Email this article Effectiveness evaluation of translingual neurostimulation in motor rehabilitation in children with spastic diplegia
- Authors: Ignatova T.S.1, Ikoeva G.A.2,3, Kolbin V.E.1, Sarana A.M.1,4, Shcherbak S.G.1,4, Volkov V.G.1,5, Kalinina L.P.1,5, Skoromets A.P.6, Danilov Y.P.7
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Affiliations:
- City Hospital No. 40
- North-Western State Medical University named after I.I. Mechnikov
- The Turner Scientific Research Institute for Children’s Orthopedics
- Saint Petersburg University
- Pavlov First Saint Petersburg State Medical University
- Children’s City Hospital No. 1
- Pavlov Institute of Physiology of the Russian Academy of Sciences
- Issue: Vol 7, No 2 (2019)
- Pages: 17-24
- Section: Original Study Article
- URL: https://journal-vniispk.ru/turner/article/view/11069
- DOI: https://doi.org/10.17816/PTORS7217-24
- ID: 11069
Cite item
Abstract
Introduction. Cerebral palsy is one of the most common non-progressive neurological disorders caused by fetal or infant brain injury. Current rehabilitation for children with cerebral palsy involves a series of measures, including physical training, special massage techniques, physiotherapy, treatment by certain positions and postures, use of supporting orthoses and fixation devices for walking, and special orthopedic suits facilitating verticalization and motor activity of a child. Over the last few decades, computerized stimulators and robotics with virtual reality systems have been actively used in neurorehabilitation. However, most of these systems did not show significant efficiency in rehabilitation of children with cerebral palsy. In the last few years, different non-invasive electrostimulation techniques have been considered innovative and can be applied independently or in combination with existing procedures. One of such techniques is translingual neurostimulation.
Aim. This study aimed to evaluate the effectiveness of a combination of translingual neurostimulation and physical rehabilitation for children with cerebral palsy.
Materials and methods. In this study, we observed 134 children (63 girls and 71 boys) with spastic diplegia aged 2–17 years (mean age is 7.8 years old ± 0.3). Depending on the type of rehabilitation therapy, the patients were divided into two groups: active (main) and control. Active group consisted of 94 children who received standard restorative treatment in combination with translingual neurostimulation, whereas the control group consisted of 40 children who received only standard rehabilitation treatment without translingual neurostimulation.
Results. Both groups of patients showed positive dynamics; however, patients in the active group showed greater improvements as evidenced by all grading scales. Improvements were observed in children of all ages, and the results were mostly stable for 12 months.
Conclusion. Translingual neurostimulation is a novel approach to neurorehabilitation that shows promising results, in addition to its proven effectiveness and safety. As a result of neurostimulation, the patient’s brain becomes more susceptible to the applied therapeutic procedures aimed at restoring motor control and formation of new motor skills, thereby markedly increasing the effectiveness of neurorehabilitation. This study broadens the perspectives in the use and further development of translingual neurostimulation in rehabilitation of children with cerebral palsy.
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##article.viewOnOriginalSite##About the authors
Tatiana S. Ignatova
City Hospital No. 40
Email: ignatova_tatiana@inbox.ru
ORCID iD: 0000-0002-4340-6014
SPIN-code: 5172-9399
MD
Russian Federation, Saint PetersburgGalina A. Ikoeva
North-Western State Medical University named after I.I. Mechnikov; The Turner Scientific Research Institute for Children’s Orthopedics
Author for correspondence.
Email: ikoeva@inbox.ru
ORCID iD: 0000-0001-9186-5568
SPIN-code: 6523-9900
Associate Professor of the Department of Pediatric Neurology and Neurosurgery; MD, PhD, Head of the Department of Motor Rehabilitation and Leading Researcher
Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015; 64-68, Parkovaya str., Saint-Petersburg, Pushkin, 196603Victor E. Kolbin
City Hospital No. 40
Email: v27@yandex.ru
ORCID iD: 0000-0003-0689-5047
Instructor-Methodologist
Russian Federation, Saint PetersburgAndrey M. Sarana
City Hospital No. 40; Saint Petersburg University
Email: asarana@mail.ru
ORCID iD: 0000-0003-3198-8990
SPIN-code: 7922-2751
MD, PhD, D.Sc., Deputy Head Physician for the rehabilitation; the Chief freelance specialist in Medical Rehabilitation
Russian Federation, Saint Petersburg; 7/9, Universitetskaya embankment, Saint-PetersburgSergey G. Shcherbak
City Hospital No. 40; Saint Petersburg University
Email: sergeischerbak@yandex.ru
ORCID iD: 0000-0001-5047-2792
SPIN-code: 1537-9822
MD, PhD, D.Sc., Professor
Russian Federation, Saint Petersburg; 7/9, Universitetskaya embankment, Saint-PetersburgVladislav G. Volkov
City Hospital No. 40; Pavlov First Saint Petersburg State Medical University
Email: volkovimp@yandex.ru
Statistician
Russian Federation, St. Petersburg; 6/8, Lva Tolstogo street, St. Petersburg, 197089Linda P. Kalinina
City Hospital No. 40; Pavlov First Saint Petersburg State Medical University
Email: miss.otonashi@mail.ru
Statistician
Russian Federation, Saint Petersburg; 6/8, Lva Tolstogo street, St. Petersburg, 197089Anna P. Skoromets
Children’s City Hospital No. 1
Email: annaskoromets@gmail.com
MD, PhD, D.Sc., Professor
Russian Federation, Saint PetersburgYuriy P. Danilov
Pavlov Institute of Physiology of the Russian Academy of Sciences
Email: danilov@wisc.edu
ORCID iD: 0000-0002-3123-4016
SPIN-code: 9536-1661
PhD
Russian Federation, 6, Makarova street, St.Petersburg, 199034References
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