Characteristic of the functional status of the musculoskeletal system in children with multiple sclerosis

Authors:

Borovic Margarita Aleksandrovna — physical therapy doctor, Russian Children’s Clinical Hospital — Branch of the N.I. Pirogov Russian National Research Medical University, 117 Leninsky Ave, 119571 Moscow, Russian Federation; head of the educational laboratory, N.I. Pirogov Russian National Research Medical University, 1 Ostrovityanova Street, 117997 Moscow, Russian Federation; e-mail: a1180@rambler.ru.

Laisheva Olga Arlenovna — Grand PhD in Medical Sciences (Dr. Med. Sci.), professor, N.I. Pirogov Russian National Research Medical University, 1 Ostrovityanova Street, 117997 Moscow, Russian Federation; head of the Medical Rehabilitation Center, Russian Children’s Clinical Hospital — Branch of the N.I. Pirogov Russian National Research Medical University, 117 Leninsky Ave, 119571 Moscow, Russian Federation; e-mail: olgalaisheva@mail.ru; https://orcid.org/0000-0002-8084-1277.

Volkova Elvira Yurievna — neurologist, Russian Children’s Clinical Hospital — Branch of the N.I. Pirogov Russian National Research Medical University, 117 Leninsky Ave, 119571 Moscow, Russian Federation; e-mail: ellivolk@yandex.ru.

Kovalchuk Timofey Sergeevich — Head of the department — physical therapy doctor, Russian Children’s Clinical Hospital — Branch of the N.I. Pirogov Russian National Research Medical University, 117 Leninsky Ave, 119571 Moscow, Russian Federation; e-mail: tim-kovalchuk@yandex.ru.

Annotation:

Introduction. The relevance of multiple sclerosis in children has recently acquired great importance due to the increase in morbidity, which has increased in relation to adults from 5-6 % to 10-15 % since 2016. At the same time, rehabilitation in children with this problem is little described in the literature.

Aim. The aim of this study was to study postural control, which is especially interesting in clinically preserved patients, since the increase in efficiency at the early start of rehabilitation is beyond doubt.

Materials and methods. On the basis of the neuropsychiatric department of the Russian Children’s Clinical Hospital, patients aged 14±2 years with a confirmed diagnosis of multiple sclerosis were examined, according to the EDSS disability scale, the neurological deficit was no more than 2.5 points. The assessment was carried out using the method of stabilometry.

Results. As a result of the study, we identified a number of changes that are characteristic and described earlier in adult patients, as well as taking place only in childhood.

Discussion. Apparently, this is due to the greater plasticity of the nervous system in children and, accordingly, a greater reserve for the restoration and compensation of impaired functions.

Conclusion. The results of this study will help to better understand the condition of patients and make more accurate recovery programs.

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