Control psychophysical children’s development under the correction movement disorder

Bukhovets B. O. Control psychophysical children’s development under the correction movement disorder. Journal of Education, Health and Sport. 2016;6(2):200-210. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.46410http://ojs.ukw.edu.pl/index.php/johs/article/view/3393https://pbn.nauka.gov.pl/works/716436  The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).755 Journal of Education, Health and Sport eISSN 2391-8306 7© The Author (s) 2016;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercialuse, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 05.01.2016. Revised 12.02.2016. Accepted: 21.02.2016.  UDK 612.8+616-009+376 CONTROL PSYCHOPHYSICAL CHILDREN’S DEVELOPMENT UNDER THE CORRECTION MOVEMENT DISORDER Bukhovets B. O. South Ukrainian National Pedagogical University n.a. K. D. Ushinsky, Odessa, Ukraine Abstract This article deals with the problem of determining the effectiveness of the method Bobath, as the main methods of psychophysical condition correction of children with movement disorders.Given the drawbacks of the proposed test detailed rating scale of psychomotor development of children "Map test of motor abilities of children" was adapted and implemented together with the Munich diagnostic testing cards of mental skills and motor abilities of children.The basis of the experiment became the evaluation of basic motor skills in certain positions and determine the true psychophysical age at the beginning and at the end of the course on corrective exercises by Bobath method.Considering the universality, accessibility of data and informative test quality it became possible to assess the stages of psychomotor development and mental qualities forming with the true definition of real psychophysical children age with movement disorders 3-4 years. Key words: Bobath method, Munich diagnosis, psychomotor development, preschool children, motor disorders

Уточнение гемодинамической значимости стенотического поражения экстракраниальных отделов каротидных артерий по данным ультразвукового исследования внутренней яремной вены

Aim. To study changes in the size and linear velocities of the blood flow of internal jugular veins in patients with high degree stenosis of the extracranial carotid artery.Methods. The study included 28 patients: 14 patients with high degree stenoses of the internal carotid arteries (70% and more by NASCET criteria) constituted group 1, 14 patients with “small” stenoses of the ICA (less than 30%) – group 2. The state of blood flow in the extracranial sections of the main arteries of the head were evaluated using ultrasound.Results. When studying the features of venous blood flow, the following was found: in the group with unilateral hemodynamically significant stenosis, in contrast to the group of patients with “small” stenoses, the venous pressure measured on the arm was statistically significantly lower, and therefore the calculated central venous pressure, while the linear velocities of the peaks S and T were statistically significantly higher by 1 the group on the side of hemodynamically significant stenosis. On the side of contralateral stenosis in group 1, there was statistically significantly less area of VAV, and the ratio S1/S2, than in patients of group 2. Intra-group analysis revealed a statistically significant difference in almost all indicators in patients with hemodynamically significant stenosis compared with the contralateral side: the diameters of the vein and its area were larger, and the linear rates of the A, S and T peaks were higher. Whereas there were no statistically significant differences in the group of “small” stenoses.Conclusion. Changes in venous blood flow in the jugular veins are interrelated with the development of high degree carotid stenosis and have diagnostic significance, can be used as an additional sign of the hemodynamic significance of carotid stenosis.Цель исследования: изучение изменений размеров и линейных скоростей кровотока внутренних яремных вен (ВЯВ) у пациентов со стенозом “высокой” степени экстракраниальных отделов внутренних сонных артерий (ВСА).Материал и методы. В исследование было включено 28 пациентов: 14 пациентов со стенозами “высокой” степени ВСА (более 70% по критериям NASCET) составили 1-ю (основную) группу, 14 пациентов с “малыми” стенозами ВСА (менее 30%) – 2-ю (контрольную) группу. Состояние кровотока в экстракраниальных отделах магистральных артерий головы оценивали с использованием ультразвукового исследования.Результаты. При изучении особенностей венозного кровотока было установлено следующее: в группе со стенозами “высокой” степени в отличие от группы пациентов с “малыми” стенозами статистически значимо было ниже венозное давление, измеренное на руке, а следовательно, и расчетное центральное венозное давление, тогда как линейные скорости пиков S и T были статистически значимо выше в 1-й группе на стороне гемодинамически значимого стеноза. На стороне, контралатеральной стенозу, в 1-й группе статистически значимо были меньше площадь ВЯВ и отношение S1/S2, чем у пациентов 2-й группы. При внутригрупповом анализе у пациентов с гемодинамически значимым стенозом выявлена статистически значимая разница практически всех показателей по сравнению с контралатеральной стороной: диаметры вены и ее площадь были больше, а линейные показатели скоростей пиков A, S и T выше, тогда как в группе “малых” стенозов статистически значимых различий не получено.Заключение. Изменения размеров и венозного кровотока ВЯВ взаимосвязаны с развитием стенозов ВСА “высокой” степени, обладают важными диагностическими особенностями и могут быть использованы в качестве дополнительного признака гемодинамической значимости каротидного стеноза

