RU2607157C1 - Method of treating perinatal central nervous system and infantile cerebral paralysis in children under 3 years - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to medicine, perinatology, neurology, rehabilitation, therapeutic exercises, can be used for creation of independent motor function, their improvement from immobility to walking in child (P) under age of three years. Wherein neuromuscular dynamic memory (NDM) of motion models of P are created. For that at first center of each palmar surface of P is affected perpendicular to it with subsequent spiral massage from center of each hand of P counterclockwise, then at center of each plantar surface is affected perpendicular to it with subsequent spiral massage from center to periphery of sole counterclockwise. Then NDM of models of lifting head, holding, turns of head, lifting head in position on all fours, holding equilibrium from position of P standing on all fours, model establishing P in position on all fours, models of holding balance in position on all fours, balance and movements in position on all fours, crawling on all fours, models of sitting, head position coordination, standing on two legs, balancing and walking from initial position and with help of sequences of movements, described in formula are formed. Rhythm of action is gradually increased, achieving maximum to middle of each cycle of motion and gradually decreasing to its end; exposure is 1–2 times a day.

EFFECT: method provides improving motor functions, while widening range of independently made actions, creation of NDM sequence of models of smooth transitions of essential motions at simultaneous reduction of length of rehabilitation in 2 times.

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Description

A method for the treatment of perinatal lesions of the central nervous system and cerebral palsy in children under 3 years old.

The invention relates to medicine and can be used to create independent motor functions and improve them at stages from immobility to the walking stage in infants under three years of age.

The invention is known according to the application of the Russian Federation No. 2007111101/14 dated 03/26/2007 “A method for the treatment of motor disorders syndrome in children”.

Physical exposure is divided into 7 stages.

The initial stage of exposure is determined by the motor age of the child, depending on his motor skills. At the first stage, they stimulate the development of a protective reflex, a labyrinth installation reflex by performing classical and acupressure of the muscles of the extensors of the neck and back, carrying the child on the forearm in a position on the abdomen with fixation for the thigh, passive coups for the arms and legs from the back to the stomach and back, traction for the upper arm with a small margin from the surface in the position of the child lying on its side, traction for the hands of a child lying at an angle of 5 degrees with the separation of the head from the surface. At the second stage, all controls are performed in a position on the abdomen with a wedge or roller under the chest, while holding alternate hand massage, passive hand removal forward, separation to the sides, lead upward with holding up the raised head. At the third stage, the child is taught how to flip from back to stomach and how to crawl in a Plastusian way. At the fourth stage, they teach sitting with legs forward, lifting and standing on all fours. At the fifth stage, they teach crawling on all fours. At the sixth stage, the child is taught how to lift to his feet at the support. At the seventh stage, they teach walking skills.

Abbreviations adopted in the text of the description:

CNS - central nervous system;

PPNS - perinatal lesion of the central nervous system;

Cerebral palsy - cerebral palsy;

P is the child;

PVSV - direct force vector;

ZVSV - alternating force-impact vector;

NMP - neuromuscular memory;

MD - motion model;

IP - starting position;

GM - muscle group;

ASHTR - asymmetric neck-tonic reflex;

SShTR - symmetric neck-tonic reflex;

LUR - labyrinth installation reflex;

LTE - labyrinth tonic reflex;

SSHTSUR - symmetric neck chain installation reflex;

ASHTSUR - asymmetric cervical chain reflex.

However, this patent has significant drawbacks: it is not effective enough in correcting a wide range of abnormal motor functions of infants with PPNS and cerebral palsy.

For therapeutic effects, the author took into account only two reflexes: protective and labyrinth-installation. However, motor reflexes are much greater.

These include the following.

1. Motor automatisms of the segmental level: protective reflex, reflex of support and automatic walking, crawl reflex, grasping reflex and Moro reflex.

2. Supersegmental posotonic automatisms: reflexes from the head to the body and from the pelvis to the body, asymmetric neck-tonic reflex, symmetrical neck-tonic reflex, labyrinth tonic reflex.

