Issue №4-98, 2020

Review article

https://doi.org/10.38025/2078-1962-2020-98-4-35-41

Modern Opportunities of Medical Rehabilitation of Children with Chronic Constipation

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1 ORCIDRassulova M.A., 1 ORCIDTalkovsky E.M., 2 Alexandrova O.Yu., 3,4 Smirnov A.N.

1 Moscow Scientific Practical Center of Medical Rehabilitation, Restorative and Sports Medicine, Moscow, Russian Federation
2 Moscow Regional Research and Clinical Institute (“MONIKI”), Moscow, Russian Federation
3 Сhildren’s City Clinical Hospital named after N.F. Filatov, Moscow, Russian Federation
4 Pirogov Russian National Research Medical University, Moscow, Russian Federation


ABSTRACT

This article reviews the methods of medical rehabilitation used in the complex treatment of children with chronic constipation.Medical rehabilitation of children with chronic constipation is a complex system of measures that include rational nutrition,medication therapy, physiotherapy, kinesotherapy, massage, etc.The main objectives of the medical rehabilitation of children with chronic constipation are normalization of the passagethrough the intestines, improvement of tone of the pelvic floor muscles, restoration of the defecation reflex.The article describes the methods of physiotherapy used in the treatment of chronic constipation in children in combinationwith diet, daily regimen, drug treatment, physiotherapy exercises and massage: amplipulse therapy, interference therapy,ultrasound therapy, percutaneous electroneurostimulation, fluctotuorization, high-intensity magnetic therapy, transienttransduction. The methods of balneotherapy are widely used: the internal and external use of mineral waters, as well as heattherapy and peloidotherapy. Natural and artificial physical factors are assigned differentially, taking into account the type ofintestinal motility disorder.One of the promising directions of modern physiotherapy is to study the combined and combined use of two physicalfactors that increase the effectiveness of the medical rehabilitation program for children with chronic constipation. Methodsof medical and psychological correction are of great importance in the medical rehabilitation of children with chronicconstipation.The medical rehabilitation of children with chronic constipation is carried out taking into account the individual programof medical rehabilitation of the child, which makes it possible to increase the efficiency of medical rehabilitation and thepatient’s quality of life.


KEYWORDS: chronic constipation, children, medical rehabilitation, physiotherapy, electrotherapy, balneotherapy

For citation: Rassulova M.A., talkovsky E.M., Alexandrova O.Yu., Smirnov A.N. Modern Opportunities of Medical Rehabilitation of Children with Chronic Constipation. Bulletin of Rehabilitation Medicine. 2020; 4 (98): 35–41. https://doi.org/10.38025/2078-1962-2020-98-4-35-41



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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.