ISSN 2415-3060 (print), ISSN 2522-4972 (online)
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УЖМБС 2018, 3(3): 257–264
https://doi.org/10.26693/jmbs03.03.257
Theoretical and methodical aspects of physical education and sport

Kineziotyping in a Complex Program of Physical Therapy of Children with Hemiparesis Aged 5 - 7 Years

Yezhova O. O. 1, Ol'khovyk A. V. 1, Mordvinova I. V. 2
Abstract

The article presents the results of study the effectiveness of an algorithm for kinesiotaping for children with hemiparesis aged 5-7 in a traditional complex physical therapy program. We developed the programs of physical therapy with the use of kinesiotherapy, physiotherapy procedures, therapeutic massage, etc., which solve the issues of increasing motor activity, physical and mental development, social adaptation of children with cerebral palsy, etc. We believe that it is necessary to pay attention to the spread of the kinesiotaping method in the rehabilitation of children. The goal of kinesiotherapy involves providing stability in the muscles and joints, without limiting the range of their movements. Application of this method in the physical therapy of children with cerebral palsy requires additional research, in particular, for children with hemiparesis of 5-7 years old. Results and discussion. Having analyzed various programs and methods of physical therapy for children with hemiparesis to develop a comprehensive program of physical therapy, it was important to adhere to the basic principles of physical therapy: early onset of physiotherapy; continuity; complexity; individuality of physiotherapeutic measures; the need for physiotherapy in the team. Physiotherapeutic treatment is comprehensive and includes means of orthopedic, speech therapy, hardware physiotherapy, kinesiotherapy, hydrokinesiotherapy, kinesiotherapy. Kinesiotaping of rehabilitation children at all stages of the program was carried out according to the single algorithm. The kinesiotaping algorithm consisted of the following techniques: muscle technique – stimulating typing of muscles; muscle technique for reducing the muscle tone; technique tendon correction. Each kinesiotape was pasted for 5 days with interruptions of 3-5 days. At each stage of the kinesiological warming, the force of the tension of the tape varied by 5-10%. Kinesiotaping shoulder girdle muscles on the right side of the tension of type by 20-45% and stimulating taping of posterior muscle groups of the forearm tension of tape 5-25% improved shoulder rotation, reduced manifestations of spasticity of the upper limb, increased mobility in the elbow (10,4°) and the radial-wrist joints (bending – by 8,6°, extension – by 9,6°). During stimulating taping of the back group of muscles of the pelvic belt by 10-45% of the maximum, since the first sessions of kinesiotherapy, an increase in the function of flexion of the right hip was observed at 9,4°. Combining different variants of kinesiotaping (muscle technique for reducing the tone in the shin muscles with tension of 10-30% in the therapeutic area and copula-tendon correction on Achilles tendon with the tension's distribution of 25-50% of maximum) in children stimulate the ability to hold the entire case with full verticalization in the correct position. Moreover, there appeared a turn of the feet and knees outside and was increased the foot’s support area, improved the walking. Conclusions. The efficiency of using the kinesiotaping algorithm in the traditional complex physical therapy program is proved. The children had the opportunity to hold the entire body with full verticalization in the correct position; there was a turn of the feet and knees outside; increased foot's support area, improved the walking.

Keywords: cerebral palsy in children, hemiparesis, complex physical therapy program, kinesiotaping, children aged 5-7

