Применение транскраниальной магнитной стимуляции у детей с последствиями перинатальных поражений ЦНС

Acta Biomedica Scientifica

В. В. Шпрах¹  Е. Б. Алимова²  С. Ю. Лаврик²  О. П. Тимофеева³  Р. Р. Сабирова³ 

[1]ОБГУСО «Реабилитационный центр для детей и подростков с ограниченными возможностями»

[2]ГБОУ ДПО «Иркутская государственная медицинская академия последипломного образования» Минздрава России

[3]ОБГУСО «Реабилитационный центр для детей и подростков с ограниченными возможностями»

关键词: последствия перинатальных поражений центральной нервной системы;    детский церебральный паралич;    минимальная мозговая дисфункция;    речевые нарушения;    транскраниальная магнитная стимуляция;    ТМС;   

DOI  :  10.12737/23746

学科分类：自然科学（综合）

来源: Scientific entre for Family Health and Human Reproduction Problems

【 摘 要 】

1249 children of 5-10 years (716 boys, 533 girls) with consequences of perinatal lesions of the CNS were examined, 230 of them were treated with the transcranial magnetic stimulation method (TMS). Selection of the TMS regimens was carried out taking into account the specific clinical neurophysiological features of the patients both as monotherapy, as well as a part of complex neurorehabilitation. For example, when intensifying of the synchronizing influences of thalamic structures and EEG signs of a delay of formation of electrical cortical rhythmicity, in children with developmental dysphasia and difficulties of school training, a high-pitched stimulation in the projection of the sensomotor and speech zones of a cerebral cortex was chosen; when intensifying of desynchronization influences of a reticular formation of a brainstem; at motor type of a developmental dysphasia and clinical signs of ADHD syndrome, a low-frequency regimen of stimulation offront-parietal and central areas of a cerebral cortex were chosen. Efficiency of therapy within 55-60 % concerning indicators of the speech sphere and the psychological status is reached at sessions of TMS together with correctional occupations with auxiliary specialists of the rehabilitation center - speech pathologists and psychologists. Efficiency of monotherapy of TMS in children with retardation of psycho-speech development made 30-35 %. Sufficient clinical performance and safety of the technique, a possibility of holding sessions of TMS against the background of course neuroprotective therapy at children with cerebral palsy is shown.

【 授权许可】

CC BY