CURRENT PRINCIPLES OF COMPLEX REHABILITATION OF CHILDREN WITH STROKE CONSEQUENCES

The article is dedicated to an urgent issue of modern pediatrics and neurology — complex treatment of stroke consequences in children. The article details etiological aspects, pathophysiological mechanisms and clinical peculiarities of stroke consequences in children, the primary among which are asthenic syndrome (73–86% of the patients), movement disorders (33–58%), cognitive disorders (60%), paroxysmal conditions (30%), sensory disorders (14%), emotional-volitional and behavioral disorders (17–38%), vegetative dysfunction syndrome (60–74%), pain syndrome (53–74%) and syncopal conditions (12%). The article details the main spheres of complex rehabilitation of children with stroke consequences, including use of innovative medical rehabilitation technologies — kinesitherapy, dynamic proprioceptive correction, mechanotherapy using robotic systems, physiotherapy and drug correction. The article demonstrates that diagnosis and treatment of stroke consequences in children is a difficult problem, which requires a differential complex approach in order to improve effectiveness of both drug therapy and rehabilitation and quality of life of the patients.

children, stroke, rehabilitation, mechanotherapy, cerebral palsy, Gerstmann syndrome, dynamic proprioceptive correction

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