Full text: PDF (Ukr) 238K

References
  1. Anthamonov MU. Mathematical processing and analysis of medical and biological data. K: Small Print, 2006. 558 c. [Russian]
  2. Bykovskaya TYu, Kabaruukhin AB, Semenenko LV. Types of rehabilitation: physiotherapy, therapeutic physical training, massage. Rostov on the Don: Phoenix, 2010. 557 p. [Russian]
  3. Herzen GI, Lobenko AA. Rehabilitation of children with lesions of the musculoskeletal system in sanatorium and resort conditions. M: Medicine; 1991.175-88 p. [Russian]
  4. Dubrovsky VI. Children's cerebral paralysis: study. [for the stud of higher studying institutions]. Moscow: Vlados, 2002. Sports Medicine; 425-6. [Russian]
  5. Efimenko NN, Sermeyev BV. Content and method of exercising with physical culture with children suffering from cerebral palsy. Moscow: Soviet sport, 1991. 56 p. [Russian]
  6. Kiselev D. Kinesiotaping in the therapeutic practice of neurology and orthopedics. Moscow: Medicine, 2015. 168 p. [Russian]
  7. Klochkova EV. Introduction to physical therapy: physical rehabilitation of children with cerebral palsy and other motor disorders of the neurological nature. Moscow: Terevinf, 2014. 288 p. [Russian]
  8. Kozjavkin VI, Babadagly MA, Lun GP. System of intensive neurophysiological rehabilitation - method Kozjavkin: manual rehab. Lviv: Parrot, 2012. 240 p. [Russian]
  9. Kokolinin VF, Rumyantsev AG. Practical guide to childhood diseases. Moscow: Medpraktika-M, 2008. 616 c. [Russian]
  10. Lysheva OA, Karmazin VV, Kiselev DA, Sergeyenko EYu., Skvortsov DV. Conceptual approach to the rehabilitation of patients with pathology of foot and movement. Therapeutic culture and massage. 2006; 11: 14-21. [Russian]
  11. Mastjukova EM. Physical education of children with cerebral palsy: infant, early and preschool age. Moscow: Enlightenment, 1991. 159 p. [Russian]
  12. Migal RO, Migal OM. Kinesiotaping: an innovative method in rehabilitation. Actual questions of rehabilitation in neurology and psychiatry. 2014; 54-5. [Russian]
  13. Mikhailuk IG, Salnikov EV, Spirin NN, Kuzmin FA. The effect of kinesiotaping on the functional state of microcirculation in a person. Vestnik of the Kostroma State University named after NA Nekrasov. 2014; 20 (7): 50-2. [Russian]
  14. Murza VP. Psychological-physical rehabilitation: teaching manual. K: Orlan; 2004. 559 p. [Russian]
  15. Nemkovaya CA. Children's Cerebral palsy: modern technologies in complex diagnostics and rehabilitation of cognitive disorders. M: Medpraktika-M, 2013. 440 p. [Russian]
  16. Semenova EV, Klochkova EB, Korshikova-Morozova AE, Truhacheva AV, Zablotskis EYu. Rehabilitation of children with cerebral palsy: an overview of modern approaches to helping rehabilitation centers. Moscow: Lepta Book, 2018. 584 p. [Russian]
  17. Semyonova KA. Rehabilitation of children with perinatal lesions of the nervous system and childish cerebral palsy. Moscow: Law and order, 2007. 616 p. [Russian]
  18. Sokolovsky VS, Romanova NO, Yushkovskaya OG. Therapeutic physical culture: textbook. Odessa: Odessa State Medical University, 2005, 234 p. [Ukrainian]
  19. Sokrut VN, Yabluchansky NI. Medical rehab: a textbook for students and doctors. Slavyansk: Your image, 2015. 576 p. [Russian]
  20. Stepanenko MV, Supostat L.V. Massage and therapeutic physical culture in medicine. Kiev: Medicine, 2010. 352 с. [Ukrainian]
  21. Subbotin FA. Propaedeutics of functional therapeutic kinesiotaping. Moscow: Orthodynamics, 2014. 192 p. [Russian]
  22. Tsykunov MB, Ivanova GE, Naidin VL, Dutikova EM, Bzhilyansky MA, Romanovskaya EB. Survey in the process of rehabilitation of patients with spinal cord injury. M: Moscow textbooks and cartography, 2016. 640 p. [Russian]
  23. Chubukov ZhA. Descriptive statistics: a teaching and methodological manual for students of all faculties of medical universities, post-graduate students, masters, applicants and teachers. Gomel: Gomel State Medical University, 2012. 28 p. [Russian]
  24. Cleary SL, Taylor NF, Dodd KJ, Shields N. A qualitative evaluation of an aerobic exercise program for young people with cerebralpalsy in specialist schools. Developmental neurorehabilitation. 2017; 20 (6): 339-46. https://doi.org/10.1080/17518423.2016.1277798
  25. Frisancho AR. Anthropometric Standards for the Assessment of Growth and Nutritional Status. Michigan: University of Michigan Press, 1990. P 27–8.
  26. Reedman S, Boyd, RN, Sakzewski L. The efficacy of interventions to increase physical activity participation of children with cerebral palsy: a systematic review and meta-analysis. Developmental medicine and child neurology. 2017 Оct; 59 (10): 1011-18.
  27. Stergiou A, Tzoufi M, Ntzani E, Varvarousis D, Beris A, Ploumis A. Therapeutic Effects of Horseback Riding Interventions A Systematic Review and Meta-analysis. American journal of physical medicine & rehabilitation. 2017 Оct; 96 (10): 724-32.