СLINICAL-FUNCTIONAL ASPECTS OF REHABILITATION TREATMENT OF PRIMARY SCHOOL AGED CHILDREN WITH CERVICOGENIC HEADACHE AGAINST A BACKGROUND OF CERVICAL SPINE INSTABILITY

Abstract

The problem of studying headache (HA) in children is actual because of its prevalence, complexity of pathogenetic mechanisms and absence of algorithms and methodological approaches to the therapy of the pathology in this age group.

The aim of the study was learning the dynamics (before treatment, after the course, and after 1 and 6 months after therapy usage) of the clinical effect of alone and combined usage of kinesio taping and physical therapy exercises and their effect on the hemodynamics of the vessels of the vertebrobasilar basin, the vegetative balance and the psychophysiological state of primary school aged children with cervicogenic headache against the background of cervical spine instability.

Clinical and functional status in 96 children (boys and girls) of primary school aged children (6–11 years old) who suffered from headache on the background of the cervical spine instability over 6-months long was studied using clinical and X-ray methods, transcranial Doppler ultrasound, physiological tests and analysis of cardiac rhythm variability.

It has been established that in children with cervicogenic headache the best clinical and functional effect occurs with the combined use of kinesio taping and physical exercise therapy. The reached therapeutic result remains at this level within a month and falls a little in 6 months after treatment. A combined influence leads to favorable dynamics of almost all indicators of the exam and improves the clinical condition (reduction of the frequency and intensity of headache), more significantly and longterm improves hemodynamics of the vessels of the vertebrobasilar basin (blood flow, elastic properties of vessels, reaction to negative extravasal effects of surrounding structures, venous outflow), psychophysiological state (neuro-psychic tension, attention, dynamic working ability) and vegetative status of sick children than separate usage of these methods. The clinical and functional effects of separate and combined usage of kinesio taping and exercise therapy reached in 6 months after treatment are comparable.

Conclusion. The greatest efficacy in the rehabilitation treatment of children with cervicogenic headache on the background of cervical spine instability is established with the compined application of kinesio taping and exercise the­rapy. The follow up observation after six months reveals a regression of positive results in some children, which confirms a necessity of prolongation of the course of the rehabilitation treatment or its repetition no later than after 6 months.