MUSCLE SPASTICITY AND ITS INTERACTION WITH MYOFASCIAL SYSTEM OF CHILDREN WITH CENTRAL PARESIS

Nikolay Moga

Abstract


Traditionally, the problem of muscle spasticity was considered by experts as a kind of local problem associated with the inhibition or traumatisation of the central motor neuron in a certain part of its path. According to this approach, only the first stage of the causal relationship of the two systems was reflected: the nervous and the muscular systems. In the following, intrasystem relations of the muscle and muscle complex appeared according to the type of harmonization or destructivization of the activity of this system. To resolve this problematic situation, the article examines the original theory of Thomas V. Myers about “anatomical trains” or “myofascial meridians” as an integral musculoskeletal system of the human body, which forms the basis of its anatomy and motor activity. Key ideas of tensegrity as a structure of balanced compression-tension of the musculoskeletal system are identified, and it is necessary to rush to the targets, carrying out the correction of motor disorders of the tender age children with paresis of central type by means of physical education. For deeper understanding of the activities of these mechanisms of children myofascial status harmonization, the main myofascial lines were briefly characterized: surface back line, surface frontal line, lateral line, spiral line, arm lines. On this basis, working hypothesis was formulated as for using the holistic myofascial system capabilities of the child’s body to correct both the tonic state of individual spastic muscles and to improve the general children motor status. To check the formulated hypothesis, the directions of the implementation of correctively directed physical education of tender age children with central paresis of different localization levels were indicated. An attempt was made to use the basic knowledge of the myofascial meridians functioning to increase the efficiency of diagnosing the state of musculoskeletal formations of children with spastic paresis, developing strategies and tactics for correcting their tonic state, methods and techniques for adjusting the balance of compression and tension of these structures to improve children motor activity and to improve the efficiency of their basic motor regimes mastering. There was made a fundamental conclusion that the correctional work by means of physical education should be preceded by preparatory work aimed at normalization of the whole myofascial system of a child with a spastic type of movement disorders, which can be carried out using purely medical techniques and the techniques based on the means of children physical education. Prospects of the scientific and practical development of the problem indicated in this article are highlighted separately.


Keywords


muscles; fascia; spastic syndrome; tender age children; paresis

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References


Bronovitskaya, G., Loiko, L. (2014). Ucheniye o myshtsakh (miologiya). [The study of the muscles (myology)]. Minsk: Belarusian state university of physical culture, 142.

Batysheva, T., Bykova, O., Kvasova, O., Shioshvili, V., Platonova, A., Akhadova, L. et. al. (2016). Lecheniye i reabilitatsiya detey so spasticheskimi formami tserebral'nogo paralicha [Treatment and rehabilitation of children with spastic forms of cerebral palsy]. Moscow: Department of Health, 24.

Vlasenko, S. (2014). Reabilitatsionnyy potentsial spastichnykh myshts u bol'nykh detskim tserebral'nym paralichom: diagnosticheskiye i prognosticheskiye aspekty, differentsirovannyye podkhody k vosstanovitel'nomu lecheniyu, [Rehabilitation potential of spastic muscles in patients with cerebral palsy: diagnostic and prognostic aspects, differentiated approaches to rehabilitation treatment]. Simferopol: Crimea Medical Academy named after S. I. Georgievsky, 367.

Yevtushenko, O., Yevtushenko, S. (2006). Suchasni metody likuvannya m'yazovoyi spastychnosti u ditey z orhanichnymy zakhvoryuvannyamy nervovoyi systemy [Modern methods of treatment of muscle spasticity in children with organic diseases of the nervous system]. Donetsk, 26.

Levchenko, I., Prikhodko, O. (2001). Tekhnologii obucheniya i vospitaniya detey s narusheniyami oporno-dvigatel'nogo apparata [Technology training and education of children with musculoskeletal system disorders]. Moscow: Publishing Center "Academy", 192.

Palchik, A. (2011). Gipoksicheski-ishemicheskaya entsefalopatiya novorozhdonnykh [Hypoxic-ischemic encephalopathy of newborns]. Moscow: MEDpress-inform, 288.

Buske, L. (2011). Muscle chains: Corpus, cervical spine and upper limbs. Vol. 1. Moscow: Ivanovo, 160.

Myers, T. (2014). Anatomy trains. London: Churchill livingstone, 320.

Palchik, A. (2002). Evolyutsionnaya nevrologiya [Evolutionary neurology]. Saint Petersburg: Piter, 384.

Ratner, A. (2005). Nevrologiya novorozhdonnykh: ostryy period i pozdniye oslozhneniya [Neurology of newborns: acute period and late complications]. Moscow: BINOM, Labaratoriya znaniy, 368.

Semenov, D. Chto takoye spastichnost' i kak borot'sya so spastikoy myshts [What is spasticity and how to deal with muscle spasticity]. Available at: http://neurodoc.ru/diagnostika/simptomy/spastichnost.html/

Kozhevnikova, V. (2013). Sovremennyye tekhnologii fizicheskoy reabilitatsii bol'nykh s posledstviyami perinatal'nogo porazheniya nervnoy sistemy i detskim tserebral'nym paralichom [Modern technologies of physical rehabilitation of patients with the consequences of nervous system perinatal damage and cerebral palsy]. Moscow: Magenta, 568.

Kurenkov, A., Batysheva, T., Vinogradov, A., Zyuzyaeva, E. (2012). Spastichnost' pri detskom tserebral'nom paraliche: diagnostika i strategii lecheniya [Spasticity in cerebral palsy: diagnosis and treatment strategies]. Journal of Neurology and Psychiatry, 7 (2), 24–28.

Batysheva, T. (2010). Metodologicheskiye osnovy lecheniya spastichnosti [Methodological bases of the spasticity treatment]. Medico-social aspects of the treatment of spasticity in the practice of a neurologist. Moscow, 6–9.

Ogorodova, I., Zagorodneva, V., Ogorodov, I., Belaya, N. (2013). Morfologicheskiye izmeneniya myshechnogo apparata detey, stradayushchikh spasticheskimi formami DTSP [Morphological changes of children muscular system suffering from spastic forms of cerebral palsy]. Cerebral palsy and other movement disorders in children. Moscow, 67–68.




DOI: http://dx.doi.org/10.21303/2504-5679.2019.00954

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