Home-based rehabilitation programs for children with cerebral palsy: validity, feasibility, and effectiveness (literature review)

Mashanskaya A.V., Vlasenko A.V., Belogorova T.A., Berdina O.N., Bugun O.V., Rychkova L.V.

1) Scientific Center for Family Health and Human Reproduction, Irkutsk, Russia; 2) Irkutsk State Medical Academy of Postgraduate Education – branch of the Russian Medical Academy of Postgraduate Education of the Ministry of Health of the Russian Federation, Irkutsk, Russia

Diseases of the nervous system, including cerebral palsy (CP), occupy a leading position in the structure of primary disability in children. CP is the largest group of diseases subject to comprehensive medical and psychological rehabilitation. The process of neurorehabilitation/habilitation should take into account the stages and sequence of development of psychomotor functions, be intensive and systematic in order to lead to the activation of the plastic capabilities of the brain, adequate implementation of the child’s rehabilitation potential and his maximum possible social adaptation, and also take place with the direct participation of the family. However, most of the currently used rehabilitation technologies are available to patients only in neurological hospitals or specialized centers. The review discusses the data from the world literature on the necessity, validity, feasibility and effectiveness of home rehabilitation programs (HRP) for children with cerebral palsy, their mandatory implementation based on the doctor-parent partnership and a family-centered approach. The authors emphasize that a well-designed scheme for the development and implementation of HRP, as well as high commitment of the family are the keys to their success and compliance with the basic principles of rehabilitation treatment for children with motor disorders.

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About the Authors

A.V. Mashanskaya, Scientific Centre for Family Health and Human Reproduction Problems; Irkutsk State Medical Academy of Postgraduate Education – branch of the Russian Medical Academy of Postgraduate Education of the Ministry of Health of the Russian Federation, Irkutsk, Russia; ORCID: https://orcid.org/0000-0003-1792-6822, eLibrary SPIN: 7189-3905
A.V. Vlasenko, Scientific Centre for Family Health and Human Reproduction Problems, Irkutsk, Russia; ORCID: https://orcid.org/0000-0001-7083-5474, eLibrary SPIN: 5751-9078
T.A. Belogorova, Scientific Centre for Family Health and Human Reproduction Problems, Irkutsk, Russia; ORCID: https://orcid.org/0000-0001-7429-7992, eLibrary SPIN: 9053-0836
O.N. Berdina, Dr. Sci. (Med.), Leading Researcher, Laboratory of Somnology and Neurophysiology, Scientific Centre for Family Health and Human Reproduction Problems, Irkutsk, Russia; goodnight_84@mail.ru, ORCID: https://orcid.org/0000-0003-0930-6543, eLibrary SPIN: 4280-7010 (corresponding author)
O.V. Bugun, Scientific Centre for Family Health and Human Reproduction Problems, Irkutsk, Russia; ORCID: https://orcid.org/0000-0002-2162-3683, eLibrary SPIN: 3542-0667
L.V. Rychkova, Scientific Centre for Family Health and Human Reproduction Problems, Irkutsk, Russia; ORCID: https://orcid.org/0000-0002-0117-2563, eLibrary SPIN: 1369-6575

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