title: [Diagnosis and treatment of headache combined with orthopedic disorders in children and adolescents].
abstract: To study characteristics of headache combined with orthopedic disorders in children and adolescents and to develop treatment approaches, we examined 116 patients aged from 5 to 17 years. Headache of tension was found in 89 (77%) and chronic headache in 27 (23%) patients. Along with clinical/neurological and orthopedic examination, all patients were studied using a special device that allowed to quantitatively measure the bearing (in three dimensions) and biomechanic body balance. Electroencephalography, Doppler ultrasound and transcranial tests of neck vessels and ophthalmological examination were carried out. Based on the features of headache characteristic of some groups of patients, the authors suggest using a multidiscipline approach including the day-to-day interaction between neurologist and orthopedist, pharmacological therapy, therapeutic physical training, specific orthopedic inner sole and other rehabilitation methods. This treatment has led to better recovery of patients compared to the treatment using only neurological or orthopedic techniques.
authors.affiliation: Sankt-Peterburgskiĭ gosudarstvennyĭ meditsinskiĭ pediatricheskiĭ universitet, Sankt-Peterburg.
authors.forename: A A
authors.initials: AA
authors.lastname: Gaiduk
authors.forename: D D
authors.initials: DD
authors.lastname: Korostovtsev
authors.forename: Yu V
authors.initials: YV
authors.lastname: Gaiduk
authors.forename: L Ya
authors.initials: LY
authors.lastname: Ageeva
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006261:Headache / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D008297:Male; D009140:Musculoskeletal Diseases / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D019637:Orthopedic Procedures; D011187:Posture; D017585:Ultrasonography, Doppler, Transcranial