Clinical-and-statistical characterization of children with cerebral palsy appealed to RISC RTO Consultative-and-Diagnostic Department

Сазонова Н.В., Попков Д.А.

Abstract


Introduction. At present, cerebral palsy (CP) is the main pathology in children which accompanied by motor disorders. The complexity of rendering care to such patients is due to the multilateral character of the disease manifestation, as well as due to the necessity of various specialist participation in the treatment.
Purpose. To determine the clinical-and-statistical characteristic in children with cerebral palsy appealed to RISC RTO consultative-anddiagnostic department.
Materials and Methods. The work based on analyzing the outpatient cards of 147 children with CP at the age from 12 months to 17 years. The children divided into five (5) age-related groups: below two years – five (3.4%) children, those aged from two to four years – 21 (14.3%), from four to six years – 26 (17.7%), from six to eleven years – 65 (44.4%), and from 12 to 18 years – 30 (20.4%) children. The highest appealability observed among children at the age from six to 11 years. Mean age was 8.1±4.0 years. The disease history and orthopedic status of the patients studied.
Results. The diagnosis of spastic diplegia put in 50.3% of children from this group. There were 48 patients among children with motor disorders and Degree I for locomotion severity. Regular and full in duration and indications conservative complex orthopedic treatment performed only in 34 (23.1%) children among those appealed previously. The indications for surgical orthopedic treatment within the nearest year after consultation established in 88 (59.9%) children.
Conclusion. The results of the study carried out evidence of an insufficient level of the conservative orthopedic and rehabilitative measures being performed, thereby pointing to the need of developing and implementing a program to improve the quality of timely specialized care for children with CP in order to enhance and optimize functional results of treatment in children.

Keywords


children cerebral palsy, rehabilitation, orthopedic complications

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