Clinical significance of using transcranial magnetic therapy in comprehensive non-drug recuperation of neonates with perinatal lesions of central nervous system
Автор: Ivan A. Zakharov, Olga S. Panina, Yuri V. Chernenkov
Журнал: Saratov Medical Journal @sarmj
Статья в выпуске: 4 Vol.2, 2021 года.
Бесплатный доступ
The objective was to assess the effectiveness of the use of transcranial magnetic therapy in comprehensive non-drug recuperation of neonates with perinatal injury of the central nervous system. Materials and Methods. Our research involved 214 newborns with corrected age of 30 weeks of gestation and perinatal lesion of the central nervous system. Main group (n=79): neonates underwent standard pharmacotherapy in combination with comprehensive non-drug recuperation (which included dry immersion, music therapy and orolingual massage), and transcranial magnetic therapy. Comparison group (n=74): newborns underwent standard pharmacotherapy in combination with non-drug recuperation. Control group (n=61): infants received conventional pharmacotherapy. Results. In Main group, hyperexcitability syndrome was healed in 60% of infants, and autonomic visceral disorders were cured in 80% of children. CNS depression syndrome signs disappeared in 67% of neonates. A significant (p<0.05) decrease in the resistance index was noticed, along with reduction in elevated peripheral vascular resistance and expansion of physiological reflexes, especially of the oral automatism group. Odds ratio of normalization of oral reflexes by day 10 for Main group vs. Control group was 5.09 with 95% CI [1.8-13.8]; and for Main group vs. Comparison group, it was 3.0 with 95% CI [1.1-8.4]. Normalization of muscle tone and resistance index reduction by day 10 in Main group was observed 8 and 4 times more often, correspondingly, than in Control group. Odds ratios were 8.2 with 95% CI [1.8-16.3] and 4.05 with 95% CI [1.06-9.3], respectively. Conclusion. Non-drug recovery methods in combination with magnetic therapy generated the sedative effect; provided stimulation of respiratory movements and spontaneous motor activity; and contributed to restoring proper reflex action. Hence, they are recommended for inclusion in the perinatal CNS lesion therapy of neonates.
Neonate, prematurity, perinatal lesions, non-drug recuperation, magnetic therapy
Короткий адрес: https://sciup.org/149139015
IDR: 149139015 | DOI: 10.15275/sarmj.2021.0404
Список литературы Clinical significance of using transcranial magnetic therapy in comprehensive non-drug recuperation of neonates with perinatal lesions of central nervous system
- Report Dumov EL, Andrushchenko NV, Iova AS. Music therapy of premature neonates: Achievements and prospects. Bulletin of I.I. Mechnikov Northwestern State Medical University 2015; 7 (4): 76-83. [In Russ.].
- Brill GE, Morrison VV, Ponukalina EV, et al. Physiological Pathology: Textbook. (VV Morrison, NP Chesnokova, eds.). 3rd edition. Saratov: Publishing House of Saratov State Medical University, 2008; 147-173. [In Russ.].
- Keshishyan ES, Bykova OV, Borisova MN, et al. Therapy of perinatal brain injury outcomes: Results of multicenter, double-blind, placebo-controlled, randomized study of Tenoten for children (a liquid dosage form). SS Korsakov Journal of Neurology and Psychiatry 2019; 119 (7); 33-9. [In Russ.].
- Rogatkin SO. Diagnostics, prevention and treatment of perinatal posthypoxic lesions in central nervous system of neonates and early age children. DSc abstract. Moscow, 2012; 52 p. [In Russ.].
- Rogatkin SO, Lyudkovskaya EV, Volodin NN. Treating children with a history of perinatal hypoxia during their early postnatal adaptation. Gynecology, Obstetrics and Perinatology 2005; 4 (3): 37-43. [In Russ.].
- Blanchard Y, Øberg GK. Physical therapy with newborns and infants: Applying concepts of phenomenology and synactive theory to guide interventions. Physiotherapy Theory and Practice 2015; 31 (6): 377-81. https://doi.org/10.3109/09593985.2015.1010243
- Panina OS, Bolotova NV, Nikolaeva NV, et al. The effectiveness of transcranial magnetic therapy in recuperation of newborns with perinatal CNS lesions. ПТ Speransky Journal of Pediatrics 2011; 90 (1); 70-4. [In Russ.].
- Khan MA, Chubarova AI, Degtyareva MG, et al. Contemporary non-drug technologies of medical rehabilitation in children with consequences of perinatal lesions of their central nervous system. Issues of Balneology, Physiotherapy and Physical Exercise 2020; 97 (6); 50-8. [In Russ.].
- https://doi.org/10.17116/kurort20209706150
- Zavadenko NN, Skripchenko NV, Gaynetdinova DD, et al. Developmental disorders of academic skills in children: The efficacy and safety of Tenoten for children in the multicenter, double-blind, placebo-controlled, randomized study. SS Korsakov Journal of Neurology and Psychiatry 2020; 120 (9); 28-36. [In Russ.]. https://doi.org/10.17116/jnevro202112102138
- Ulashchik VS, Pletnev AS. Magnetic therapy. Theoretical Foundations and Practical Application. Minsk: Belorusskaya Nauka, 2015; 65 p. [In Russ.].
- Alipour Z. Effects of music on physiological and behavioral responses of premature infants: A randomized controlled trial. Complementary Therapies in Clinical Practice 2013; 19 (3): 128-32. https://doi.org/10.1016/j.ctcp.2013.02.007
- Zaharov IA, Chernenkov JuV, Panina OS, et al. Efficacy of medical rehabilitation complex for premature newborns. Pediatric Rehabilitation 2020; 2 (2): 89-90. [In Russ.].
- Zaharov IA, Vagner EI, Panina OS, et al. Music therapy as non-drug recuperation of premature neonates. In: Contemporary Trends in the Development of Science and Education. (Proceedings of the International Scientific and Practical Conference). Prague, 2018: 605-613. [In Russ.].
- Dumov EL, Nöcker-Ribaupierre M, Andrushchenko NV, et al. Acoustic stress in premature neonates: Causes and correction techniques. Bulletin of I.I. Mechnikov Northwestern State Medical University 2014; 6 (2): 101-9. [In Russ.].
- Shabalov NP. Neonatology: Textbook. 6th edition. Moscow: GEOTAR-Media, 2019; Vol. 1: 399-426. [In Russ.].
- Madsen CK, Madsen CH Jr., Moore RS. Pesquisa Experimental em Música. 3rd ed. Tran. J. Oliveira. Sonare: EDUFBA, 2017; 114 p.
- Yatsyk GV, Bombardirova EP, Tresorukova OV. Nursing and early rehabilitation of children. Lechashchy Vrach 2007; (7); 1-5. [In Russ.].
- Goncharova OV. The system of diagnostic and corrective technologies in children with consequences of perinatal hypoxic lesions of their central nervous system. DSc abstract. Moscow, 2008; 50 p. [In Russ.].
- Yatsyk GV. Diagnostics and comprehensive recovery of perinatal pathology in neonates. Moscow: Pediatr, 2012; 155 р. [In Russ.].
- Grigoriev AI, Kozlovskaya IB. Polymer Coating and Dry Immersion Device. Patent for invention RU 2441713, November 02, 2018. Application №2011101352/05 of January 17, 2011. Bulletin No. 31. [In Russ.].
