Kozyavkin法致痉挛型脑瘫患儿手功能参数变化与脑电图、心率变异性及气体排放可视化的关系

I. Popovych, V. Babelyuk, T. Korolyshyn, Walery Zukow, C. Moldova
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引用次数: 5

摘要

介绍。早前有报道,108例痉挛型脑瘫(SFCP)患儿经过两周的强化神经生理康复系统(Intensive Neurophysiological Rehabilitation System, INRS),即官方认可的Kozyavkin方法[18-20]后,手部功能测试参数有明显改善。在盒子和块测试中,右增加22.9±2.2%,左增加19.1±1.3%;在九孔钉测试中,右增加16.7±1.9%,左增加18.8±1.8%;在Dynamometry中,右增加30.6±5.0%,左增加31.6±6.1%。总体而言,Kozyavkin法手部功能参数的恢复效果平均为23.3±1.6%,而对照组为3.5±1.4%。然而,平均指标掩盖了个别儿童之间的显著差异。其中,58%的患者变化非常明显,22%为中度,20%为轻微[21]。在另一组29名儿童中,发现从7,6±1,0 N到1,6±0,5 N(直接差异为-6,0±0,8 N), 79,3%的病例出现肌张力神经成分(NCMT)的降低(直接差异为-6,0±0,8 N),而13.8%的病例未检测到变化,2例仅NCMT分别从1,6到3,4和从4,6到6,1 N增加[13,22]。已知CP患者的自主神经系统(ANS)异常[1,14,29]。显然,这些异常与中枢神经系统损伤有关。我们最近发现了心率变异性(HRV)参数作为ANS活动的标记与脑电图活动背景之间的关系[31,32]。由此,我们假设NCMT的各种变化是由于神经中枢背景活动的模糊变化。对于他们的评估,可以使用以下HRV和脑电图(EEG)方法(关于乌克兰条件下的神经成像,我们只能做梦)。由于这些儿童由于不受控制的运动并不总是能够记录EEG和HRV,因此寻找其他评估神经活动的方法仍然是相关的。早在1880年,尼古拉·特斯拉(Nikola Tesla)就证明,当把人置于身体周围的高频磁场中时,会发出明亮的光。1892年,Y.O. Nardkevych-Yodko在一张底片上记录了人类双手的发光。然而,一种众所周知的“高频摄影”方法是由于已婚夫妇S.D.和V.H.基利安,他们在1939年独立
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Relationships between changes in parameters of the manual function and electroencephalogram, heart rate variability as well as gas discharge visualization in children with spastic cerebral palsy caused by the Kozyavkin method
Introduction. It was reported earlier that after two-week course of Intensive Neurophysiological Rehabilitation System (INRS) officially recognized as the Kozyavkin method [18-20], the parameters of the functional tests of hands in 108 children with spastic forms of cerebral palsy (SFCP) have been significantly improved. The increase has been detected in Box and Block Test by 22,9 ± 2,2% right and by 19,1 ± 1,3% left, in Nine Hole Peg Test by 16,7±1,9% right and by 18,8 ± 1,8% left, in Dynamometry by 30,6 ± 5,0% right and by 31,6 ± 6,1% left. In total the effectiveness of the restoration of functional parameters of hands by the Kozyavkin method makes on average 23,3 ± 1,6% versus 3,5 ± 1,4% in control. However, the average indicators obscure the significant differences between individual children. In particular, in 58% of patients, changes are very tangible, in 22% moderate, while in 20% are minor [21]. In another group of 29 children it was found out that reducing of the neural component of muscle tone (NCMT) was stated in 79,3% cases from 7,6 ±1,0 N to 1,6 ± 0,5 N (direct difference: -6,0 ± 0,8 N), while in 13,8% cases changes were not detected and in 2 children only NCMT increased from 1,6 to 3,4 and from 4,6 to 6,1 N respectively [13, 22]. It is known about abnormalities in the autonomous nervous system (ANS) in patients with CP [1, 14, 29]. Obviously, these abnormalities are associated with CNS damage. We have recently discovered the relationships between the parameters of heart rate variability (HRV) as markers of ANS activity and the background of EEG activity [31, 32]. Proceeding from this we hypothesized that such a variety of changes in NCMT is due to ambiguous changes in the background activity of the nerve centers. For their evaluation the following HRV and Electroencephalography (EEG) methods (about Neuroimaging in the conditions of Ukraine we can only dream) are available. Since such children are not always able to register EEG and HRV due to uncontrolled movements, the search for other methods for evaluating neural activity remains relevant. Back in 1880 Nikola Tesla demonstrated that when placing the man in the high-frequency field around the body there is a bright glow. In 1892 Y.O. Nardkevych-Yodko recorded a glow of human hands on a photographic plate. However, a well-known method of ‘high-frequency photography’ was due to the married couple S.D. and V.H. Kirlian who in 1939 independently
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