DYNAMICS OF ELECTROMYOGRAPHIC, AUTONOMIC REGULATION INDICES AND PSYCHOLOGICAL TESTSIN CHILDREN WITH LEGG-CALVE-PERTHES DISEASE UNDERTHEINFLUENCE OF SPATREATMENT
Purpose of the work: to assess the dynamics of electromyographic, indicators of autonomic regulation and psychological tests in children with Legg-Calve-Perthes disease under the influence of spa treatment. Material and methods. Examined 48 children (boys 38).The outcome of the disease was diagnosed in 15 of children (stage V according to S. A. Reinberg), in 20 - stage IV, in 13 - stage III. Group I (45.8 %) included children with pronounced deviations of indicators from less than three main functional systems, in group II (54.2 %) - with deviations of more than three functional systems. he average age of children is 11.9±0.72 years. The treatment included a gentle tonic motor and climatic regime, exercise therapy in the group of arthrosis, manual massage and electrical stimulation of the muscles of the gluteal region of the affected side with CMT currents (daily, № 10). Half of the children in each group received mud "half pants" (39-40°C, 12-15 minutes, every other day, № 8) on the affected side in combination with hydro - massage according to the hydroplate therapy technique (37-38°C, for children up to 11 years old at a pressure of 1-1.5 bar, 10 minutes each, for children 12-14 years old - 1.5-2 bar, 12 minutes each, daily, for course № 8), half of the children in each group received a course hydromassage according to the specified method (№ 8). Results. In children of group I, the total level of electrogenesis of the tibial and small calf muscles was initially higher and the dynamics of the parameters of autonomic regulation of the heart rate was more favorable. The children of both groups maintained a high level of comfort and emotional tone. In children of group II without EMG deviations, a greater increase in the electrogenesis of the gastrocnemius muscles and more favorable dynamics of autonomic regulation indicators were noted. Conclusion. The medical efficiency rate of the nearest treatment results is 12.6% higher in children with average adaptive potential.