Характеристика морфологічних особливостей та невролого-ортопедичного статусу дітей із дцп з різними можливостями до пересування

Abstract

У статті представлені дані стосовно морфологічних особливостей та невролого-ортопедичного статусу ді-тей з дитячим церебральним паралічем з різним рівнем сформованості навичок ходьби. Різноманітні поєднання синдромів рухових порушень та рівень тонусу м’язів визначають можливості до пересування у дитини із ДЦП. Today, despite the use of advanced technologies in the rehabilitation of persons with the effects of cerebral palsy, the problem of correction of musculoskeletal disorders in children with cerebral palsy is still unresolved. The tasks as-sociated with the normalization of locomotor function in these patients are of special significance, because they will reduce the degree of disability of such children and increase their active integration into society. In this work morpho-logical features, neurological and orthopedic status of children with cerebral palsy with different levels of the develop-ment of walking skills are analyzed. A wide variety of features of a complex image of movement pattern during walk-ing causes only the individual approach to each child when conducting medico-pedagogical correction of walking viola-tions. First of all, identifying and reducing (or eliminating) the leading deformation, which organizes appropriate symp-tom complex of a pose and walk of a child with cerebral palsy is extremely necessary. Tactics of correctional and peda-gogical impacts should be oriented to the formation and improvement of compensatory mechanisms, which allow walk-ing under the conditions of a certain neurological and orthopedic status, but, however, constant consideration of the possible positive changes of neurological indicators of a child in a result of complex of medical rehabilitation is re-quired (medical treatment, physiotherapy, reflexotherapy, balneation etc.). It is shown that the formation of a child’s walk is influenced by the nature and combination of the various syndromes of musculoskeletal disorders, as well as the increased muscle tone. As the walk of a child develops there is a decrease in muscle tone and reducing tonic activity of syndromes of musculoskeletal disorders. Therefore, normalization of the muscle tone is the basis for the formation of motor function in children with cerebral palsy. All surveyed children had various combinations of syndromes of muscu-loskeletal disorders. The information obtained will allow professionals-recreation therapists to carry out the adequate correction of musculoskeletal disorders, taking into account individual characteristics of a child.