Issue 4-98, 2020

Review article

https://doi.org/10.38025/2078-1962-2020-98-4-55-61

Methods of Physiotherapy in the Medical Rehabilitation of Children with Primary Arterial Hypertension

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1 ORCIDKuyantseva L.V., 1 ORCIDTurova E.A., 2 ORCIDTrunina I.I., 3 ORCIDPetrova M.S., 4 Lomaga I.A.

1 Moscow Scientific Practical Center of Medical Rehabilitation, Restorative and Sports Medicine, Moscow, Russian Federation
2 Children’s city hospital of Z.A. Bashlyaevа, Moscow, Russian Federation
3 The Main Medical Department of the Office of the President of the Russian Federation, Moscow, Russian Federation
4 Children’s city hospital of N.F. Filatov Moscow Department of Healthcare, Moscow, Russian Federation


ABSTRACT

Introduction. Arterial hypertension (AH) is a widely occurring disease of the cardiovascular system in the children’spopulation, which often debuts in childhood, persists into adulthood, which dictates the need for early treatment andprevention of arterial hypertension.The formation of AH is associated with maladaptation of physiological mechanisms of self-regulation, with a complexinteraction of psychosocial and genetic factors.The use of non-medicinal agents to reduce blood pressure is a starting approach in the treatment of children and adolescentswith hypertension and complements medication therapy.Purpose. Analysis of literature sources on the effectiveness of hardware physiotherapy methods in the treatment ofhypertension in children.Discussion. In the treatment of children with hypertension, the leading role belongs to hardware physiotherapy technologies.Widely used sedative, hypotensive and vegetative-corrective methods are pathogenetically justified and can be used at allstages of arterial hypertension development.Transcranial pulsed electrotherapy (transcranial electrostimulation, electroson, infitotherapy), darsonvalization,aromafitotherapy and medicinal electrophoresis of sedatives belong sedative methods aimed at enhancing inhibitoryprocesses in the Central nervous system.Amplipulster therapy, intermittent normobaric hypoxytherapy, low-intensity magnetic therapy, medicinal electrophoresis ofspasmolytic drugs, EHF therapy, laser therapy, which lead to a decrease in arterial hypertension and improve microcirculation,are hypotensive methods.Bio-controlled aerionotherapy, aimed at correcting vegetative dysfunction, is a vegetative-corrective method.Conclusion. Currently, there is a wide range of scientifically-based methods of hardware physiotherapy used in themedical rehabilitation of children with arterial hypertension, allowing to improve cerebral hemodynamics, normalizeneurophysiological and hemodynamic processes in the Central nervous system, provide sedative and hypotensive effects,stimulate peripheral vasodepressor mechanisms, normalize neuroendocrine processes.The use of hardware physiotherapy methods in the complex treatment of hypertension can improve the quality of life ofpatients, achieve stable normalization of blood pressure, and reduce the risk of early cardiovascular diseases.


KEYWORDS: children, arterial hypertension, medical rehabilitation, hardware physiotherapy

FOR CITATION: Kuyantseva L.V., Turova E.A., TruninaI.I. , Petrova M.S., Lomaga I.A. Methods of Physiotherapy in the Medical Rehabilitation of Children with Primary Arterial Hypertension. Bulletin of Rehabilitation Medicine. 2020; 4 (98): 55–61. https://doi.org/10.38025/2078-1962-2020-98-4-55-61


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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.