Issue №4-98, 2020

Modern Technologies of Medical Rehabilitation of Upper Limb Injury in Children

^1,2 Khan M.A., ^1,2 Vakhova E.L., ³ Vybornov D.Yu., ³ Tarasov N.I., ⁴ Pochkin Е.О., ³ Kirillova I.S.

¹ Moscow Scientific Practical Center of Medical Rehabilitation, Restorative and Sports Medicine, Moscow, Russian Federation
² I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation
³ Сhildren’s City Clinical Hospital named after N.F. Filatov, Moscow, Russian Federation
⁴ Сhildren’s Medical Center, Moscow, Russian Federation

ABSTRACT

The relevance of the problem of children with upper limb trauma medical rehabilitation is determined by the highfrequency elbow joint fractures; the risk of complications development, disabilityc of the patient. A comprehensive medicalrehabilitation program assumes a personalized approach and a differentiated prescription of physical factors, dependingon the time period of rehabilitation. Early physical rehabilitation is a key link in the complete recovery of the function of apatient’s limb with damage to the elbow joint.The purpose of this work is to analyze literature and summarize the results of our own research to determine the optimalapproaches and methods for medical rehabilitation of children with upper limb injury.The medical rehabilitation program includes various methods of kinesiotherapy, robotic mechanotherapy, massage, a widerange of apparatus physiotherapy to improve the trophism of the periarticular tissues, to maintain mobility in joints free fromimmobilization; gain of the full range of motion in the damaged joint; normalizing tone and strengthening the muscles ofthe upper limb.Medical rehabilitation of children with elbow joint injury is carried out from the earliest stage, in stationary conditions, duringthe period of immobilization. the rehabilitation measures continue in outpatient and polyclinic conditions, during the entireperiod of immobilization (2–4 weeks) and then in the post-immobilization period until the limb function is fully restored.It is necessary to monitor the main indicators of the function of the upper limb during the entire period of rehabilitation toassess the effectiveness of rehabilitation measures, objectify the course of the rehabilitation process and the continuity ofrehabilitation programs.Definition of the tasks of medical rehabilitation, differentiated for each stage; the choice of modern, pathogeneticallygrounded rehabilitation technologies with an assessment of their effectiveness contribute to a significant increase in theeffectiveness of comprehensive rehabilitation programs for children with upper limb trauma.

KEYWORDS: children, trauma, elbow joint, kinesitherapy, robotic mechanoterapy, selective electrostimulation of lymph dynamic and venous outflow, magnetotherapy, selective chromotherapy, biofeedback

For citation: Khan M.A., Vakhova E.L., Vybornov D.Yu., tarasov N.I., Pochkin Е.О., Kirillova I.S. Modern technologies of Medical Rehabilitation of Upper Limb Injury in Children. Bulletin of Rehabilitation Medicine. 2020; 4 (98): 42–47. https://doi.org/10.38025/2078-1962-2020-98-4-42-47

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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.