[FEATURES OF CHANGES IN CEREBRAL BLOOD CIRCULATION IN CHILDREN WITH CEREBRAL PALSY FOR THE IMPACT OF BOBATH THERAPY]

Among the existing innovative and effective methods of physical rehabilitation, Bobaththerapy is noted. However, scientifically substantiated results, which could indicate its impact on the state of children with Central Nervous System deficiency is very few. A total Bobath-therapy course was conducted of 72 procedures, 35 children (4.3 ± 1.0 years old) patients with Cerebral Palsy undergo a half-year were treated with Bobath-therapy. At the beginning and at the end of the physical rehabilitation course, all children underwent a comprehensive examination, which included diagnostics of physical development, psychophysical state, motor function, and cerebral blood flow using the method of transcranial dopplerography (TCDG). According to the assessment of children physical development, there was a significant increase in body length (p <0.05), body length sitting (p <0.01), body weight (p <0.01) and chest coverage (p <0.05), but the mobility of the chest has not increased. According to the scale of motor function assessment, the increase was more than doubled, the number of children who were able to sit on the floor, to sit down and to walk without additional means of transport has changed from 22.9% to 48.6%. At the same time, children with total limitation of motor function and the inability to move independently, at the end of the course, have not been observed at all. According to the Munich Diagnostics, the positive trend has been related to the greater degree of motor abilities of the child, namely, the aperture and small motility, however, according to the parameters of "speech comprehension" and "psychological age", the inconsistency with age norms increased insignificantly. According to the data of the TCDG of the brain vessels, it has shown that the usage of the Bobat method in the course of physical rehabilitation of children with Cerebral Palsy significantly has improves cerebrovascular circulation, which is reflected in the normalization of blood flow parameters in the basins of the external and internal carotid arteries, the anterior, middle and posterior cerebral arteries, extracranial and intracranial segments the vertebral artery, which reaches the normative values in 62.7-97.1% of children. In this case, the growth of normative variants varies from 8.6% for the right internal carotid artery to 20.0% in cases for the extracranial spine of the left arterial region. At the end of the rehabilitation course there is a disappearance of circulatory in the segments of the vertebral artery, as well as excessive blood flow disorders in the direct venous sinus

HIGH-RESOLUTION CONTRAST-ENHANCED MRI IN DIFFERENTIAL DIAGNOSIS OF TYPE OF CAROTID PLAQUE AND IT'S RELATIONSHIP TO THE ISCHEMIC BRAIN DAMAGE

Aim of the study. We have compared in patients with carotid atherosclerosis the patterns of contrast enhancement of atherosclerotic plaque with presence of cerebral stroke, by using of high-resolution contrast-enhanced carotid MRI.Material and methods. The patients 'population comprised 26 persons with either monolateral (14 pts) or bilateral (12 pts) stenosis of internal carotid artery for over 70% of lumen. In 15 (10-monolateral, 5 bilateral stenosis) there was recent stroke in acute or subacute stage, whereas 11 were symptom-free. In everybody contrast-enhanced study of atherosclerotic plaque was carried out with T1-w high-resolution MRI (paramagnetic as 2 ml of 0.5 mol solution per 10 kg of BW).Results and discussion. In control persons there was a mild increase in T1-w intensity of arterial wall of carotids? With IE not more than 1.08. In patients without stroke there was moderate increase in plaque T-1w intensity up to 1.14 ± 0.07. In ishaemic stroke patients there was significant rise in intensity of T1-w of homolateral plaque (IE = 1.35 ± 0.06), and also of T1-w of arterial wall as whole (IE = 1.19 ± 0.05).Conclusion. Further detailed study of high-resolution MRI of carotids is worth in order to obtain better imaging of atherosclerotic lesions and also better evaluation of risk of stroke in patients suitable for carotid endarterectomy