Vojta Therapy in Medical Rehabilitation of Children with Consequences of Perinatal Central Nervous System Affections

INTRODUCTION. According to the Federal Statistical Observation of the Ministry of Health of the Russian Federation, perinatal CentralNervous System affections are one of the leading causes of childhood disability. The development and scientific substantiation of newnon-drug technologies for medical...

Full description

Bibliographic Details
Main Authors: Natalya A. Mikitchenko, Maria G. Degtyareva, Irina I. Ivanova, Olga U. Smotrina, Zareta Kh. Shungarova, Elena V. Gusakova
Format: Article
Language:English
Published: Ministry of Health of the Russian Federation. National Medical Research Center of Rehabilitation and Balneology 2023-08-01
Series:Вестник восстановительной медицины
Subjects:
Online Access:http://www.vvmr.ru/en/archives/2022/4-21-avgust-2022/tekhnologii-vosstanovitelnoy-meditsiny-i-meditsinskoy-reabilitatsii/2022-21-voitaterapiya-v-medicinskoi-reabilitacii-detei-s-posledstviyami-perinatalnyh-porazhenii-centralnoi-nervnoi-sistemy.html
_version_ 1797782563584999424
author Natalya A. Mikitchenko
Maria G. Degtyareva
Irina I. Ivanova
Olga U. Smotrina
Zareta Kh. Shungarova
Elena V. Gusakova
author_facet Natalya A. Mikitchenko
Maria G. Degtyareva
Irina I. Ivanova
Olga U. Smotrina
Zareta Kh. Shungarova
Elena V. Gusakova
author_sort Natalya A. Mikitchenko
collection DOAJ
description INTRODUCTION. According to the Federal Statistical Observation of the Ministry of Health of the Russian Federation, perinatal CentralNervous System affections are one of the leading causes of childhood disability. The development and scientific substantiation of newnon-drug technologies for medical rehabilitation of children with perinatal lesions of the Central Nervous System remains the maintask. A promising technique is Vojta-therapy, a method based on the activation of motor reflexes due to irritation of certain areas onthe child’s body.AIM. Scientific substantiation of the use of Vojta therapy in the medical rehabilitation of children with the consequences of perinatalCentral Nervous System affections.MATERIAL AND METHODS. Clinical observations were performed in 110 children with perinatal Central Nervous System affectionsbetween the ages of 2 and 12 months. The comparison groups were formed depending on the nature of kinesiotherapy: the studygroup (n=55) – children who received Vojta therapy; the comparison group (n=55) – children who did not receive Vojta-therapy. Weused clinical and neurological examination, INFANIB score, and SPSS 23.0 statistical analysis.RESULTS AND DISCUSSION Analysis of the clinical and neurological examination data after Vojta therapy revealed a statisticallysignificant increase in the overall motor activity of children. When the method was included in the rehabilitation of patients under theage of 4 months, the number of children with delayed reflex extinction decreased, at the age of 4-8 months, the appearance of coupsand crawling was recorded, at the age of 8 months, the walking skill was formed in a timely manner. By the adjusted age of 1 year,patients receiving Vojta therapy were diagnosed with cerebral palsy 2 times less often than in the comparison group.CONCLUSION. The inclusion of Vojta therapy in the program of medical rehabilitation of children with the consequences of perinatalCentral Nervous System affections contributed to the reduction of pathological motor activity, improvement of muscle tone andthe formation of age-related skills. The use of Vojta therapy in children with the consequences of perinatal Central Nervous Systemaffections up to 8 months determined a more pronounced increase in the grade score on the INFANIB scale and helped to reduce thefrequency of cerebral palsy formation by 2 times.
first_indexed 2024-03-13T00:12:42Z
format Article
id doaj.art-88cd0a56e9374f4cbcd6926a4e1ddebd
institution Directory Open Access Journal
issn 2078-1962
2713-2625
language English
last_indexed 2024-03-13T00:12:42Z
publishDate 2023-08-01
publisher Ministry of Health of the Russian Federation. National Medical Research Center of Rehabilitation and Balneology
record_format Article
series Вестник восстановительной медицины
spelling doaj.art-88cd0a56e9374f4cbcd6926a4e1ddebd2023-07-12T09:51:35ZengMinistry of Health of the Russian Federation. National Medical Research Center of Rehabilitation and BalneologyВестник восстановительной медицины2078-19622713-26252023-08-014215159https://doi.org/10.38025/2078-1962-2022-21-4-51-59Vojta Therapy in Medical Rehabilitation of Children with Consequences of Perinatal Central Nervous System AffectionsNatalya A. Mikitchenko0https://orcid.org/0000-0002-9886-3810Maria G. Degtyareva1https://orcid.org/0000-0002-1118-7304Irina I. Ivanova2https://orcid.org/0000-0002-8943-9321Olga U. Smotrina3https://orcid.org/0000-0002-2465-3642Zareta Kh. Shungarova4https://orcid.org/0000-0002-3348-2611Elena V. Gusakova5https://orcid.org/0000-0002-9711-6178 Moscow Scientific Practical Center of Medical Rehabilitation, Restorative and Sports Medicine, Moscow, Russian FederationPirogov Russian National Research Medical University, Moscow, Russian FederationCentral State Medical Academy of the Presidential Administration of the Russian Federation, Moscow, Russian FederationMoscow Scientific Practical Center of Medical Rehabilitation, Restorative and Sports Medicine, Moscow, Russian Federation; Pirogov Russian National Research Medical University, Moscow, Russian