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REHABILITATION OF CHILDREN WITH CEREBRAL PALSY

V. V. DEYNEKO, O. B. KRYSYUK LESGAFT NATIONAL STATE UNIVERSITY OF PHYSICAL EDUCATION, SPORT AND HEALTH, ST. PETERSBURG, RUSSIA

Objective: to evaluate the regenerative effects in the treatment of children with cerebral palsy in the in- and outpatient rehabilitation. Materials and Methods: 30 children with cerebral palsy, aged 4-13 years old (mean age 8±0,3 years). Inpatient rehabilitation course included rehabilitation with the «Lokomat», «Armeo» and «Brain Port». Medical rehabilitation effects were assessed using the motor GMFS scale, Ashworth scale for upper and lower extremities, balance Berg scale, and the scale of independent movement. In outpatient 6 months rehabilitation course three types of treatment were used: exercise therapy (n=14), hippotherapy (n=10), Nordic walking (n=6).
Results: all patiensts demonstrated a significant improvement of all applied scales on the inpatient phase of rehabilitation: a significant correction of motor disorders, spasticity, a significant improvement of balance and the possibility of independent movement. The results of outpatient rehabilitation stage are discussed in the paper. A compatison of the application of exercise therapy hippotherapy and Nordic Walking in children with cerebral palsy is given.
Conclusions: high-tech rehabilitation with «Lokomat», «Armeo» and «Brain Port» devices allows significantly reduce spasticity, improve motor skills, balance and the possibility of independent movement in children with cerebral palsy. The use of outpatient rehabilitation techniques such as exercise therapy, hippotherapy, Nordic walking allows to maintain the therapeutic effects of the inpatient stage of rehabilitation within six months.
Keywords: 
cerebral palsy; rehabilitation; exercise therapy; hippotherapy; Nordic walking; GMFS motor scale; Ashworth scale; Berg balance scale; scale of independent movement.