FEATURES OF PHYSICAL THERAPY IN CHILDREN UNDER 3 YEARS OF AGE WITH MUSCLE HYPOTONIA
DOI:
https://doi.org/10.11603/1811-2471.2023.v.i2.13695Keywords:
physical therapy, muscle hypotonia, orthoses, muscle tone, physical exercisesAbstract
SUMMARY. The article is devoted to the study of the peculiarities of physical therapy in children under 3 years of age with muscle hypotonia. It was investigated that the main features of physical therapy in children under 3 years of age with muscle hypotonia are that physical therapy should necessarily include wearing orthoses at night to slow the progression of ankle contractures, hydrotherapy and swimming, and regular stretching in this article.
The aim – to consider the theoretical aspects of studying the peculiarities of diagnostics and treatment of children with muscle hypotension, as well as to investigate the peculiarities of physical therapy and rehabilitation of 3-year-old children with muscle hypotension.
Material and Methods. With the help of Internet search databases, a bibliographic review of information sources and analysis of materials regarding the peculiarities of the rehabilitation process of children under 3 years of age with hypotonia of muscles was carried out.
Results. As a result of a bibliographic review of literary sources, it was established that the effectiveness of physical rehabilitation of children under 3 years of age with muscle hypotonia is determined by the secondary consequences of this disease, the main of which is scoliosis. Physical rehabilitation of children under 3 years of age with muscle hypotonia is provoked by pathological or physiological reasons. In the normal state of the body, muscle tone is regulated by the interaction of the spinal cord, cerebral cortex, subcortical nodes, cerebellum, and the receptors of the muscles themselves. Together, these structures work in balance, which leads to the regulation of muscle tone. Physical therapy in children with hypotonia of muscles is used with the help of the following methods: tonic – pearl baths, showers, thalassotherapy; sedatives – electrosonotherapy, nitrogen and needle baths; irritating free nerve endings – local darsonvalization, turpentine and sage baths; myostimulating – electromyostimulation, pulse magnetic therapy; neurostimulating – medicinal electrophoresis of anticholinesterase drugs, bioregulated electrostimulation, neuroelectrostimulation; lympho-draining – vibrotherapy of segmental-reflex zones; hypocoagulable – sodium chloride baths, low-frequency magnetic therapy; vasodilators – ultratonotherapy, medicinal electrophoresis of vasodilators, local barotherapy; trophostimulating – amplipulsotherapy, diadynamotherapy, mesodiencephalic modulation, transcranial electroanalgesia, medium-wave UFO in suberyhemic doses, local darsonvalization, thalassotherapy, air baths, showers, low-frequency magnetic therapy; enzyme-stimulating – ultraphonophoresis of metabolic stimulators, medicated electrophoresis of metabolic stimulators, infrared laser therapy, infrared irradiation, underwater shower-massage, aromatic and oxygen baths.
Conclusions. The need for physical therapy in children under 3 years of age with muscle hypotension is due to the secondary consequences of this disease, the main of which is scoliosis.
References
Bohdanovska, N.V., & Vindyuk, P.A. (2014). Osoblyvosti zastosuvannya zasobiv fizychnoyi reabilitatsiyi ditey z tserebralnym paralichem [Peculiarities of the use of means of physical rehabilitation of children with cerebral palsy]. Visnyk Zaporizkoho natsionalnoho universytetu – Bulletin of Zaporizhzhya National University, 1(12), 10-16 [in Ukrainian].
Bukhovets, B.O. (2016). Kontrol psykhofizychnoho rozvytku ditey pid chas korektsiyi rukhovykh porushen [Control of the psychophysical development of children during the correction of movement disorders]. Nauka i osvita – Science and Education, 1, 11-17 [in Ukrainian]. DOI: https://doi.org/10.24195/2414-4665-2016-1-4
Padko, V.O. (2000). Stan vehetatyvnoyi nervovoyi systemy ta yoho dynamika u ditey, khvorykh na DTsP, shcho prokhodyly reabilitatsiyu za systemoyu intensyvnoyi neyrofiziolohichnoyi reabilitatsiyi (SINR) [The state of the autonomic nervous system and its dynamics in children with cerebral palsy undergoing rehabilitation under the system of intensive neurophysiological rehabilitation (INR)]. Ukrayinskyy visnyk psykhonevrolohiyi – Ukrainian Herald of Psychoneurology, 2, 47-49 [in Ukrainian].
