Issue №4-98, 2020

Review article

https://doi.org/10.38025/2078-1962-2020-98-4-71-76

Complex Application of Laser Radiation and Interference Currents in Medical Rehabilitation of Children with Neurogenic Dysfunction of the Bladder

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1,2,3 ORCIDNovikova E.V., 2 Menovshikova L.B., 4 ORCIDPrikulsV.F., 4 Trunova O.V.

1 Moscow Scientific Practical Center of Medical Rehabilitation, Restorative and Sports Medicine, Moscow, Russian Federation
2 Children's City Clinical Hospital named after N.F. Filatov, Moscow, Russian Federation
3 M. Sechenov First Moscow State Medical University, Moscow, Russian Federation
4 Moscow Regional Research Institute named after M.F. Vladimirsky, Russian Federation


ABSTRACT

The article is devoted to the medical rehabilitation of children with neurogenic bladder dysfunction. Medical rehabilitationof children with neurogenic bladder dysfunction includes behavioral therapy, medication, biofeedback, and physicaltherapy. The popularity of physiotherapy methods is explained by the influence on the main links of pathogenesis, theabsence of side effects and the possibility of use in young children.The aim of the study was to study the effectiveness of complex application of laser radiation and interference currents inthe medical rehabilitation of children with PDMP.Materials and methods. Clinical observations and special studies were conducted in 40 children with hyperactive bladderaged 3 to 10 years. The main group consisted of 20 children who received laser therapy and interference currents, 20-acomparison group (without physical therapy).Results. Positive dynamics was observed by the middle of the course of medical rehabilitation, a third of patients showeda decrease in urgency and urgent urinary incontinence, there was a tendency to normalize the number of urinations perday, by the end of the course of medical rehabilitation, the dynamics of clinical symptoms was more pronounced andreliable. The favorable influence of interference currents and laser radiation on the clinical course of neurogenic bladderdysfunction, the state of urodynamics and speed characteristics of the act of urination was revealed.The feasibility of including interference currents and laser radiation in the medical rehabilitation of children with neurogenicbladder dysfunction is scientifically proved.Conclusion. Medical rehabilitation of children with neurogenic bladder dysfunction with the inclusion of laser radiationand interference currents has a favorable effect on the symptoms of hyperactivity of the bladder, indicators of uroflowmetry,cystometry and helps restore the normal rhythm of urination. As a result of the research, the effectiveness of medicalrehabilitation with the inclusion of laser radiation and interference currents was 85.0 %, in the comparison group only60.0 % (p < 0.05).


KEYWORDS: neurogenic bladder dysfunction, overactive bladder, medical rehabilitation, interference currents, laser radiation

For citation: Novikova E.V., Menovshikova L.B., Prikuls V.F., Trunova O.V. Complex Application of Laser Radiation and Interference Currents in Medical Rehabilitation of Children with Neurogenic Dysfunction of the Bladder. Bulletin of Rehabilitation Medicine. 2020; 4 (98): 71–76. https://doi.org/10.38025/2078-1962-2020-98-4-71-76



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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.