Dynamics of Clinical and Laboratory Indicators in Children With Cerebral Palsy During Sanatorium-Resort Treatment

Goal: to study the level of fibronectin in children with cerebral palsy and its dynamics under the influence of spa treatment using the robotic complex «Exokist». Material and methods. The study included 43 children with cerebral palsy, spastic diplegia form. The main group (MG) - 13 children, underwent a course of spa treatment(SRT) using pelloidotherapy. The comparison group (CG) - 18 children, were engaged in the robotic complex «Exokist». The control group (CG) - 12 patients, underwent a course of spa treatment (SRT) using electrical stimulation of the flexor and extensor muscles of the hand and fingers. All children underwent fibronectin testing in peripheral blood, electromyography, and clinical examination of manual activity before and after treatment. As a result of the treatment, positive dynamics were noted in all groups, more pronounced in the groups with the inclusion of muscle activity activating techniques (robotic hand and electrical stimulation) in the rehabilitation process. In all groups, adecrease in the FN level was noted from 774.62 ± 374.56 pg / ml to a level of 547.14 ± 328.58 pg / ml (p<0.05). The dynamics of coordination coefficients was positive and tended to decrease. Discussion. In patients with cerebral palsy, a decrease in the amplitude-frequency characteristics of EMG is recorded during maximum muscle contraction due to a violation of the central regulation of organic genesis. The dynamics of the coordination coefficients was positiveand tended to decrease. Thus, the inclusion of procedures activating muscle activity in the spa treatment has a positive effect on the manual activity of the child, which is confirmed by the EMG study data. Pellodotherapy does not have a pronounced positive effect on motor activity. In all groups, a decrease in the FN level was noted, which may indicate activation of tissue regeneration processes. Conclusion. Recovery processes occur in the child’s body under the influence of the spa treatment. However, a more pronounced clinical effect was observed after a course of stimulatingprocedures (electromyostimulation, classes on the robotic complex «Exokist»).