Восстановление двигательных функций

Восстановление двигательных функций

Восстановление двигательных функций – Забранский Владислав Владимирович Одесса отзывы

При этом следует уделять внимание восстановлению функции нервно-мышечного аппарата, предупреждению и устранению контрактур, а также деформаций, устранению спастичности мышц и болевого синдрома, развитию опоры и подвижности туловища и конечностей.

В зависимости от исходного состояния двигательных функций следует проводить дополнительные мероприятия: обучение навыкам самообслуживания, сидению и стоянию (в ортостенде, коленоупоре, брусьях), ходьбе с приспособлениями (костыли, канадские палочки и др.) и без них. Хорошо себя зарекомендовал разработанный в санатории им. Н. Н. Бурденко метод безаппаратного обучения ходьбе с применением коленоупора, специальных фиксаторов для замыкания коленных суставов и опоры (И. А. Дащук, 1972).

На фоне бальнеогрязелечения в виде «курток», «брюк» (в зависимости от локализации патологического процесса) проводятся механотерапия, ЛГ, массаж, преформированные лечебные воздействия.

Помимо общепринятой электростимуляции ослабленных мышц и мышечных групп при спинномозговых поражениях рекомендуются функциональная электростимуляция шаговых движений (сгибательных рефлексов) в положении сидя, лежа, стоя; электростимуляция ортостатического рефлекса, мышечного корсета. Как уже указывалось, формирование «глобальных» движений методом электростимуляции проводится на основе стимуляции полисинаптических рефлексов.

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