3. Postural and installation reflexes: LUR, SSHTSUR, ASHTSUR, reflexes from head to trunk, a straightening reflex from body to body and from body to head; equilibrium reaction, optical reaction of the support.

The patent expressed the opinion that the correction of other congenital reflexes is neither advisable nor effective. This thesis is inaccurate and insufficient to achieve optimal treatment results for lesions of brain dysfunction R.

The brilliant nature in the course of millions of millions of evolution did not create anything superfluous. All inefficient, unnecessary was not inherited. Segmental level motor automatisms are absolutely necessary for the baby, otherwise they would not have arisen.

The peculiarity of the problem is that the result of treatment depends on the severity of the central nervous system lesion: the presence or absence of congenital and / or suprasegmental reflexes and their combination.

To achieve optimal treatment, the need to correct all existing reflexes, their combinations and negative manifestations should be taken into account. Congenital motor reflexes must be corrected, transforming them into postoral and installation, and suprasegmental to suppress and eliminate.

If this is not done, then suprasegmental reflexes will pass on pathological tonic reflexes and the probability of their transition to cerebral palsy will sharply increase. Tonic reflexes create the conditions for the formation of pathological postures, contractures and deformations. Repeated pathological reflex movements negatively affect the creation of new motor skills. With cerebral palsy, the development of P can stop and the level of motor development of a sick child of one year or even 5 years old can correspond to the level of a two-month-old healthy child. Therefore, physical treatment should be started as soon as possible.

However, the prototype has significant drawbacks: it does not significantly improve motor functions and at the same time expand the range of independently performed movements, create a neuromuscular memory of the dynamic sequence of the model of smooth transitions of vital movements and at the same time shorten the treatment time.

Effect: improvement of motor functions while expanding the range of independently performed movements, the creation of a NML sequence of models for smooth transitions of vital movements while reducing rehabilitation time.

The technical result is achieved by the fact that in the method of treating perinatal lesions of the central nervous system and cerebral palsy in children under the age of 3 years, which consists in physical impact on the child (P), create neuromuscular dynamic memory (NMP) of the movement patterns P:

act on the center of each palmar surface P perpendicular to it, followed by spiral massage from the center of each palm P counterclockwise, then act on the center of each plantar surface P, perpendicular to it, followed by spiral massage from the center to the periphery of the sole, counterclockwise;

Next, the LMPs are formed of the model of raising the head: initial position (IL) P lying on the stomach, face down, legs bent at the knees, parallel, arms bent at the elbows, P raised by the shoulders, forming an obtuse angle between his body and legs, fixed in this position ;

they form the NMP of the head retention model: IL - P on the knees, it is held in the elbows by the forearm and makes oscillating movements in a vertical plane across the longitudinal axis of symmetry of the body, gradually changing the angle of inclination;

and also for the formation of this model: IP - P lies on its back, bends its legs at the knees, fixing the feet on the plane, pulling P by the hands, and hold it in such a way that the angle between the body and the horizontal surface is sharp, make oscillatory movements in a vertical plane, across the longitudinal axis of symmetry of the body, at the same time bringing the angle between the body and the horizontal surface to a right angle and returning the body P back to an acute angle, gradually changing the angle of inclination;

Then, the NMPs of the head rotation model are formed: IP - P lies on the back, it is held by the legs and the body is rotated around the longitudinal axis of symmetry of the body, for which the legs are first turned to the right, then to the left, fixing extreme positions;

Then, NIRs are formed of the model of raising the head in the position on all fours: PI - P is set on all fours, the head is lowered, the head P is raised with a series of consecutive movements;