Popovych, D.V., Bondarchuk, V.I., Vayda, O.V., Khandoha, V.I. & Motsna, T.O. (2020). Bibliosemantychnyy analiz suchasnykh metodiv fizychnoyi reabilitatsiyi ditey z DTsP [Bibliosemantic analysis of modern methods of physical rehabilitation of children with cerebral palsy]. The 4th International scientific and practical conference “Fundamental and applied research in the modern world”(November 18-20, 2020), Boston: BoScience Publisher, USA [in Ukrainian].
Shevtsov, A.H. (2007). Okupatsionalna terapiya yak mizhdystsyplinarna sfera reabilitatsiynoyi diyalnosti [Occupational therapy as an interdisciplinary field of rehabilitation activity]. Seriya № 15 «Naukovo-pedahohichni problemy fizychnoyi kultury. Fizychna kultura i sport» [Series No. 15 "Scientific and pedagogical problems of physical culture. Physical culture and sports"]. Naukovyy chasopys NPU imeni M.P. Drahomanova – Scientific Journal of the M.P. Drahomanov NPU.б 8, 81-88 [in Ukrainian].
Alians Yevropeiskykh orhaniv Fizychnoi ta Reabilitatsiinoi Medytsyny [European Physical and Rehabilitation Medicine Bodies Alliance] (2018). White Book on Physical and Rehabilitation Medicine in Europe [Bila Knyha z Fizychnoi ta Reabilitatsiinoi Medytsyny (FRM) v Yevropi]. Ukrayinskyy zhurnal fizychnoyi ta reabilitatsiynoyi medytsyny – Ukrainian Journal of Physical and Rehabilitation Medicine, 2(2), 6-206 [in Ukrainian].
Taran, I.V. (2013). Efektyvnist kompleksnoho vplyvu fizychnoyi reabilitatsiyi ditey z tserebral'nym paralichem spastychnoyi formy [Effectiveness of the complex effect of physical rehabilitation of children with spastic cerebral palsy]. Naukovyy chasopys – Scientific Journal, 7(33, 2), 287-291 [in Ukrainian].
Marchenko, O. & Brushko, V. (2008). Suchasnyy stan pytannya shchodo osoblyvostey rukhovykh porushen u ditey iz tserebralnym paralichem [The current state of the issue regarding the peculiarities of movement disorders in children with cerebral palsy]. Teoriya i metodyka fizychnoho vykhovannya i sportu – Theory and Methodology of Physical Education and Sports. 2, 97-101 [in Ukrainian].
Gialanella, B., Benvenuti, P., & Santoro, R. (2004). The painful hemiplegic shoulder: effects of exercise program according to Bobath. Clin. Ther., 155, 491-497.
Kholodov, S.A. (2004). Metodyka dyferentsiyovanoyi poetapnoyi korektsiyi porushen khodby pry spastychnykh formakh DTsP [Methodology of differentiated step-by-step correction of walking disorders in spastic forms of cerebral palsy]. Naukovyy visnyk Pivdennoukrayins'koho derzhavnoho pedahohichnoho universytetu im. K. D. Ushynskoho – Scientific Bulletin of the South Ukrainian State Pedagogical University named after K. D. Ushinskyi, 1-2, 116-124 [in Ukrainian].
Kachmar, O.O., Kozyavkin, V.I., Voloshyn, T.B., Vityk, Kh.O., & Kalynovych, N.R. (2016). Systema klasyfikatsiyi funktsiyi ruky v ditey iz tserebralnym paralichem: ukrayinska versiya [Classification system of hand function in children with cerebral palsy: Ukrainian version]. Zhurnal nevrol. im. B.M. Mankovskoho – Journal of Neurol. named after B. M. Mankovsky, 4(2), 31-34 [in Ukrainian].
