First-year resident of ASMI Master’s Degree Departmen of the Chair of Nurology and Pediatric Neurology Abdulloh Yusupov Treatmen Obstetric paralysis - Obstetric paralysis in children has not been adequately studied. In the early neonatal period the clinic of the hand paralysis may not be initially diagnosed. Dislocation of the cervical spine during diaper rash is explained by postpartum spinal artery injury.
- 1.The degree of hand paralysis in children can vary, and in relatively mild cases, all authors have observed significant sign regression. In-depth neurological examination revealed that even in cases of complete recovery, mild signs of movement disorder were observed several years later: malnutrition of the shoulder girdle muscles, weakness in the proximal arm, primary fasciculations on the EMG, and others.
Anatomy of cervical and thoracal nerves 3.Clinical signs - Clinical signs depend on the degree of polymorphism and injury
- Erba-Dyushen paralysis
- Injury of the vertebral arteries in the area of 2-4 cervical vertebrae leads to ischemia and damage to the anterior horn cells of the cerebellum
- In the proximal part of the arm, muscle function is impaired and sensation is preserved.
Clinical signs Changes in the baby's physiological reflexes can help detect the disease early - Puppet hand symptom
- Pronator contact
- Moro reflex is absent or weakened
- The hold reflex is not called
- Symptoms of short stature include excessive cross-wrinkles in the neck and underarms
- Skin tightening in the proximal part of the paralyzed shoulder
- Significant whitening of the ischemic Hanging head symptom
Treatmen - 5.Out of 100 babies, 38 are completely cured. The main method of treatment is early detection of treatment (in the first 2 weeks of life). At the same time, all the authors have identified the following feature: Erba Duchenne's type is of good quality, the injury to the distal part of the hand is difficult
Early treatment is important to prevent paralyzed hand contact. Recovery from paralyzed hand movements was found to be 36.4% in the first 10 days. The rapid recovery of obstetric paralysis in children is explained by the fact that the pediatric nervous system is of the plastic type - Early treatment is important to prevent paralyzed hand contact. Recovery from paralyzed hand movements was found to be 36.4% in the first 10 days. The rapid recovery of obstetric paralysis in children is explained by the fact that the pediatric nervous system is of the plastic type
- In addition to the traditional methods of treating obstetric paralysis, some sources have specific features. Early rehabilitation and prophylaxis results in 80 observed children with early initiation of treatment in 2-3 weeks and electrophoresis of muscle electrostimulation from heat factors in the treatment complex.
- Treatment results
- Full recovery 20%, significant improvement - 49%, improvement - 20%, partial improvement - 11%
- 7.Some authors, such as Kerer, have recommended a plaster cast with the shoulder removed from the body, along with a complex treatment. According to Ackerman, putting on an abduction tire will cause the shoulder girdle muscles to relax. The next condition of a paralyzed child will be known in the first 3 months. Good results can also be achieved in later periods of treatment. Examination in children 6–8 months of age revealed long-term persistence of neural damage
It is best to put the tire at a 90-degree angle for 3 months. In addition to this treatment, hand massage is recommended. Tire placement must be manual. Of particular note is the massage of the affected arm muscles with electrophoresis It is best to put the tire at a 90-degree angle for 3 months. In addition to this treatment, hand massage is recommended. Tire placement must be manual. Of particular note is the massage of the affected arm muscles with electrophoresis 9. In addition to treatment, mud application is used underwater massage, electrophoresis with nivalin. Applying mud to the shoulder area works best even if it has nothing to do with the injury area. - 9. In addition to treatment, mud application is used underwater massage, electrophoresis with nivalin. Applying mud to the shoulder area works best even if it has nothing to do with the injury area.
Treatment of obstetric paralysis begins at 3 weeks, and in addition to the above methods, the use of UVCH and solubility, the rapid implementation of iodine galvanization methods also give the main results. - Treatment of obstetric paralysis begins at 3 weeks, and in addition to the above methods, the use of UVCH and solubility, the rapid implementation of iodine galvanization methods also give the main results.
11. Immobilization of the cervical spine is important in children with obstetric paralysis. Sudden movements of the baby's head can cause severe complications such as cramping of the vertebral arteries and displacement of the cervical vertebrae. - 11. Immobilization of the cervical spine is important in children with obstetric paralysis. Sudden movements of the baby's head can cause severe complications such as cramping of the vertebral arteries and displacement of the cervical vertebrae.
- Since immobilization causes a number of complications, this method should be carried out in collaboration with orthopedists.
One of the main methods of physiotherapy is electrophoresis with antispasmodics along the spinal arteries. In this case, antispasmodics affect not only the whole body, but also the injured area. Without electrophoresis, the electrode is placed on the neck of the spine in such a way that one electrode is placed on the neck and the other on the chest. - One of the main methods of physiotherapy is electrophoresis with antispasmodics along the spinal arteries. In this case, antispasmodics affect not only the whole body, but also the injured area. Without electrophoresis, the electrode is placed on the neck of the spine in such a way that one electrode is placed on the neck and the other on the chest.
- The method of electrophoresis with antispasmodics has also been shown to improve blood circulation rheoencephalographically.
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