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Publications — Case studies

Rehabilitation of the patient with infantile cerebral paralysis

Sergey Moiseevich Kolchenkov | 16.10.2013
Male patient, Andrey M. born on 5th of May 1996, in Sochi. At birth the boy’s weight was 3 kg, height 49 cm, 3/6 by Apgar score. He was connected to apparatus for artificial pulmonary ventilation. Within one month the patient had undergone three operations (tracheoesophageal fistula, intestinal obstruction, pneumothorax). The boy was diagnosed with infantile cerebral paralysis, spastic tetraparesis, mild cerebellar ataxia and oculomotor malfunction when he was 1.5 months old.

His mother came to me when the boy was 8 months old. The baby was uncommunicative.

We started with nerve-point relaxing massage which is used for treatment of cerebral spastic infantile paralysis. After the 10th session we could fix baby’s body position at relaxation. We also used the techniques of passive postisometric relaxation. After the 10th session we started applying SCENAR. The device we used was SCENAR D-VX612 and remote point electrode. We treated spine areas, projection of the intestines, hands and feet.

A month later, during the second course of treatment, we added areas on the head: projections of the precentral, postcentral and superior frontal gyri, projections of the anterior fontanel and cerebellum.

The third course of treatment was conducted two months later, using the same scheme.

Spastic tensions now were significantly decreasing. The boy could sit by himself at the age of 1 year and 3 months.

The treatment was complex and included consultations and treatment with pediatrician, neuropathologist, orthopaedist, ophthalmologist. The further courses of rehabilitation (SCENAR-therapy, massage, etc.) were conducted 4 times a year, 15 sessions each. The boy started walking when he was 6. The gait was staggering and unsteady. He was getting tired too fast and falling, but was very persistent. His intelligence level was fine, which was obvious when he was 3.

The boy went to school in 2003. He suffered from frequent asthma attacks. Thanks to SCENAR-therapy the attacks were stopped quite quickly. In sanatoria in Anapa he was conducted autoserum therapy and complex treatment of infantile cerebral paralysis.

From 2003 to 2006 rehabilitation courses were conducted two times a year, 15 sessions each.

From 2007 to 2010 rehabilitation courses were conducted once a year (15 sessions). The boy is doing well at school, especially in Russian and English.

From 2011 to 2013 he had no courses of rehabilitation.

This year the boy will go into the 11th form.

In June this year, in Tula, he has undergone the last operation for contractures. In September he is having a course of rehabilitation and correction of the spine (SCENAR-therapy and soft manual technique).

Now the patient is 169 cm tall, his weight is 49 kg. Now I am using EX735Ag Modific on him. 8 action modes of this device allow coping with the problems caused by severe diseases, especially in children.

Maximum effect is only possible when pediatrician, neuropathologist, orthopaedist, ophthalmologist, psychologist, speech therapist, rehabilitologist, parents and other specialists work and act together.

The main task of those who work with a sick child is to help him become an independent person being able to develop normally, help him find his place in this world.

Methodologist and rehabilitologist
Sergey Moiseevich Kolchenkov,