scholarly journals Clinical-neurological features of prematurely born children with hypoxic-ischemic lesions of the central nervous system

2019 ◽  
Vol 85 (4) ◽  
pp. 55-60
Author(s):  
O.V. Vareshniuk ◽  
V.V. Vyun
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Cerebral Palsy ◽  
Intraventricular Hemorrhage ◽  
Spastic Cerebral Palsy ◽  
Spastic Diplegia ◽  
Motor Disorders ◽  
Severe Motor ◽  
The Central Nervous System ◽  
Neurological Features

The clinical and neurological features of prematurely born children with perinatal hypoxic-ischemic lesions of the central nervous system were studied. A comprehensive examination of 79 preterm infants of both sexes who underwent perinatal hypoxic-ischemic lesions of the central nervous system was performed. 37.9 % of the surveyed were diagnosed with spastic cerebral palsy, 20.3 % were diagnosed with spastic diplegia, 27.8 % were diagnosed with childhood hemiplegia, hydrocephalus was acquired in 13.9 % as a result of non-traumatic intraventricular hemorrhage. In 10.3 % of children, severe movement disorders (patients with spastic cerebral palsy and acquired hydrocephalus without surgery) were noted, 37.7 % of the examined did not master walking (patients with spastic diplegia, spastic cerebral palsy and acquired hydrocephalus operated on after 6 months of life), 35.5 % of children have mastered walking with assistive devices (patients with spastic diplegia and acquired hydrocephalus operated on up to 6 months of age), 16.5 % of children have mastered walking without restrictions (children with childhood hemiplegia and acquired hydrocephalus, operated on up to 6 months of age). Characteristic structural changes in perinatal hypoxic-ischemic lesions of the central nervous system are periventricular leukomalacia of the II–III degree and intraventricular hemorrhage of the I–III degree. The study of somatosensory evoked potentials conducted in the course of the work showed that at the 3rd, 4th levels of disorders of motor functions by GMFCP, there is a significant decrease in the function of conducting along the somatosensory pathway, depression of the amplitude of the peaks. It has been established, that in the structure of severe motor disorders in children with perinatal hypoxic-ischemic lesions of the central nervous system, violations of arbitrary regulation of movements and postural control are significant. A clear manifestation of the close correlation between motor function impairment, cognitive activity and anxiety level in the examined children has been established, which testifies to the negative impact of a negative emotional state on the development of a child with severe motor disorders.

scholarly journals Motor development of children born prematurely with perinatal hypoxic-ischemic damages of the central nervous system

2019 ◽  
Vol 84 (3) ◽  
pp. 43-48
Author(s):  
O. Vareshniuk
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Cerebral Palsy ◽  
Periventricular Leukomalacia ◽  
Spastic Diplegia ◽  
Motor Disorders ◽  
Motor Functions ◽  
Posthemorrhagic Hydrocephalus ◽  
Severe Motor ◽  
The Central Nervous System

A comprehensive examination of 79 children of middle age (3,2±1,3) years old with perinatal hypoxic-ischemic damage to the central nervous system who were born prematurely was performed. The clinical features of impaired motor functions in premature infants who underwent perinatal hypoxic-ischemic brain damage complicated by intraventricular hemorrhages were studied. It was shown that cerebral palsy was diagnosed in 20,3 % of sick children, which was accompanied by severe motor disorders of levels IV–V according to the classification of motor functions GMFCS; 37,9 % have spastic diplegia with II–III level of motor disorders; 27,8 % have a hemiplegic form of cerebral palsy with motor disorders corresponding to level II of the GMFCS classification. Acquired posthemorrhagic hydrocephalus was diagnosed in 14,0 % of the examined children, while the vast majority of children who were operated on before 6 months of age did not have motor deficiency (level III according to the GMFCS classification); 1 child (9,1 %) was not operated on and had a V level of motor disorders according to GMFCS. It has been established that the most significant factors that form a severe motor prognosis are: gestational age of 27–30 weeks, peri-intraventricular hemorrhages of II–IV degrees, periventricular leukomalacia of III degree and signs of periventricular ischemia.

scholarly journals PROGNOSTIC CRITERIA FOR DEVELOPMENT OF IMPAIRED MOTOR FUNCTION IN PRETERM INFANTS WITH PERINATAL HYPOXIC-ISCHEMIC LESIONS OF THE CENTRAL NERVOUS SYSTEM

2019 ◽  
Vol 85 (4) ◽  
pp. 67-71
Author(s):  
O.V. Vareshniuk ◽  
V.V. Vyun
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Preterm Infants ◽  
Motor Function ◽  
Periventricular Leukomalacia ◽  
Spastic Cerebral Palsy ◽  
Spastic Diplegia ◽  
Prognostic Criteria ◽  
The Central Nervous System ◽  
Impaired Motor Function