Further, they form the NIRs of the model of maintaining equilibrium: from the position of P standing on all fours, take his hips back, create an obtuse angle between the body and hips, make oscillatory movements in the vertical plane;

they form the NMP of the model of setting P to the foursome position: PI - P is placed on the stomach, pulling legs, bending at the knees under the stomach, hands P are placed in parallel, bending at the elbows, raise the pelvis P and straighten the hips so that the angle between the thigh and lower leg is straight, then straighten the arms P, setting it in a position on all fours so as to form right angles between the arms and the trunk, trunk and hips;

form NIRs of the model of maintaining equilibrium in a position on all fours: from a standing position on all fours, P is put to the side on the thigh, without taking his hand off the surface from the sitting side; take the second hand to the side until an extended angle is formed between the hands, make oscillating movements across the longitudinal axis of symmetry of the body, changing the angle of the torso relative to the surface, fixing the maximum amplitude of the movements;

and also for the formation of this model: from PI R, standing on all fours, holding it by the forearm, make oscillatory movements along the longitudinal axis of symmetry of the body, then across this axis, then change the place of holding P from the forearm to the pelvic region and repeat the mentioned oscillatory movements;

Further, they form NWMs of the equilibrium model in the position on all fours: P is placed in the support position on the knees with arms bent under the chest, parallel, support the body P in the pelvic area, lower the pelvis, then lift its shoulders without tearing its hands off the surface, raise it the pelvis, forming right angles between the arms and the body, body and hips, repeat the above oscillatory movements;

form NMPs of movement patterns on all fours: from position P standing on all fours, sequential movement of his arms and legs is carried out, for which he tilts his body P to the right, forward to his head, moves his left hand forward, then tilts his body to the left, forward to his head, and moves his right hand forward by setting it on the same level as the left; then tilt the trunk P to the right, forward to the head, rearrange the left leg forward, then tilt the trunk to the left, forward to the head, rearrange the right leg forward and set it on the same level with the left leg;

and also for the formation of this model from a position P standing on all fours, the following successive movements of his legs and arms are carried out forward: tilt the body to the left, forward to the head and rearrange the right arm, tilt the body P to the right, forward to the head and sequentially rearrange the left leg and then the left the hand is further than the position of the right hand, tilt the body P to the left, forward, rearrange the right leg sequentially forward and then the right hand forward;

Then, the NWMs of the crawl model are formed on all fours: they present P with a brilliant test object, moving it forward in the visibility zone for P, stimulating P to try to catch the test object;

form NMPs of the sit-down model: PI - P on all fours, lower his shoulders and simultaneously turn P around the longitudinal axis of symmetry of his body, put P on a horizontal surface with support on his hands;

I form the NMP of the model for coordinating the position of the head: P present a visual test object, stimulating P to fix its gaze on it when the test object is moved vertically and / or horizontally with fixation in extreme positions, as well as when the test object is moved in the form of a horizontal figure eight;

two-leg standing models are formed: PI - P sit on two legs, setting his legs in parallel, knees bent, hold P by the chest at an acute angle to the surface, then set P vertically, holding it in this position, then create oscillatory movements of P in two mutually perpendicular planes passing through the longitudinal axis of symmetry of the body P: from the back to the front surface of the body and then perpendicular to this plane;

Further, they form the NWM models of equilibrium and walking: PI - P standing on two legs, hold his body by the shoulders and lean forward at an angle of 5-10 degrees. from the vertical, rearrange one leg P forward, then return P to a vertical position, then repeat these movements for the second leg, then rearrange the legs P alternately forward, maintaining its vertical balance after each step;

the rhythm of exposure is gradually increased, reaching a maximum by the middle of the cycle of each movement and gradually decreasing towards its end;

exposure is 1-2 times a day.

The proposed system of physical exposure is carried out 1-2 times a day until the desired planned result is achieved.

The combination of distinguishing features of the invention is necessary and sufficient to achieve the claimed technical result.

The invention is illustrated by drawings (Fig. 1-21).

FIG. 1 - MD raising the head.

FIG. 2, 3 - MD head retention.

FIG. 4 - MD raising the head on all fours.

FIG. 5 - MD maintain equilibrium on all fours.

FIG. 6, 7 - MD establishment on all fours.

FIG. 8 - MD maintaining equilibrium on all fours.

FIG. 9, 10 - MD of maintaining equilibrium on all fours.

FIG. 11 - MD movement on all fours.

FIG. 12 - MD accelerated crawl.

