Evaluation of the effectiveness of complex rehabilitation treatment in children suffering from cerebral palsy

Cerebral palsy (CP) is a disabling disease of the nervous system that requires improvement of diagnostic and therapeutic approaches to achieve the most effective results in providing medical care to children with this pathology. The creation of comprehensive rehabilitation programs that include various rehabilitation methods contributes to a more pronounced positive effect in the form of minimizing neurological deficits and forming physiological motor patterns.

The aim of the study: to assess the effectiveness of complex rehabilitation treatment using the method of dynamic proprioceptive correction in children suffering from cerebral palsy, using stabilography and goniometry of the joints of the lower extremities. Materials and methods. The clinical study included 50 patients with cerebral palsy, spastic diplegia of moderate severity, and a control group of 30 healthy children aged 11–13 years. The main clinical syndrome of motor disorders in the patients was spastic tetraparesis corresponding to GMFCS (Gross Motor Function Classification System) level 3.

Results. Given the development of a «pathological postural stereotype» with impaired spatial organization of posture and the presence of motor impairments, the use of comprehensive rehabilitation using the method of dynamic proprioceptive correction, such as the Adele load suit, is advisable for children with cerebral palsy. In this study, the use of this method in the rehabilitation of children with cerebral palsy showed its effectiveness in improving vertical stability when standing with visual control by 22.6% and 16.4%, as well as increasing the amplitude of movement in the hip and knee joints by 15%.

Conclusion. The effectiveness of comprehensive rehabilitation using the dynamic proprioceptive correction method significantly exceeds the results of traditional treatment and contributes to increased vertical stability, improved lower limb movement patterns based on computerized stabilography and goniometry, as well as improved cognitive functions.

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