In the course of work, in order to identify prognostic criteria for the development of impaired motor function in preterm infants with perinatal hypoxic-ischemic lesions of the central nervous system, a comprehensive examination of 79 infants of both gender born prematurely was performed. All children underwent perinatal hypoxic-ischemic lesions of the central nervous system, 37.9 % of them were diagnosed with spastic cerebral palsy, and 20.3 % had spastic diplegia; 27.8 % - childhood hemiplegia; 13.9 % - hydrocephalus acquired. All children were developed with delayed speech function, patients with infantile hemiplegia and 89.2 % with spastic diplegia at the age of 3 caught up with their peers. Patients with spastic cerebral palsy had speech and cognitive impairment. Prognostic criteria for the likelihood of development of motor function disorders in the examined children are selected taking into account the indicators of their neurological and motor status, gestational age, gender, degree of periintraventricular hemorrhage, periventricular leukomalacia, perivetricular ischemia. The factors leading to the categories «walking without restrictions», «walking with auxiliary devices», «walking not mastered» have been systematized. It has been proved that the combination of periintraventricular hemorrhages of the II degree with ischemic lesions of the brain of mild degree, in most cases gives a more positive prognosis, and the association with more pronounced ischemic lesions forms a heavy motor prognosis in children who were born prematurely and underwent perinatal hypoxic-ischemic brain damage. Predictably unfavorable factors for the formation of cognitive and speech deficits in premature infants are intraventricular hemorrhages of the III degree and periventricular leukomalacia. The prognostic factors for the occurrence of motor disorders in preterm infants are periintraventricular hemorrhage of the II-IV degree, periventricular leukomalacia of the II degree and male gender of the child.

scholarly journals EFFICACY OF REFLEXOTHERAPY IN COMPLEX REHABILITATION IN CHILDREN WITH CEREBRAL PALSY BY ASSESSING (of life quality)

2018 ◽  
pp. 125-128
Author(s):  
І. I. Liskevich
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Cerebral Palsy ◽  
Comparative Effectiveness ◽  
Adverse Reactions ◽  
Life Quality ◽  
Clinical Effects ◽  
Social Rehabilitation ◽  
Children With Cerebral Palsy ◽  
The Central Nervous System

The article analyzes the reflexology techniques that are used in the system of rehabilitation  in children with cerebral palsy and comparative effectiveness  in 72 children who were on treatment at the center of early medical and social rehabilitation for children with organic damage of the central nervous system. The main clinical effects are shown and the frequency of adverse reactions of reflexotherapy in this category of patients is analyzed.

scholarly journals THE IMPACT OF PHYSICAL AND SPORTS REHABILITATION OF PEOPLE WITH CEREBRAL PALSY ON THE PROPRIOCEPTIVE SYSTEM IMPROVEMENT

2019 ◽  
pp. 36-45
Author(s):  
Olha Herus ◽  
Tereza Klymus ◽  
Marta Kozak
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Cerebral Palsy ◽  
Motor Skills ◽  
Physical Therapists ◽  
Sensory System ◽  
Fine Motor ◽  
Slow Development ◽  
The Central Nervous System ◽  
The Impact

Introduction: Cerebral palsy occurs as a result of affecting those parts of the central nervous system that control the muscles and are responsible for the balance and movements arbitrariness. It has a number of forms with varying degrees of damage to the central nervous system and impaired physiological functions. And this certainly affects the perception. Due to perception distortion, sensory interpretation is slowed down and incorrectly analyzed in the cerebral cortex. The improvement of the motor sphere implies the development of general and small motor skills, and the improvement of movements coordination. The correction of motor sphere disorders should be done in a comprehensive, systematic manner, with the involvement of specialists (neurologists, physical therapists, rehabilitologists, sensory therapists). This will help to determine the content of motor sphere correction exercises and define the step-by-step measures for physical condition improvement. Aim: to investigate the impact of physical and sports rehabilitation measures of people with cerebral palsy disabilities on improving the proprioceptive system basing on an analysis of the practical application of the bocce game program. Methodology: SIPT (Sensory Integration and Praxis Tests) breach detection study. Bocce game lessons were tested (as a method of physical and sport rehabilitation) in order to improve the sensory system. Object of the study – 10 people aged 28–35 with a clinical diagnosis of "Cerebral palsy" with impaired mobility, who are using a trolley and are undergoing rehabilitation at the rehabilitation center in Lviv. Results: It was found that 9 out of 10 participants had dysarthric disorders. General somatic attenuation and slow development of locomotor functions are accompanied by a lag in the motor sphere development of the people with cerebral palsy. Conclusion: The study found that engaging in sports and exercise leads to increased physical health and improved gross fine motor skills related to the sensorimotor system

scholarly journals Automatic movement segmentation in the upper limb functional assessment of children with cerebral palsy

2017 ◽  
Author(s):  
◽  
L. E. Anaya Campos
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Cerebral Palsy ◽  
Upper Limb ◽  
Functional Assessment ◽  
Clinical Environment ◽  
Natural Development ◽  
Children With Cerebral Palsy ◽  
The Central Nervous System

Cerebral Palsy (CP) is a group of permanent pre, post and perinatal disorders of the motor and posture development due to non-progressive alterations in brain’s natural development caused by injuries in the Central Nervous System. Due to the importance of the daily use of the upper limb members, it’s important to consider more efficient ways to evaluate the performance in patients diagnosed with CP. One way to obtain an evaluation of the performance of the thoracic member is recording defined movements and calculating the smoothness, using an instrumented sorting block box. Our objective is to create a protocol of valuation for the upper member that is objective, efficient and that gives a quantitative feedback of the grade of the motor affectation of child with PC in a clinical environment.

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