NEUROPHYSIOLOGICAL ANALYSIS OF THE FUNCTIONAL STATE OF NEUROMOTOR APPARATUS IN THE CHILDREN WITH CEREBRAL PALSY DURING TREATMENT WITH BOTULOTOXIN-A 63 children with cerebral palsy were under medical surveillance in the Republican Children's Psychoneurological Hospital (Tashkent, Uzbekistan). The age was fluctuated from two to 14 years, mean age was 8±6 years. The children with spastic forms of cerebral palsy and dyskinetic cerebral palsy with rigid muscles were selected for treatment with local injections of Botulotoxin-A. Injection of Botulotoxin was administered in those muscle agonists that were significant in the formation of pathological muscular synergia. The results of electroneuromyography (EMG) on the background of treatment with botulotoxin testify to the reliable decrease of tonus not only in injected muscles, but also in muscles of antagonists and agonists.
Knee joint recurvation is among motor disorders in patient with infantile cerebral paralysis (ICP). The work was initiated to define methods for diagnosis and correction of knee joint recurvation in 23 patients with ICP. Knee joint recurvation in the infantile cerebral paralysis can arise either from weakness of tendoligamentous component of the segment or due to pathological contractures in the adjacent lower extremity's joints. The suggested method to diagnose knee joint recurvation is expedient in determination of mechanisms of deformity development and its differentiation primacy. Analysis of orthopedic and surgical methods of management demonstrated their efficacy and necessity of their timely performance with recurvation variants and the deformity severity taken into account.
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