR CORRECTION OF MOTOR DISORDERS IN CHILDREN WITH INFANTILE CEREBRAL PARALYSIS Russian patent published in 2024 - IPC A61H1/00 A61H7/00 

FIELD: medicine.

SUBSTANCE: invention relates to neurology, rehabilitation, and can be used for correction of motor disorders in children with infantile cerebral paralysis (ICP). Method includes identifying the predominant type of the nervous system damage in the child and performing the exercises in accordance with the detected predominant type of damage, at that, in order to identify the predominant type of the lesion, the rest position of the child is assessed, and with the prevalence of flexion in the spine and extremities, the type of lesion "flexor" is detected, in case of predominance of extension in spine and extremities, type of lesion "extensor" is detected, with equal ratio of flexion and extension—mixed type; then the exercises are performed in stages. For the "flexor" type, the following is performed daily: stage 1—the child is placed in a reflex-inhibiting position with the upper part of the child's body on a ball-roller, feet on the floor in an achievable separation, with the pelvis lowered, the head along the middle line and successively performing the child’s back heating with massage movements, back percussion massage, trigger point massage, child’s arms extension and supination, abduction of hands and putting them behind back, massage and stretching of muscles of neck-shoulder region, massage of interscapular region, massage and pressure on pelvic region of child until pelvic flexure is achieved, gradual increase of legs separation, gradual transition to an asymmetric position, and then a symmetrical frog, passive and active stimulation of the child to the transition into a position on all fours; stage 2—placing the child in a kneeling position, in which successively performing inclinations and rotations of the child's body, stretching and supination of arms, abduction of arms and their installation behind the back, massage and stretching of neck and shoulder muscles, passive stabilization of child’s head and pelvis position, active stimulation of pelvic position stabilization, walking on knees; stage 3—placing the child in a standing position on all fours, in which passive and then active stimulation of the child’s posture stabilization, posture retention and crawling stimulation are performed; stage 4—rotational traction is performed by placing the child in a sitting position on the knees with subsequent extension of one leg strictly forward while maintaining the flexion angle in the hip and knee joints and straightening the other leg back, then, the child’s pelvis is pressed to the maximum achievable lowering of the pelvis to the floor, the child’s arms are stretched forward, the child’s body is placed on a ball or roller, traction of the child by the straightened arms upwards, up to the separation of the child's body from the ball or roller, with simultaneous fixation of the pelvis in the lowered position; stage 5—the instructor places the child with his/her back in front of him/her and together with him/her performs the exercises "handstand", "wheelbarrow", "push-ups", "boxing", "swimming", "arm swings", as well as exercises aimed at developing the grip of objects; stage 6—placing the child in a sitting position, in which the knees are sequentially extended and the legs are fixed with the knees straightened, the legs are smoothly extended, the back is straightened and passively held in this position, stretching the child’s arms, inclinations and rotations of the body, passive and active stabilization of the body position, inclinations of the body to the outstretched legs, passive and active sitting down from a lying position; stage 7—placing the child in a standing position, in which passive and active stabilization of the position of the child’s pelvis, stabilization of the back position, sliding steps, flexion and extension of the knees are performed, sitting down at the ball, free standing, ending this stage with walking. For the "extensor" type, stages 6—1—4—5—2—3—7 are performed daily. For the mixed type, stages 1—2—3—4—5 are alternated on one day and stages 1—6—7 on the other.

EFFECT: method provides more effective correction of motor disorders in children with infantile cerebral paralysis.

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