FIG. 13 - MD sitting down.

FIG. 14 - MD coordination of the position of the head.

FIG. 15 - MD standing on two legs.

FIG. 16 - MD balance and walking.

FIG. 17 is a rhythm diagram of a physical effect.

The drawings indicate: 1 - head, 2 - legs, 3 - arms, 4 - PVSV, 5 - shoulders, 6 - torso, 7 - neck, 8 - knees, 9 - ZVSV, 10 - longitudinal axis of symmetry of the body, 11 - horizontal surface, 12 - the angle between the trunk and the surface, 13 - the angle between the trunk and thighs, 14 - the thigh, 15 - the angle between the hips and lower leg, 16 - the angles between the arms and the trunk, trunk and thighs, 17 - the left hand, 18 - the right hand, 19 - right leg, 20 - left leg, 21 - test object, 22 - vertical movement of the visual test object, 23 - horizontal movement of the visual test object, 24 - horizontal merka, 25 - angle 26 - amplitude rhythm physical impact.

Throughout life, P, brain neurons that conduct electrical signals form new relationships. These new interneuron connections arise in response to a request (stimulus). Thanks to these new relationships, you can initiate new brain functions or improve existing ones. A sequence of neuropulses creates neuromuscular memory in the brain.

In practice, these incentives are implemented in the form of motion models. The model of movement, passing through the hands of a doctor into body P, is converted into a stereotype of movement. Only models of vital movements should be formed. They should be understood as models of movements necessary and sufficient for the implementation of elementary motor functions. Of particular note is the need to create neuromuscular memory sequences for seamlessly transforming vital movements into each other.

The cerebellum, which is part of the hindbrain, is responsible for motor functions in the brain. Its main function is the coordination of all movements associated with muscle activity, balance and balance. The cerebellum is also responsible for self-preservation reactions and the learning process. By transmitting new stimuli in the form of motion models, we directly influence the creation of the movements themselves. The neuromuscular memory of the dynamic sequence of motion models will become the foundation for performing independent movements.

Active physical action is performed using two types of force vectors. The direct force action vector (PVSV) characterizes the rectilinear direction of the force vector; it is used to give the body P rectilinear motion. The doctor acts on P, transferring the kinetic energy of his hands, activating vital processes in muscle groups.

The scheme of physical action in the orthogenesis of movements P should repeat the stages of movements in phylogenesis. It is necessary to observe the natural order of the sequence of development of motor skills already tested by nature. The logic of further improvement of the protective reflex P leads primarily to motor control of the position of the head (raising and holding).

They form the LMP of the model for raising the head 1: IP lying on the stomach (Fig. 1), face down, legs 2 bent at the knees in parallel, arms 3 bent at the elbows, direct the PVSV 4 up, raising P by the shoulders 5, forming an obtuse angle between the body 6 and legs, fix in this position, then the effect is stopped, exerting an impact on the GM neck 7 and shoulder girdle.

They form the NIR of the head retention movement model; PI standing on knees 8, P is held in the elbows by the forearms, directed ZVSV 9 (Fig. 2) across, making oscillating movements in a vertical plane passing across the axis 10 of the vertical symmetry of the body, smoothly changing the angle of inclination, affect the neck GM , shoulder girdle, back.

Form NMP models of head retention movement; IP - P (Fig. 3) lies on the back, bends the legs at the knees, fixing the feet on the plane 11, pulls P by the hands and holds them, direct the PVSV 4 up so that the angle between the trunk 6 and the horizontal surface 11 is sharp, perform ZVSV 9 - oscillatory movements in a vertical plane, transverse to the longitudinal axis of symmetry of the body, at the same time bringing the angle 12 between the body and the surface to a right angle and returning the body P back to an acute angle, smoothly changing the angle of inclination, affecting all muscle groups.

Form NMP models of movement of the rotation of the head; IP - P lies on its back, is held by the legs and rotates the trunk 6 around the longitudinal axis of symmetry of the body 10, initially rotate the legs to the right, then to the left, fixing the extreme positions.

