Розробка комплексу лікувально-реабілітаційних методів при короткозорості і вивчення його ефективності у дітей 10–11 років

Topicality. For the treatment of childhood myopia, a large number of methods have been proposed, among them physical rehabilitation techniques and pathogenically justified methods. In practice, in order to improve the effectiveness of treatment, there is a need to systematize their use. To solve this problem, the conditions of health resort treatment are most preferable. The purpose of the research is to develop a complex of treatment and rehabilitation methods and study their effectiveness for myopia of children aged 10-11. Research methods. The study involved 68 children that were treated at a pediatric health resort. Thus, two peer study groups were formed. In the control group, children received routine ophthalmic treatment. In the treatment group, according to the myopia pathogenesis specifics, step therapy was suggested, which was supplemented by exercises to strengthen extraocular muscles compared to the treatment in the control group. At the beginning and at the end of treatment, the children received an ophthalmological observation and assessment of their physical condition. Statistical processing of the obtained digital values was performed using Student's t-test. Results. During health resort treatment, three stages according to the pathogenetic chains of myopia development were distinguished and taking into account generally accepted motor regimens in the conditions of health resort treatment: sparing treatment, health improving training and active training, which were complemented by exercises aimed at extraocular muscles strengthening. The use of the proposed complex of treatment and rehabilitation methods allowed increasing the treatment by 32%. Conclusions. The weakening of children`s physical well-being and promotion their eye strain is the reason for the increase in number of children with myopia, that requires rehabilitation measures improvement for myopia. Elaboration of the complex therapeutic and rehabilitation methods, taking into account the peculiarities of etiology and pathogenesis is one of the trends of rehabilitation therapy improvement for myopia. The proposed approach of step therapy of myopia and gradual increase of physical activity after the relaxation stage allowed to improve the children`s physical training and promote the effectiveness of myopia treatment by 32%. On completion of the health resort treatment course, the child should receive recommendations for further rehabilitation activities.