Results of complex treatment with the inclusion of osteopathic correction of somatic dysfunctions in perinatal CNS lesions in children of the first year of life

Introduction . According to Russian and foreign studies, the frequency of perinatal central nervous system (CNS) lesions continues to grow. The highest percentage of perinatal pathology and more significant deviations in subsequent development are observed among premature babies. An actual task is to expand non-drug methods of medical rehabilitation. The goal of research — was to study the effectiveness of osteopathic correction of somatic dysfunctions in children with diagnosed perinatal CNS damage. Materials and methods . In the period from 2015 to 2019 a prospective controlled randomized study was performed on the basis of ANO TIMM. The work is based on the results of observation and treatment of 125 children aged from 6 to 12 months with a diagnosis of perinatal CNS damage. Depending on the gestational age, all patients were divided into two comparable groups: main group (ex-term) and comparison group (ex-preterm) of 90 and 35 people, respectively. Patients of both groups received osteopathic care provided in accordance with the developed algorithm. All patients, before the start of treatment, during the course of therapy and at its completion, underwent osteopathic diagnostics in accordance with the approved clinical guidelines, as well as an assessment of neuropsychic development (NPD) and neurological status. Results. The study showed that children of the first year of life with perinatal CNS lesions, regardless of gestational age at the time of birth, are characterized by the presence of somatic dysfunctions of all three levels — global, regional and local, with a dominating global somatic dysfunction. Dysfunctions of the head and neck region, diaphragm, and local somatic dysfunctions of the cranial sutures were most often observed. During treatment, patients of both groups showed a statistically significant decrease in the frequency of regional somatic head and neck dysfunctions and local somatic dysfunctions of the cranial sutures (p<0,05). Conclusion. Osteopathic correction of somatic dysfunctions in children of the first life year with perinatal CNS damage, while following a certain sequence of methods for eliminating connective tissue disorders, including obligate decompression and elimination of edema and hypoxia, makes it possible to achieve a statistically significant (p<0,05) decrease in the clinical manifestations of perinatal CNS damage, and positive dynamics of NPD indicators, regardless of the gestational age at the time of birth.