Further development of motor functions requires improved brain function. It is necessary to stimulate the development of the cerebellum. P must be brought into a state of forced instability (due to the physical weakness of the arms and legs), placing it in the “support on all fours” position, this state for P is an overload, and overcoming it is a super task. Instability is a new incentive (environmental challenge). This request of the environment P, whether or not it wants to, will be forced to overcome, this will lead to coordination, the development of equilibrium and, consequently, the development of motor functions.

The NIRs are formed of the models of the movement of raising the head on all fours: PI — mounted on all fours, the head is lowered, the PVSV vector (Fig. 4) is directed upward, raising the head P with a series of sequential movements in the forehead, affecting the muscles of the neck and shoulder girdle.

Form NMP models of the motion of maintaining equilibrium: from a standing position on all fours (Fig. 5), the hips 14 P are taken back, an obtuse angle 13 is created between the body and hips; direct ZVSV 9 forward along the longitudinal axis 10 of the spine, perform oscillatory movements in the vertical plane, affecting muscle groups of the back, shoulder girdle and arms.

Form NMP models of the motion of establishment on all fours; PI - P is placed on the stomach, legs are pulled up, bending at the knees under the stomach, hands are placed in parallel, bending at the elbows, they are guided to the upper arm 4, raise the pelvis, then change the direction of the arm 4 (Fig. 6-7), directing it forward to the head straighten the hips so that the angle 15 between the hip and lower leg is straight; arms straighten, setting it on all fours, forming right angles 16 between the arms, trunk and hips, affecting muscle groups.

Form NMP models of the movement of maintaining equilibrium on all fours: from a standing position on all fours, put P to the side on the thigh 14, without tearing the arm from the sitting side from surface 11; take the second hand to the side until an unfolded angle is formed between the hands (Fig. 8), direct the vector ZVSV 9 in the vertical plane at an acute angle, making oscillating movements across the longitudinal axis of the body, changing the angle of inclination of the body relative to the surface 11, fixing the maximum amplitude of the movements, simultaneously affecting the muscles of the back, arms and shoulder girdle.

NIRs are formed of models of maintaining equilibrium on all fours: from the standing on all fours they direct the SZVV 9 along the longitudinal axis of symmetry of the body 10, which coincides with the longitudinal axis of the spine (Fig. 9), make oscillatory movements, then change the direction of the ZVSV, directing it across the axis of symmetry of the body, and make oscillatory movements, then change the place of retention P from the forearm to the pelvic region and repeat the above vibrational movements, affecting all muscle groups.

NMPs of equilibrium models are formed on all fours: P is set to the support position on the knees, hands are bent under the chest in parallel (Fig. 10), support the trunk of P in the pelvic area, send ZVSV 9 down, lower the pelvis; then they direct the SEMA 9 upward, raising the shoulders, without tearing the hands off the surface 11, raise the pelvis, forming right angles, between the arms and the trunk, trunk and hips, repeat these movements, affecting the muscle groups of the whole body;

The next stage in the development of motor activity in orthogenesis should correspond to the stage of creeping of reptiles in phylogenesis. This implies the need for the development of motor automatism at the segmental level - the crawl reflex. The level of brain development P should be raised by the doctor to the necessary level, allowing for independent crawling. To achieve this, you must do the following.

Form NMPs of motion models on all fours: from a standing position on all fours, while maintaining right angles between the arms and the torso (Fig. 11), hips and torso, carry out sequential movement of the arms and legs; tilt the body P to the right, the vector PVSV 4 is directed forward to the head, the left arm 17 is moved forward; then torso 6 is tilted to the left, direct PVSV 4 forward to the head, move the right hand 18 forward, setting it at the same level with the left; then tilt the body P to the right, the vector PVSV 4 forward to the head, rearrange the left leg 20 forward; then tilt the body to the left, direct the vector PVSV 4 forward to the head, rearrange the right leg 19 forward and set it on the same level with the left leg, simultaneously affecting all muscle groups.

