The article describes the experience of using laser puncturing methods for dysarthria in children with all forms of cerebral palsy. Statistical data of treated children with dysarthria by age, types of dysarthria and the results of course treatment with laser punctures on the s calp zones and acupuncture points of the corporeal meridians were analyzed and points of the auricle depending on the form of cerebral palsy and the type of dysarthria according to the pathogenetic criterion in 334 children for the period from 2017 to 2019. Based on the visual study of the volume of active movements of articulatory muscles, qualitative and quantitative dynamics of speech activity, a conclusion was made about the positive effectiveness in 200 (63 %) children. The greatest effectiveness was observed among children over 7 years of age – 60 % (200 children) and in pseudobulbar 79 % (197 children), cerebellar 77 % (31 children), subcortical 52 % (13 children) dysarthria. The lowest effectiveness was observed in children with severe forms of dysarthria by the degree of intelligibility to others (classification of J. Tardieu) 40 % (134 children) and in children under 7 years of age (32 %), with mixed dysarthria 45 % (9 children). The results of treatment allow us to conclude that the laser puncturing it is effective and should be systematically (1 time in 3 months if possible) included in the complex of sanatorium-resort rehabilitation for dysarthria in children with cerebral palsy, which will speed up the recovery time of articulation.
Qualitative and quantitative comparative study of accelerometer cut-points to evaluate physical activity in children with cerebral palsy
