Normalization of urination parameters in a boy with cerebral palsy after rehabilitation using an “ExoAtlet” exoskeleton
- Authors: Bozhendaev T.L.1,2, Guseva N.B.1,2,3, Pismennaya E.V.4
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Affiliations:
- Veltischev Research and Clinical Institute for Pediatrics and Pediatric Surgery, Pirogov Russian National Research Medical University
- G.N. Speransky Children’s Hospital No. 9
- Russian Medical Academy of Continuous Professional Education
- Severtsov Institute of Ecology and Evolution of the Russian Academy of Sciences
- Issue: Vol 14, No 1 (2024)
- Pages: 151-160
- Section: Case reports
- URL: https://journal-vniispk.ru/2219-4061/article/view/257482
- DOI: https://doi.org/10.17816/psaic1549
- ID: 257482
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Abstract
Lower urinary tract dysfunction occurs in 30%–55.5% of patients with cerebral palsy. The article presents a clinical example of medical rehabilitation of a child with cerebral palsy and dysfunctional urination using the verticalization method and ExoAtlet exoskeleton. Description of observation. A 15-year-old boy had urinary disorders in the form of urine leakage after urination, incomplete emptying of the bladder, episodes of enuresis, and frequent urination while sitting. The gait was unsteady and aided with crutches supported by the elbow. Examinations included uroflowmetry and electromyography. The results indicated a decrease in contractility and impaired evacuation function of the detrusor. In total, 15 rehabilitation sessions were performed using the ExoAtlet exoskeleton, after which the patient gained an independent gait supported by a cane, and the child was taught to urinate in a standing position. A repeat urological examination revealed a positive change in urination parameters with partial relief of pollakiuria and complete relief of the residual bladder volume. Verticalization and activation of striated muscles, obtained following the use of an exoskeleton in a child with cerebral palsy and dysfunctional urination, in combination with restored posture, helped normalize lower urinary tract function.
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##article.viewOnOriginalSite##About the authors
Timofey L. Bozhendaev
Veltischev Research and Clinical Institute for Pediatrics and Pediatric Surgery, Pirogov Russian National Research Medical University; G.N. Speransky Children’s Hospital No. 9
Author for correspondence.
Email: dr.bozhendaev@gmail.com
ORCID iD: 0000-0002-8819-0771
SPIN-code: 3445-2020
MD, Cand. Sci. (Medicine)
Russian Federation, Moscow; MoscowNatalya B. Guseva
Veltischev Research and Clinical Institute for Pediatrics and Pediatric Surgery, Pirogov Russian National Research Medical University; G.N. Speransky Children’s Hospital No. 9; Russian Medical Academy of Continuous Professional Education
Email: guseva-n-b@yandex.ru
ORCID iD: 0000-0002-1583-1769
SPIN-code: 3704-0679
MD, Dr. Sci. (Medicine)
Russian Federation, Moscow; Moscow; MoscowElena V. Pismennaya
Severtsov Institute of Ecology and Evolution of the Russian Academy of Sciences
Email: epismen@yandex.ru
ORCID iD: 0000-0002-7833-1235
SPIN-code: 9522-7017
MD, Cand. Sci. (Engineering)
Russian Federation, MoscowReferences
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