Form NMPs of motion models on all fours: from a standing position on all fours (Fig. 11), while maintaining right angles between the arms and the trunk, hips and torso, sequential movements of the legs and arms forward; tilt the body 6 to the left, direct the PVSV 4 forward to the head and rearrange the right arm 18; tilt the body P to the right, direct the vector PVSV 4 forward to the head and sequentially rearrange the left leg 20 and then the left arm 17 further than the position of the right hand; tilt the body P to the left, direct the PVSV forward, rearrange the right leg 19 and then the right arm 18 forward, simultaneously affecting all muscle groups.

The NIRs are formed of models of accelerated crawling on all fours: P present a brilliant test object 21 or a ball (Fig. 12), move it forward in the visibility zone P, stimulating its movement behind it.

NMPs of sitting movements are formed: PIs on all fours, then ZVSV 9 is directed downward at an angle and at the same time P is turned around the longitudinal axis of symmetry of the body, P is placed on horizontal surface 11 resting on the arms, acting on groups of muscles of the back, shoulder girdle and arms (Fig. . 13).

NMPs are formed of models for coordinating the position of the head by fixing the coordination of visual analyzers: P present a visual test object (Fig. 14), fix the P view on it, move it vertically 22 and / or horizontally 23, (for training the vertical and horizontal muscles of the eye), fixing it in extreme positions; then describe the test object, the figure in the form of a horizontal figure eight 24 (for training the oblique muscles of the eye), acting on the horizontal, vertical and oblique muscles of the eye.

Oculomotor gymnastics is closely related to the work of the vestibular system P, leading to improved orientation and coordination of the position of the head and the whole body in space.

The next stage in the development of motor function was the stage of standing on two legs. In our case, complicated by PPNS and cerebral palsy, this stage is especially important, it is crucial for human life.

Set P in the position of unstable equilibrium on two legs (similar to the previously described state of unstable equilibrium on all fours).

Form NIRs of models of standing motion on two legs: PI - P (Fig. 15) sit on two legs, setting legs in parallel, knees 8 bent, direct PVSV 4 up at an acute angle, hold P by the chest, then set P vertically, hold it in this position; then they direct the SZVV 9 into a vertical plane, creating oscillatory movements in two mutually perpendicular planes passing through the longitudinal axis of symmetry of the body 10, from the back to the front surface of the body and then sequentially perpendicularly, affecting all muscle groups.

Form NMP models of the movement of balance and walking: PI standing on two legs, hold the trunk P by the shoulders, tilt forward at an angle of 25 5-10 degrees from the vertical (Fig. 16); direct PVSV 4 forward, rearrange one leg 20 forward, then using ZVSV 9 return P to a vertical position, then repeat these movements for the second leg 19; then rearrange the legs alternately forward, maintaining vertical balance after each step, affecting all muscle groups.

In nature, the rhythm of processes is the initial and decisive factor in the beginning and implementation of the process itself. In our case, the rhythm of physical impact is also fundamental, since it is associated with the process of transferring kinetic energy and neuromuscular impulses from a doctor to R. The rhythm of physical impact 26 is amplified and reaches its maximum by the middle of the cycle and gradually decreases by the end of the cycle of each movement (Fig. 17) .

The proposed system of physical exposure is carried out 1-2 times a day.

The proposed method is characterized by the following clinical examples.

Example 1. Patient K., age - 15 months. Initially: the protective reflex is weakly expressed and is combined with the absence of reflexes of support, crawling, automatic walking; the grasping reflex of both hands is difficult, muscle tone is hypotonic.

It doesn’t sit down on its own, with passive sitting the back is round, does not stand on all fours, does not crawl, does not stand on its feet, poor support of legs and arms, does not walk, for a short time keeping the head upright.

Diagnosis: CNS depression syndrome, combined with hypoxic ischemic brain damage and tonic astatic syndrome. Suprasegmental posotonic automatisms are not expressed. The patient is offered treatment according to the invention.

Result: All lags in congenital reflexes are overcome.

