Enhancing quality of life during outpatient physical rehabilitation for 6-7-year-old children with impaired postural status
Metalnikov A. Kolokoltsev M. Kokhan S. Dyussenova L. Izbassarova I. Zolotukhina I. Torchinsky N. Mungalov A. Tyupa P. Aganov S. Lopatina O.
April 2024Editura Universitatii din Pitesti
Journal of Physical Education and Sport
2024#24Issue 4836 - 845 pp.
Scientific literature underscores a significant prevalence of musculoskeletal disorders in children, often stemming from hereditary connective tissue dysplasia, detrimentally impacting their quality of life. Consequently, developing effective physical rehabilitation methods for children becomes imperative. This study aims to assess various components of quality of life among children with hereditary connective tissue disorders and musculoskeletal complications during the outpatient phase of physical rehabilitation. Material & methods. The research project was carried out on the basis of medical institutions in the city of Barnaul (Russia) from 2014 to 2023. The quality of life was assessed in 60 children aged 6-7, having connective tissue disorders and complications from the musculoskeletal system and their parents using the Pediatric Quality of Life inventory PedsQL questionnaire. Quality of life testing was performed at the research beginning, in 1 and 3 years after the start of rehabilitation. After 10 years, the condition of the posture and muscular system of the observed children was assessed. Generally accepted rehabilitation measures were performed for patients of the main group (n=30) and the comparison group (n=30). In addition to traditional wellness activities, the main group included course theoretical and practical classes at the organized school «Posture Correction» for parents and their children. Practical classes included teaching children and parent’s physical exercises on the wall bars (Swedish wall), orthopedic ball, breaststroke swimming, wearing a corset, following a calcium-containing diet and a balanced vitamin composition of food. Results. In the course of follow-up after 1 and 3 years, the number of complications in the main group of patients statistically significantly decreased, the quality of life in children and parents improved, p <0.05. During the control after 10 years, physiological posture and the normal status of the trunk muscles were determined in all patients in the main group, which was confirmed by the electro-neuromyographic examination method. In patients and parents of the comparison group, the quality of life did not change in dynamics, muscle weakness at the level of the thoracic spine, myofascial pain syndrome was noted. Conclusions. Significant positive results of physical rehabilitation of children with connective tissue dysplasia and the musculoskeletal system complications have been obtained when using means and methods of physical culture in rehabilitation on the basis of the established school of Posture Correction. The proven technique can be used for children’s rehabilitation at the outpatient stage of recovery.
dysplasia , physical activity , physical education , physical rehabilitation , physical training , quality of life
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Altai State Medical University, Barnaul, Russian Federation
Irkutsk National Research Technical University, Irkutsk, Russian Federation
Regional Center of Inclusive Education, Transbaikal State University, Chita, Russian Federation
Kazakh National Medical University named after S.D. Asfendiyarov, NCJSC, Almaty, Kazakhstan
Astana Medical University, NCJSC, Astana, Kazakhstan
Altai State Pedagogical University, Barnaul, Russian Federation
I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation
Reshetnev Siberian State University of Science and Technology, Krasnoyarsk, Russian Federation
Immanuel Kant Baltic Federal University, Kaliningrad, Russian Federation
GPS Emercom of Russia St. Petersburg University, St. Petersburg, Russian Federation
Altai State University, Barnaul, Russian Federation
Altai State Medical University
Irkutsk National Research Technical University
Regional Center of Inclusive Education
Kazakh National Medical University named after S.D. Asfendiyarov
Astana Medical University
Altai State Pedagogical University
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Reshetnev Siberian State University of Science and Technology
Immanuel Kant Baltic Federal University
GPS Emercom of Russia St. Petersburg University
Altai State University
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