title: The impact of rehabilitation carried out using the Masgutova Neurosensorimotor Reflex Integration method in children with cerebral palsy on the results of brain stem auditory potential examinations.
abstract: BACKGROUND
  Rehabilitation therapy in children with neuromotor development disorders can be carried out with the use of various methods.
  
  
  OBJECTIVE
  The aim of this study was to determine the efficiency of rehabilitation carried out with the use of the new therapeutic method MNRI (Masgutova Neurosensorimotor Reflex Integration) in children with cerebral palsy (CP) by objective measurements with a brainstem auditory evoked potentials (BAEP) examination.
  
  
  METHODS
  Besides the known parameters, Interpeak Latency I-V (IPL I-V) in BAEP, an original parameter proposed by Pilecki was introduced, called a relative IPL I-V value. The study involved a group of 17 children (9 girls and 8 boys) aged from 1.3 to 5.9 years (mean = 3.8 years, SD = 1.3) with cerebral palsy. Due to difficulty in co-operation, analysis of only 15 children could be finished.
  
  
  RESULTS
  Analysis of the absolute IPL I-V values showed that after rehabilitation the percentage of the results with slowed transmission, i.e. those in which the IPL I-V value was prolonged, decreased from more than 88% to 60%. The assessment of the relative IPL I-V values showed that the results obtained after rehabilitation are more advantageous.
  
  
  CONCLUSIONS
  As a result of rehabilitation carried out by the MNRI method in children with CP, a significant improvement in the transmission in the brain stem section of the auditory pathway was observed based on the absolute and relative IPL I-V values. However, the change obtained in children was various.
authors.affiliation: Department of Pathophysiology, Wroclaw Medical University, Poland. witpil@patfiz.am.wroc.pl
authors.forename: Witold
authors.initials: W
authors.lastname: Pilecki
authors.forename: Swietłana
authors.initials: S
authors.lastname: Masgutova
authors.forename: Joanna
authors.initials: J
authors.lastname: Kowalewska
authors.forename: Denys
authors.initials: D
authors.lastname: Masgutov
authors.forename: Nelly
authors.initials: N
authors.lastname: Akhmatova
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Poreba
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Sobieszczańska
authors.forename: Piotr
authors.initials: P
authors.lastname: Koleda
authors.forename: Anna
authors.initials: A
authors.lastname: Pilecka
authors.forename: Dariusz
authors.initials: D
authors.lastname: Kałka
mesh_terms: D001306:Auditory Pathways / Q000503:physiopathology*; D002547:Cerebral Palsy / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D002648:Child; D002657:Child Development; D002675:Child, Preschool; D019988:Children with Disabilities / Q000523:psychology / Q000534:rehabilitation*; D016057:Evoked Potentials, Auditory, Brain Stem; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009043:Motor Activity; D009460:Neurologic Examination; D026741:Physical Therapy Modalities; D011044:Poland; D011930:Reaction Time; D012021:Reflex, Abnormal; D009435:Synaptic Transmission; D016896:Treatment Outcome