Postural and installation reflexes are normal: LUR, SSHTSUR, ASHTSUR, head-to-body reflex, rectifying reflex from body to body and from body to head; equilibrium reactions, the optical reaction of the support is normal. A muscle corset is created, muscle tone is significantly improved. The support of arms and legs was created to hold the body in space. He independently gets up and crawls on all fours, gets to his feet and performs slow and independent steps, keeps his head upright, improved coordination of movements. The psychoemotional state has improved significantly, captures the look when moving the test object from right to left and from top to bottom. The range of kinetic movements has expanded, and the rate of reaction to the presented stimuli has increased.

The treatment time for this technique is 4 months.

Example 2. Patient Z., age - 9 months. Initially: PPNS is characterized by the following state of congenital reflexes: the protective reflex is weakly expressed and is combined with the absence of reflexes of support, crawling, automatic walking and Moro reflex. Does not sit, does not get up, does not crawl, hypertonicity of the back muscles, does not stand up, does not walk. The head is tilted to the right, the muscle tone of the right arm and right leg is increased, the right arm in the pronatarius installation, the cam is clamped, the supporting leg is left, the right leg is not fully unbent at the knee joint.

Diagnosis: Cerebral convulsive syndrome, combined with muscle dystonia on the background of prematurity, right-sided hemisyndrome, combined with a delay in motor development. Suprasegmental posotonic automatisms have not been identified.

The patient is offered treatment according to the invention. All lags in congenital reflexes are overcome.

Postural and installation reflexes are normal: LUR, SSHTSUR, ASHTSUR, head-to-body reflex, rectifying reflex from body to body and from body to head; equilibrium reactions, the optical reaction of the support is normal.

As a result: independently gets up on all fours and crawls on all fours, the right leg is fully unbent in the knee joint, muscle tone has improved significantly, attention and coordination of movements have improved, the right hand has opened, the grip of objects by the hands has improved. The range of independently performed movements has improved, kinetic activity has increased, and slowly independently moves vertically.

The treatment time was 10 months.

The proposed method has the following contraindications: progressive hydrocephalus, severe mental disorders, damage to the respiratory system and heart defects, gross bulbar and pseudobulbar disorders, increased fragility of bones and severe disturbances in the formation of hip joints and their combination.

The method is shown: with perinatal damage to the central nervous system and cerebral palsy R under the age of three years.

The duration of all physical effects depends on the severity of PPNS and cerebral palsy and the level of development of motor functions. To increase the level of survival P, it is necessary to achieve independent execution of the movement.

The use of the invention allows to improve motor functions while expanding the range of independently performed movements, to create NMP sequences of models of smooth transitions of vital movements while reducing treatment time by 2 times.

Claims (21)

