Аңдатпа
Aims To assess the impact of complex rehabilitation using robotic kinesiotherapy, botulinum therapy in children with spastic diplegia on their social adaptation. Methods The study involved 142 children with a clinical diagnosis: Cerebral palsy, spastic diplegia. Of these, 82 children were included in the main group, where robotic kinesiotherapy with the help of the Lokomat rehabilitation complex and intramuscular injection of botulinum toxin type A were performed as part of complex rehabilitation. The control group consisted of 60 children, who underwent rehabilitative treatment with traditional methods. According to the Gross Motor Functions Classification System (GMFCS) children of both groups are divided into 2 subgroups: II and III levels. To evaluate the effectiveness of the rehabilitation therapy complex the following tools were used: GMFCS, Modified Barthel Scale. Statistical analysis of the results of this study was carried out using IBM SPSS Statistics Professional 21.0. Results There were no significant differences in age characteristics and gender between the study groups. The groups studied were also comparable in terms of motor deficit (p=0.324). Identification of violations of self-service was carried out according to the following criteria: complete dependence, moderate dependence, easy dependence. It was revealed that children of both groups in terms of self-service and social adaptation are lagging behind the age norm. At the beginning of the therapy, there was no significant difference between the compared groups. Improvement of self-care with the transition to an easier group was observed in 14 patients in the main group (p<0.05), which significantly exceeded the results in the control group, where improvement was noted in 3 patients. At the end of the rehabilitation course, 71.9% of the patients in the main group had moderate dependence, 19.5% – easy dependence, complete dependence was maintained in 8.5% of patients. In the control group, 55% of patients had moderate dependence, complete dependence – 21.6% and easy dependence – 23.3%. Conclusion Thus, the results of our study indicate a higher effectiveness of complex rehabilitation with the use of robotic kinesiotherapy and botulinum therapy in comparison with the methods of traditional therapy in patients with spastic diplegia.