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Clinical significance of the use of transcranial magnetic therapy in the comprehensive non-drug rehabilitation of newborns with perinatal injury of the central nervous system

Year: 2021, volume 17 Issue: №1 Pages: 33-39
Heading: Pediatrics Article type: Original article
Authors: Zakharov I.A., Panina O.S., Chernenkov Yu.V.
Organization: Saratov State Medical University
Summary:

The aim is to assess the effectiveness of the use of transcranial magnetic therapy in the comprehensive non-drug rehabilitation of newborns with perinatal injury of the central nervous system. Material and Methods. The research includes 214 newborns with postconceptual age more than 30 week and perinatal injury of the central nervous system. Main group (n=79): children underwent standard pharmacotherapy in combination with comprehensive non-drug rehabilitation (which including dry immersion, music therapy and orolingual massage), and transcranial magnetic therapy; Comparison group (n=74): children underwent standard pharmacotherapy in combination with non-drug rehabilitation; Control group (n=61): children received conventional pharmacotherapy. Results. Hyperactivity syndrome was cured in 60% of children in main group, vegetative-visceral disorders — in 80% of children, CNS repressive syndrome signs disappeared in 67% of children, a significant (p<0.05) decrease in the resistance index was noticed, a decrease in elevated peripheral vascular resistance and physiologic reflex extension, especially the oral reflexes group. Odds ratio of the normalization of oral reflexes group by the tenth day for the main and control groups was 5,09 with 95% Cl [1.8-13.8], and for the main and the comparison group — 3.0 with 95% Cl [1.1-8.4]. Normalization of muscle tone and decrease in the resistance index by the tenth day in the main group was observed, respectively, 8 and 4 times more often than in control group. Odds ratio is 8.2 with 95% Cl [1.8-16.3] and 4.05 with 95% Cl [1.06-9.3], respectively. Conclusion. Non-drug rehabilitation methods combined with magnetic therapy produces sedative effect, provides the stimulation of respiratory movements, spontaneous motor activity, the resumption of proper reflex action. Thus it is recommended to be included in perinatal CNS injury newborns therapy.

Keywords: prematurity, perinatal lesions, non-drug rehabilitation, magnetotherapy

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