A method of treating perinatal lesions of the central nervous system and cerebral palsy in children under the age of three years, consisting in the physical effect on the child (P), characterized in that it creates a neuromuscular dynamic memory (NMP) of the movement patterns P: act on the center of each palmar surface P perpendicular to it followed by a spiral massage from the center of each palm P counterclockwise, then act on the center of each plantar surface P perpendicular to it followed by a spiral massage from the center to the periphery of the sole counterclockwise; Next, the NMPs are formed for raising the head: the initial position (PI) P lying on the stomach face down, legs bent at the knees, parallel, arms bent at the elbows, P raised by the shoulders, forming an obtuse angle between his body and legs, fixed in this position; they form the NMP of the head retention model: IP - P on the knees, it is held in the elbows by the forearm and makes oscillating movements in a vertical plane across the longitudinal axis of symmetry of the body, smoothly changing the angle of inclination; and also for the formation of this model: IP - P lies on its back, bends its legs at the knees, fixing the feet on the plane, pulling P by the hands, and hold it in such a way that the angle between the body and the horizontal surface is sharp, make oscillatory movements in a vertical plane, across the longitudinal axis of symmetry of the body, at the same time bringing the angle between the body and the horizontal surface to a right angle and returning the body P back to an acute angle, gradually changing the angle of inclination; Then, the NMPs of the head rotation model are formed: IP - P lies on the back, it is held by the legs and the body is rotated around the longitudinal axis of symmetry of the body, for which the legs are first turned to the right, then to the left, fixing the extreme positions; Then, NIRs are formed of the model of raising the head in the position on all fours: PI - P is set on all fours, the head is lowered, the head P is raised with a series of consecutive movements; Further, they form the NIRs of the model of maintaining equilibrium: from the position of P standing on all fours, take his hips back, create an obtuse angle between the body and hips, make oscillatory movements in the vertical plane; they form the NMP of the model of setting P to the foursome position: PI - P is laid on the stomach, pulling legs, bending at the knees under the stomach, hands P are placed in parallel, bending at the elbows, raise the pelvis P and straighten the hips so that the angle between the thigh and lower leg is straight, then straighten the arms P, setting it in position on all fours so as to form right angles between the arms and the trunk, trunk and hips; form NIRs of the model of maintaining equilibrium in a position on all fours: from a standing position on all fours, P is put to the side on the thigh, without taking his hand off the surface from the sitting side; take the second hand to the side until an extended angle is formed between the hands, make oscillating movements across the longitudinal axis of symmetry of the body, changing the angle of the torso relative to the surface, fixing the maximum amplitude of the movements; and also for the formation of this model: from PI R, standing on all fours, holding it by the forearm, make oscillatory movements along the longitudinal axis of symmetry of the body, then across this axis, then change the place of holding P from the forearm to the pelvic region and repeat the mentioned oscillatory movements; Further, they form NWMs of the equilibrium model in the position on all fours: P is placed in the support position on the knees with arms bent under the chest, parallel, support the body P in the pelvic area, lower the pelvis, then lift its shoulders without tearing its hands off the surface, raise it the pelvis, forming right angles between the arms and the body, body and hips, repeat the above oscillatory movements; form NMPs of movement patterns on all fours: from position P standing on all fours, sequential movement of his arms and legs is carried out, for which he tilts his body P to the right, forward to his head, moves his left hand forward, then tilts his body to the left, forward to his head, and moves his right hand forward by setting it on the same level as the left; then tilt the trunk P to the right, forward to the head, rearrange the left leg forward, then tilt the trunk to the left, forward to the head, rearrange the right leg forward and set it on the same level with the left leg; and also for the formation of this model from a position P standing on all fours, the following successive movements of his legs and arms are carried out forward: tilt the body to the left, forward to the head and rearrange the right arm, tilt the body P to the right, forward to the head and sequentially rearrange the left leg and then the left the hand is further than the position of the right hand, tilt the body P to the left, forward, rearrange the right leg sequentially forward and then the right hand forward; Then, the NWMs of the crawl model are formed on all fours: they present P with a brilliant test object, moving it forward in the visibility zone for P, stimulating P to try to catch the test object; form NMPs of the sit-down model: PI - P on all fours, lower his shoulders and simultaneously turn P around the longitudinal axis of symmetry of his body, put P on a horizontal surface with support on his hands; I form the NMP of the model for coordinating the position of the head: P present a visual test object, stimulating P to fix its gaze on it when the test object is moved vertically and / or horizontally with fixation in extreme positions, as well as when the test object is moved in the form of a horizontal figure eight; two-leg standing models are formed: PI - P sit on two legs, setting his legs in parallel, knees bent, hold P by the chest at an acute angle to the surface, then set P vertically, holding it in this position, then create oscillatory movements of P in two mutually perpendicular planes passing through the longitudinal axis of symmetry of the body P: from the back to the front surface of the body and then perpendicular to this plane; Further, they form the NWM models of equilibrium and walking: PI - P standing on two legs, hold his body by the shoulders and lean forward at an angle of 5-10 degrees. from the vertical, rearrange one leg P forward, then return P to a vertical position, then repeat these movements for the second leg, then rearrange the legs P alternately forward, maintaining its vertical balance after each step; the rhythm of exposure is gradually increased, reaching a maximum by the middle of the cycle of each movement and gradually decreasing towards its end; exposure is 1-2 times a day.

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