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Neurostimulation of The Brain on The Formation of Motor Skills in Children with Cerebral Palsy

Neurostimulation of the Brain on the Formation of Motor Skills in Children with Cerebral Paralism
Ignatov TS1 Skoromets A.P.2 Kolbin V.E.1 Sarana A.M.1,3 Shcherbak S.G.1,3 Yu.P. Danilov4
St. Petersburg State Healthcare Institution “City Hospital №40 ", St. Petersburg,
Children's City Hospital №1 Department of Neonatology and Neonata Resuscitation GOU VPO SPbGMPU
St. Petersburg State University, Faculty of Medicine
Institute of Physiology. Pavlova, RAS, St. Petersburg
Children's Cerebral Paralich and Other Violations in Movement in Children
VIII Interdisciplinary Scientific and Practical Congress with International Participation
Moscow, Russia, November 2018, http://association-dcp.ru/wp-content/uploads/2018/11/tezis_2018.pdf
Relevance: The main clinical manifestation of Cerebral Paralysis (cerebral palsy) is a violation of the
motor development of the child - the pace lag the formation of motor skills from the age norm, this is
due to persistent functional impairment. Over the past 20 years in the study of cerebral palsy there have
been significant changes. Much attention is paid to finding new and improved means and methods of
rehabilitation. One of the new rehabilitation methods in these patients is translingual neurostimulation,
which is carried out using a portable neurostimulator (PoNS). This method is based on non-invasive
stimulation of the central nervous system by nerve impulses caused by electrical stimulation of the front
surface of the tongue. Two main cranial nerves (branches of the trigeminal and facial nerve) from the
front surface of the tongue provide transmission of nerve impulses directly to the structure of the brain
stem. There are numerous data from clinical trials conducted in different countries exploring the
effectiveness and mechanisms of action of this methodology on patients with motor disabilities (posture,
balance, walking) in the result of spinal and traumatic brain injury, stroke, stroke, with the disease
Parkinson's, multiple sclerosis, peripheral and central vestibular violations.
Purpose: On the basis of GB No. 40, a study was conducted to evaluate the safety and the effectiveness
of this method in complex rehabilitation. Evaluate the impact on motor activity and the development of
motor skills. Rate reduction level of spasticity. Assess the effect on balance and movement coordination.
Materials and methods: Standard scales GMFSC, FMS, The Ashvotra scale, the Berg scale, was also
conducted by an EEG study. In the study 134 patients took part, aged from 2 to 6 years with cerebral
palsy. Spastic diplegia. All patients had intact intelligence, did not have convulsive seizures. The test
group of children was 96 people. All children in this group received standard treatment and additionally
translingual neurostimulation of the brain the brain. The control group consisted of 40 people who
received only standard therapy.
Results: The results proved safety and efficacy. Use of this method in patients with cerebral palsy.
Positive results were noted in reducing spasticity and improving balance control and balance in both
groups, but most pronounced in the group of subjects, which was confirmed by statistically significant
results. Also in the group of subjects was marked cumulative nature of the results of therapy, which
suggests that the results achieved as a result of combination therapy are stored in breaks between
courses. This study supports our hypothesis that non-invasive translingual neurostimulation facilitates
and increases the effectiveness of standard physical therapy. This method of neurostimulation allows
you to effectively activate the brain structures involved in mechanisms of sensorimotor integration.
Findings: The use of neurostimulation with the aid of the PoNS device, in combination with therapeutic
exercises (targeted exercises), allows improvement in the efficient recovery of motor functions and the
development of motor skills. The present study opens up broad prospects for the application and
development of this method in children with cerebral palsy.