SOVREMENNAYA PEDIATRIYA.2016.7(79):33-36; doi 10.15574/SP.2016.79.33 

Rehabilitation of children born prematurely during the first three years of life 

L.M. Boiarska, T.V. Velikanova, E.I. Podlianova, N.N. Korotina

Zaporizhzhia State Medical University, Ukraine

Khortickiy National Education and Rehabilitation Academy, Ukraine

Despite advances in modern medicine, the incidence of disability premature infants remains high. The introduction of a set of preventive practices aimed at the prevention of chronic pathological process and minimize the adverse effects of prematurity, can reduce the incidence of persistent violations of health and even to withdraw from the state of disability.

The aim of our work was to study the effectiveness of rehabilitation of children born with ENMT and DNMT, during the first three years of life.

Materials and methods. The surveillance for 3 years were 70 children who were born with ENMT and DNMT: 32 children received rehabilitation in the Regional Center early rehabilitation (OTSRSR) —1 group, 38 children — in outpatient pediatric centers primary health care Zaporizhzhya (2 group). In OTSRSR processed model of rehabilitation «Tandem partnership» and «child-family- specialist,» children receive 6 to 12 rehabilitation courses, which consisted of 4–7 practices. In group 2 length and composition of the rehabilitation defined neurologist, it consisted of 2–4 courses and 5 types of non-pharmacological therapy. Assessed physical, sexual, motor, cognitive development using tables Fentonta, scale NACS.

Results. Among surveillance to three years 27.1% of children born with ENMT and DNMT and had a recovery, 44.3% of children — cerebral palsy, 21.4% of children — minimal brain dysfunction, 7.1% of children — diagnosed with autism. Among children receiving long-term rehabilitation in a specialized center, at the age of three years were more healthy (40.6% vs. 15.8%, p <0.05), and fewer patients with cerebral palsy (30.0% vs 62.5 %, p<0.05) than among children who rehabilitated in conditions outpatient pediatric centers. The best results were obtained among DNMT children at birth.

Concludions. Children born with ENMT and DNMT appropriate to carry out rehabilitation programs based on the principles of early, continuity, consistency, succession, individuality and team collaboration.

Keywords: children born with ENMT and DNMT, surveillance, rehabilitation.

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