EVALUATION OF ULTRASOUND DIAGNOSTIC POSSIBILITIES IN REHABILITATION OF MOVEMENT FUNCTIONS IN PATIENTS WITH CEREBRAL PALSY

Abstract

Dolzarbligi. Currently, various methods are used to diagnose neurological, orthopedic and other
syndromes in patients with Cerebral Palsy (CP). In order to objectify the state of the child's
movement abilities, the traditional neurological and orthopedic clinical examination is
complemented by various assessment scales (spasticity scale, muscle strength, gross motor
functions, etc.) [1,2,3]. Despite a certain level of subjectivity, these scales make it possible to
form a general idea about the state of the child's motor function, to assess the dynamics of its
development against the background of rehabilitation measures. Instrumental diagnostic methods
are limited to radiography of the osteoarticular apparatus, myography. Based on the results of the
above examination methods, clinical conclusions are made and a decision is made to use one or
another method of surgical or neuro-orthopedic treatment [3,4,5]. In the recent literature, the
effectiveness and appropriateness of using various treatment methods are widely discussed -
these are staged casts, orthopedic surgical interventions, selective fasciofibromyotomy,
botulinum therapy in the movement rehabilitation of patients with BMF. Taking into account the
targeted surgical intervention, a more objective assessment of the state of the child's motor skills,
the readiness of his main structures that ensure the formation of movement is offered. A common
and inexpensive method for this purpose is ultrasound (UZT). Until now, ultrasound examination
has not been widely used in the practice of rehabilitation of patients with BMF, because there are
no uniform methodological approaches, the indications for its use have not been determined, and
its objectivity has not been evaluated [6,7,8,9]