Issue 2-20, 2020

https://doi.org/10.38025/2078-1962-2020-96-2-94-101

Concept of early rehabilitation in children with spinal cord injury in a surgical department

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1 Novosеlova I.N., 1 Machalov V.A., 1 Ponina I.V., 1 Valiullina S.A., 1 Ivanova G.E.

1 Clinical and Research Institute of Emergency Pediatric Surgery and Trauma, Moscow, Russian Federation


ABSTRACT

Authors present a concept of early rehabilitation in children with spinal cord injury in a surgical department. The patient’s route at an early stage of rehabilitation is defi ned: general intensive care unit, intensive care ward in neurosurgical department and general ward in neurosurgical department. Three main stages of early comprehensive rehabilitation are also defi ned: perioperative, adaptation to motor defi cit, motor retraining. Goals of early rehabilitation and role of multidisciplinary team involved in the care are stated as well. Article shows the role of various physical training techniques and rehabilitation tools eff ectiveness in patients’ care, complications prevention, motor retraining, persistent self-care skills acquisition, improvement of mobility and quality of patients' life.


KEYWORDS: spinal cord injury, comprehensive rehabilitation, multidisciplinary team, staged early rehabilitation, rehabilitation tasks, techniques and tools for curative physical training, technical means for rehabilitation

FOR CITATION: Novosеlova I.N., Machalov V.A., Ponina I.V., Valiullina S.A., Ivanova G.E Concept of early rehabilitation in children with spinal cord injury in a surgical department. Bulletin of rehabilitation medicine. 2020; 96 (2): 94-101. https://doi.org/10.38025/2078-1962-2020-96-2-94-101


References:

  1. Leont'ev M.A. Epidemiologiya spinal'noi travmy i chastota polnogo anatomicheskogo povrezhdeniya spinnogo mozga [Epidemiology of spinal injury and frequency of complete anatomical damage to the spinal cord]. Aktual'nye problemy reabilitatsii invalidov, 2003: 37 - 38 (In Russ.)
  2. Grin' A.A., Krylov V.V., Lebedev V.V. Profilaktika i lechenie oslozhnenii u bol'nykh s travmoi pozvonochnika i spinnogo mozga [Prevention and treatment of complications in patients with spinal cord and spinal cord injury]. Vtoraya nauchno-prakticheskaya konferentsiya «Obshchestva Spinnoi Mozg». Moscow, 2003: 2 - 8 (In Russ.)
  3. Novoselova I.N., Valiullina S.A., Ponina I.V., Machalov V.A., Luk'yanov V.I. Ocenka tolerantnosti k fizicheskoj nagruzke metodom ergospirometrii na etape rannej reabilitaciya u detej s pozvonochno-spinnomozgovoj travmoj [Assessment of exercise tolerance by ergospirometry at the stage of early rehabilitation in children with spinal cord injury]. Vestnik vosstanovitelnoj mediciny Moscow, 2018: 2: 65 - 73 (In Russ.)
  4. Morozov I.N. Pozvonochno-spinnomozgovaya travma: vosstanovitel'noe lechenie v promezhutochnom i pozdnem periodakh. Dokt, Diss.[ Spinal cord injury: restorative treatment in the intermediate and late periods. Doct, Diss]. N.Novgorod, 2011: 35 p. (In Russ.)
  5. Novoselova I.N., Ponina I.V., Machalov V.A., L'vova E.A., Tyutyukina A.I., Semenova N.Yu., Valiullina S.A. Klinicheskii primer reabilitatsii na I etape rebenka s travmaticheskim porazheniem sheinogo otdela spinnogo mozga [A clinical example of rehabilitation at the first stage of a child with a traumatic lesion of the cervical spinal cord]. Vestnik vosstanovitelnoj mediciny, 2019: 5: 2 - 13 (In Russ.)
  6. Shelyakina O.V., Stupak I.N., Mikhailov V.P. Osobennosti rannei reabilitatsii bol'nykh s pozvonochno-spinnomozgovoi travmoi v usloviyakh statsionara [Features of early rehabilitation of patients with spinal cord injury in a hospital setting]. Meditsina i obrazovanie v Sibiri, 2009: 5: 5 p. (In Russ.)
  7. Ivanova G.E., Mel'nikova E.V., Belkin A.A., Belyaev A.F., Bodrova R.A., Bujlova T.V., Mal'ceva M.N., Mishina I.E., Prokopenko S.V., Sarana A.M., Staxovskaya L.V., Xasanova D.R., Cykunov M.B., Shamalov N.A., Suvorov A.Yu., Shmonin A.A. Kak organizovat' meditsinskuyu reabilitatsiyu? [How to organize medical rehabilitation?]. Vestnik vosstanovitelnoj mediciny, 2018: 2: 2 - 12 (In Russ.)
  8. Ivanova G.E. Meditsinskaya reabilitatsiya v Rossii. Perspektivy razvitiya [Medical rehabilitation in Russia. Prospect of development]. Consilium Medicum, 2016: 18(2.1): 9 - 13 (In Russ.)
  9. Bogolyubov V.M. Meditsinskaya reabilitatsiya bol'nykh posle travmy i operatsii na pozvonochnike i spinnom mozge. Meditsinskaya reabilitatsiya (ruko-vodstvo). Tom 2 [Medical rehabilitation of patients after trauma and surgery on the spine and spinal cord. In the book. Medical rehabilitation (manual). Volume 2]. Moscow, 2007: 66 - 111 (In Russ.)
  10. Frederick F.S. Spinal Cord Injury Medicine. Braddom RL (ed), Handbook of Physical Medicine and Rehabilitation. Saunders, Philadelphia, USA, 2004: 814 - 858.



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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.