Non-specific brain systems and the rehabilitation of children with cerebral palsy.
Prolonged observations of 157 children with spastic forms of childhood cerebral palsy (CCP) were used to construct a mathematical regression model for motor development in relation to the severity of the course and outcome of the condition. Mathematical relationships were established reflecting dysneuroontogenesis of the suprasegmental regulatory systems. Data obtained from complex electroencephalogram and electroneuromyogram studies, along with assessments of autonomic nervous system function, demonstrated a role for intra-and intersystem disintegration of the limboreticular complex in decreases adaptive capacity and rehabilitation potential of patients with CCP. This was used to identify the principles of a pathogenetically based adaptive-regulatory approach to the rehabilitation of this category of patients, based on the need to correct the functional state of non-specific brain systems to create the neurodynamic suprasegmental and segmental adaptive-energetic and adaptive-immunoregulatory prerequisites for forming and supporting specific psychomotor functions.
Bronnikov
V A
VA
Department of Neurology, Faculty of Pediatrics, State Higher Professional Educational Institute, Perm State Academy, Ministry of Health of the Russian Federation, Russia.
Kravtsov
Yu I
YI
D001921:Brain / Q000473:pathology*; D002547:Cerebral Palsy / Q000503:physiopathology* / Q000534:rehabilitation*; D002648:Child; D002675:Child, Preschool; D003198:Computer Simulation; D004576:Electromyography / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D009043:Motor Activity / Q000502:physiology; D012044:Regression Analysis; D012720:Severity of Illness Index; D018709:Statistics, Nonparametric