[Myographic biofeedback training in combination with post-isometric relaxation of spastic muscles in patients with infantile cerebral paralysis].

Neurodynamic mechanisms underlying regulation of muscular tone are considered in the context of the integral systemic approach to the analysis of efficiency of adaptive preparation of spastic muscles to kinesitherapeutic procedures exemplified by myographic biological feedback (BFB) training of the affected muscles in children suffering cerebral paralysis. It is shown that the application of the post-isometric relaxation method immediately before biofeedback training seances increases effectiveness of these procedures and combined therapy of locomotor disorders at large.

[A new method of peloidotherapy for the rehabilitation of children living in environmentally unfavorable regions].

This paper is devoted to a topical problem of rehabilitative therapy of children with ecological disadaptation syndrome under the conditions of a health resort. Original approaches to the improvement of efficiency of treatment are described with reference to different therapeutic modalities. The study demonstrated advantages of modulation peloidotherapy targeting adaptive and reflectory responsiveness of the patients over traditional methods of mud application.

Use of magnetophoresis of glutamic acid and magnesium sulfate in the rehabilitation of children with cerebral palsy.

We report here our studies on the clinical efficacy of courses of magnetophoresis of glutamic acid and magnesium sulfate in the complex rehabilitation treatment of preschool children with spastic types of cerebral palsy. Clinical-neurophysiological investigations were performed in 40 children aged 1-7 years. Treatment was significantly more effective when use of running pulsed magnetic fields was combined with medicinal agents as compared with magnetotherapy using the same regime.

Use of the new levodopa agent Stalevo (levodopa/carbidopa/entacapone) in the treatment of Parkinson's disease in out-patient clinical practice (the START-M open trial).

Despite the significant symptomatic effects of levodopa, stable 24-h treatment responses are in the vast majority of patients replaced 2-3 years from the start of treatment by oscillations in motor symptoms (fluctuation, dyskinesia), amelioration of which requires addition of constant (physiological) stimulation of postsynaptic dopamine receptors. To some extent this is provided by Stalevo, which contains levodopa and two enzyme inhibitors: the DDC inhibitor carbidopa and the COMT inhibitor entacapone. The results obtained in the present study demonstrated the advantages of Stalevo over traditional agents in patients with the "wearing off" and "on-off" phenomena.

[Magnetophoresis of glutaminic acid and magnesium sulfate in rehabilitation of children with cerebral palsy].

Clinical efficacy of magnetophoresis of glutaminic acid and magnesium sulfate used in the rehabilitative complex for preschool children with spastic forms of cerebral palsy has been studied. The clinical and neurophysiological examination has been conducted in 40 children aged from 1 to 7 years. The higher efficacy of treatment with combination of running pulsed magnetic field and drugs as compared to magnetotherapy using the same procedure has been found.

[The study on the assessment of the new levodopa drug--stalevo (levodopa/carbidopa/entacapone), in treatment of Parkinson's disease in out-patient clinical practice (the results of the open START-M)].

Despite significant symptomatic effect of levodopa, in most patients the stable 24 hour's effect changed for alterations of movement symptoms (fluctuations, dyskinesia) after 2-3 years of the therapy. These complications may be reduced due to the constant (physiologic) stimulation of post-synaptic dopamine receptors that, to a certain degree, provides the drug stalevo, which contains levodopa and 2 enzyme inhibitors, dopa decarboxylase (carbidopa) and catechol-O-methyltransferase (entacapone). The results of the study demonstrated beneficial effects of stalevo as compared to traditional therapy in patients with "wearing off" and "on-off" phenomena.

[Efficacy of dynamic magnetotherapy with modulation frequency 10Hz in the complex of spa rehabilitation of children with cerebral palsy].

Two groups of children with cerebral paralysis received combined therapy. Treatment of one of the groups included a course of magnetotherapy (AMO-ATOS unit, 10 Hz) according to the suboccipital-lumbar method, the other group was control (no magnetotherapy). The study of cliniconeurophysiological indices showed significantly higher efficacy of the therapeutic complex with a course of magnetotherapy.

[Peloid therapy in the complex sanatorium treatment of children of early age with complications of perinatal brain damage].

The search for novel approaches to multimodality prophylaxis and treatment of sequelae of perinatal nervous system affection as well as introduction of the early diagnostic criteria are topical problems in present-day pediatric neurology. Peloid therapy efficacy in combined sanatorium treatment was studied (Peloterm unit) in 44 infants aged 1 to 3 years. They suffered from sequelae of perinatal affections of the central nervous system including infantile cerebral paralysis.

[Balneotherapy of children with complications of craniocerebral injuries].

Children with aftereffects of craniocerebral trauma have received sanatorium treatment including exercises, massage, mineral baths of different chemical composition. Adequate therapeutic measures taken in due time diminish the number of the aftereffects and their severity.

[Balneotherapy of children with sequelae of brain injury].

The paper presents manifestations of aftereffects of cranio-cerebral trauma in children. A lot of clinical observations grounded the expediency of a combined sanatorium treatment of such patients using mineral baths of different chemical composition. Radon baths are preferable, especially in patients with hypertensive hydrocephalus syndrome.

[The effect of balneotherapy on the autonomic indices in children with neurocirculatory dystonia].

Intervalocardiography was used to study the effect of carbon dioxide narzan baths on autonomic parameters in 125 children aged 10-15 with vascular dystonia (VD). In sympathicotonic VD vegetative background and reactivity did not change much. In vagotonic VD balneotherapy was adequate.

[The effect of potable mineral waters on the hormonal and psychological status (experimental and clinical research)].

Experiments on 80 Wistar rats revealed the ability of Essentuki mineral waters to stimulate the reserves and sensitivity of the intestinal serotonin-producing system. A clinical trial on two groups of children (exposed to low-dose ionizing radiation or with posttraumatic astheno-neurotic syndrome) found out pronounced positive changes in the psychological status of the children which progressed in correlation with an increase of the blood serotonin levels.

[Treatment of patients with sequelae of meningitis at a balneologic health resort].

The results of balneotherapy in patients with cerebroasthenic and hypertensive syndromes are described. Twenty-four children were examined electrophysiologically and neuropsychologically before and after sanatorium treatment. Massage, exercises, drug therapy, radon and carbon dioxide and sulfurated hydrogen baths were used.

[Nervous system pathology in children with scleroderma].

An examination of 50 children suffering from various forms of scleroderma revealed clinical signs of nervous system involvement. The data of the skin functional parameters pointed to symptoms of irritation of the sympathetic nervous system. Electroencephalographic and electromyographic changes were observed.

[Health resort treatment of preschool children with cerebral palsy].

In the Pyatigorsk resort, 226 children from 3-7 years of age with different forms of cerebral paralysis were studied. For therapeutic purposes, besides general health improvement measures, remedial gymnastic and massage, such resort factors as carbon dioxide and sulfurated hydrogen and radon baths of different concentrations and mud procedures were used. As a result of such studies, some indications for referrals of preschool children with cerebral paralysis to balneomud resorts were outlined.