Open AccessThermographic signs of spastic type cerebral palsy in 4–7 years old children: protocol and data analysis
Author(s) -
М. Г. Воловик,
Г Е Шейко,
А. Н. Кузнецов
Publication year - 2019
Publication title -
medicinskij alfavit
Language(s) - English
Resource type - Journals
eISSN - 2949-2807
pISSN - 2078-5631
DOI - 10.33667/2078-5631-2019-3-24(399)-28-38
Subject(s) - spastic diplegia , medicine , cerebral palsy , physical medicine and rehabilitation , spastic , forearm , lesion , lumbar , physical therapy , anatomy , surgery
31 children at the age of 4–7 years with two spastic forms of cerebral palsy (G80.1 and G80.2) with the degree of motor dysfunction of levels 1 and 2 according to GMFCS were examined using IR thermal imaging. For the first time, the temperature distribution on the limbs and its dynamics in response to the dosed motor load on the spastic muscle groups are described in detail. For the group of patients with hemiparesis characterized by asymmetry of temperature on the limbs associated with the side of the lesion, and for the group with diplegia — the inversion of the normal proximal-distal gradient, most pronounced in the segments of the shin / foot and shoulder / forearm and less in the forearm / wrist, and abnormally high temperature difference on the back between the thoracic and lumbar regions. Moderate physical activity leads to the enhancement of thermal anomalies due to the additional reduction of the temperature in the projection of the affected muscles and strengthen the pathological symptoms. Knowledge of the skin thermal reactions in the projection of these muscles in response to motor tests opens up a potential opportunity to use the method in assessing the results of treatment and rehabilitation of patients with cerebral palsy.