Improving the Effectiveness of Treatment of Muscle Hypotonia in Children

Shamansurov Shaanvar Shamuratovich; N. A. Mirsaidova; D. B. Akhmedjanova; S. R. Sayfutdinova

Shamansurov Shaanvar Shamuratovich Professor, MD, head of the Department of “Nervous Diseases of childhood” of the Center for the development of professional qualifications of medical workers, doctor of medical sciences, professor
N. A. Mirsaidova Candidate of Medical Sciences, pediatric neurologist
D. B. Akhmedjanova The base of doctoral student of the Department "Nervous Diseases of childhood " of the Center for the development of professional qualifications of medical workers, Tashkent, Uzbekistan
S. R. Sayfutdinova Pediatric neurologist of the Department “Nervous Diseases of childhood” of the Center for the development of professional qualifications of medical workers, doctor of medical sciences

Keywords: -

Abstract

The purpose of the research. To develop proposals and recommendations for early diagnosis of muscle hypotonia syndrome in children, development of criteria for determining the level of severity, and determination of treatment measures, improving electrophysiological (ENMG, SEP) diagnostic methods.

In the period of 2022-2023, 110 children of early age (0-3) with muscle hypotonia syndrome were comprehensively examined in the department of "Childhood Nervous Diseases" of the 1st Children's Clinical Hospital of Tashkent City. In our research, we divided the patients with muscle hypotonia syndrome, that is, the representatives of each group (group 1,2,3,4) into 2 groups.

Representatives of the 1st group (47 people): traditional medical treatments, i.e. medical treatment + rehabilitation. Medicinal treatment includes nootropic, blood circulation improving, acetylcholinesterase drugs and group B vitamins. Representatives of the 2nd group (63 people): rPMS + rehabilitation. Treatment procedures were continued every month for 10 days from 3 to 6 months. Patients underwent ENMG and SSChP examination before and after treatment. , in our patients who received rPMS + rehabilitation, ENMG indicators were significantly higher than in patients who received conventional treatment.

In conclusion, rPMS+ rehabilitation resulted in a significant and short-term reduction in the latency period of SSChP peaks, an increase in the conduction of nerve impulses from the somatosensory pathway in response to n. medianus stimulation.

Even when rPMS was applied peripherally, significant efficacy was achieved in improving somatosensory cortical conductance in the SSChP study of patients with central MGS. Our results showed that since rPMS is the hub of spinal cord descending, ascending and segmental nerve signals, non-invasive rPMS has the ability to simultaneously change cortical, corticospinal, spinal cord motor activity and conductance and excitability in peripheral nerves.

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Improving the Effectiveness of Treatment of Muscle Hypotonia in Children

Abstract

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