Federation; Central State Medical Academy of the Presidential Administration of the Russian Federation, Moscow, Russian Federation; Filatov Children’s City Clinical Hospital, Moscow, Russian Federation Filatov Children’s City Clinical Hospital, Moscow, Russian FederationCentral State Medical Academy of the Presidential Administration of the Russian Federation, Moscow, Russian FederationINTRODUCTION. According to the Federal Statistical Observation of the Ministry of Health of the Russian Federation, perinatal CentralNervous System affections are one of the leading causes of childhood disability. The development and scientific substantiation of newnon-drug technologies for medical rehabilitation of children with perinatal lesions of the Central Nervous System remains the maintask. A promising technique is Vojta-therapy, a method based on the activation of motor reflexes due to irritation of certain areas onthe child’s body.AIM. Scientific substantiation of the use of Vojta therapy in the medical rehabilitation of children with the consequences of perinatalCentral Nervous System affections.MATERIAL AND METHODS. Clinical observations were performed in 110 children with perinatal Central Nervous System affectionsbetween the ages of 2 and 12 months. The comparison groups were formed depending on the nature of kinesiotherapy: the studygroup (n=55) – children who received Vojta therapy; the comparison group (n=55) – children who did not receive Vojta-therapy. Weused clinical and neurological examination, INFANIB score, and SPSS 23.0 statistical analysis.RESULTS AND DISCUSSION Analysis of the clinical and neurological examination data after Vojta therapy revealed a statisticallysignificant increase in the overall motor activity of children. When the method was included in the rehabilitation of patients under theage of 4 months, the number of children with delayed reflex extinction decreased, at the age of 4-8 months, the appearance of coupsand crawling was recorded, at the age of 8 months, the walking skill was formed in a timely manner. By the adjusted age of 1 year,patients receiving Vojta therapy were diagnosed with cerebral palsy 2 times less often than in the comparison group.CONCLUSION. The inclusion of Vojta therapy in the program of medical rehabilitation of children with the consequences of perinatalCentral Nervous System affections contributed to the reduction of pathological motor activity, improvement of muscle tone andthe formation of age-related skills. The use of Vojta therapy in children with the consequences of perinatal Central Nervous Systemaffections up to 8 months determined a more pronounced increase in the grade score on the INFANIB scale and helped to reduce thefrequency of cerebral palsy formation by 2 times.http://www.vvmr.ru/en/archives/2022/4-21-avgust-2022/tekhnologii-vosstanovitelnoy-meditsiny-i-meditsinskoy-reabilitatsii/2022-21-voitaterapiya-v-medicinskoi-reabilitacii-detei-s-posledstviyami-perinatalnyh-porazhenii-centralnoi-nervnoi-sistemy.htmlnon-drug technologiesperinatal central nervous system affection; perinatal hypoxic-ischemic encephalopathykinesiotherapybobathvojta therapy
spellingShingle Natalya A. Mikitchenko
Maria G. Degtyareva
Irina I. Ivanova
Olga U. Smotrina
Zareta Kh. Shungarova
Elena V. Gusakova
Vojta Therapy in Medical Rehabilitation of Children with Consequences of Perinatal Central Nervous System Affections
Вестник восстановительной медицины
non-drug technologies
perinatal central nervous system affection; perinatal hypoxic-ischemic encephalopathy
kinesiotherapy
bobath
vojta therapy
title Vojta Therapy in Medical Rehabilitation of Children with Consequences of Perinatal Central Nervous System Affections
title_full Vojta Therapy in Medical Rehabilitation of Children with Consequences of Perinatal Central Nervous System Affections
title_fullStr Vojta Therapy in Medical Rehabilitation of Children with Consequences of Perinatal Central Nervous System Affections
title_full_unstemmed Vojta Therapy in Medical Rehabilitation of Children with Consequences of Perinatal Central Nervous System Affections
title_short Vojta Therapy in Medical Rehabilitation of Children with Consequences of Perinatal Central Nervous System Affections
title_sort vojta therapy in medical rehabilitation of children with consequences of perinatal central nervous system affections
topic non-drug technologies
perinatal central nervous system affection; perinatal hypoxic-ischemic encephalopathy
kinesiotherapy
bobath
vojta therapy
url http://www.vvmr.ru/en/archives/2022/4-21-avgust-2022/tekhnologii-vosstanovitelnoy-meditsiny-i-meditsinskoy-reabilitatsii/2022-21-voitaterapiya-v-medicinskoi-reabilitacii-detei-s-posledstviyami-perinatalnyh-porazhenii-centralnoi-nervnoi-sistemy.html
work_keys_str_mv AT natalyaamikitchenko vojtatherapyinmedicalrehabilitationofchildrenwithconsequencesofperinatalcentralnervoussystemaffections
AT mariagdegtyareva vojtatherapyinmedicalrehabilitationofchildrenwithconsequencesofperinatalcentralnervoussystemaffections
AT irinaiivanova vojtatherapyinmedicalrehabilitationofchildrenwithconsequencesofperinatalcentralnervoussystemaffections
AT olgausmotrina vojtatherapyinmedicalrehabilitationofchildrenwithconsequencesofperinatalcentralnervoussystemaffections
AT zaretakhshungarova vojtatherapyinmedicalrehabilitationofchildrenwithconsequencesofperinatalcentralnervoussystemaffections
AT elenavgusakova vojtatherapyinmedicalrehabilitationofchildrenwithconsequencesofperinatalcentralnervoussystemaffections