Issue 3-85, 2018

Physical Factors in Medical Rehabilitation of Children with Chronic Constipation

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1,2 Lyan N.A., 1 Rassulova M.A., 1 Talkovsky E.M., 3 Sottaeva Z.Z.

1 Moscow Scientific Practical Center of Medical Rehabilitation, Restorative and Sports Medicine of the Department of Healthcare, Moscow, Russia
2 Sechenov First Moscow State Medical University, Moscow, Russia
3 GBUZ «DGKB №13 named after N.F. Filatov DZM», Moscow, Russia


ABSTRACT

Now chronic constipation are widespread pathology of children's age. The large role in development of constipation isplayed by the dysfunction of muscles of a pelvic diaphragm leading to violation of the act of defecation. Complex treatmenthas to include normalization of a day regimen, food and defecation of the child besides medicamentous therapy. Non-drugmethods of treatment are appointed taking into account a motor-evacuation of violations for the purpose of restoration ofa defecation reflex, correction of vegetative violations, normalization of a tone of smooth muscles of intestines and a pelvicdiaphragm: at a hypomotor constipation the technologies stimulating and raising a tone of muscles and physical activity ofa thick gut are applied; at a spastic constipation – the technologies promoting knocking over of a spasm of smooth musclesof intestines, rendering to the vasodilating, anesthetizing and sedative action. Methods of the electrotherapy, the magnetotherapywhich is improving blood circulation and having anti-inflammatory and the desensibilizing effect are widely applied.The expressed medical effect of low-intensive laser radiation, ultrasonic therapy, cryotherapy is proved, biofeedback-technologies,physiotherapy exercises, massage, hydropathy, balneoterapiya.


KEYWORDS: medical rehabilitation; children; chronic constipation; physiotherapy; exercise therapy, balneoterapy


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