Medical and Social Expert Evaluation and RehabilitationMedical and Social Expert Evaluation and Rehabilitation1560-95372412-2092Eco-Vector8864010.17816/MSER88640Research ArticleNeurological disorders and аbilitation with transcranial micropolarization in children with Down syndromeKolchevaJulia A.<p>MD, Cand. Sci. (Med.), Assistant Lecturer</p>j.kolcheva@mail.ruhttps://orcid.org/0000-0003-0250-5478NepomnyashchayaSvetlana A.<p>Assistant Lecturer</p>79310016017@yandex.ruhttps://orcid.org/0000-0002-1786-9947AdrianovAndrey V.<p>MD, Dr. Sci. (Med.), Assistant Professor</p>adrianov-av@mail.ruhttps://orcid.org/0000-0001-8974-1160St. Petersburg Institute of advanced training of doctors-experts120820222445122611202105122021Copyright © 2022, Kolcheva J.A., Nepomnyashchaya S.A., Adrianov A.V.2022<p><em><strong>BACKGROUND:</strong> </em>Down syndrome is common, insufficiently well-studied genetic pathology, which leads to early disability of the childrens population. In this pathology leads neurological disorders of different severity. Currently, the methods of correction of the existing cerebral deficit in such children are actively being developed. Correction of mental function help to socialize children with Down syndrome.</p>
<p><strong><em>AIMS: </em></strong>to study the effectiveness of transcranial micropolarization in the complex therapy of neurological disorders in children with Down syndrome.</p>
<p><strong><em>MATERIALS AND METHODS: </em></strong>Ability using the transcranial micropolarization method by N.Yu. Kozhushko allows reliably to improve the existing cerebral dysfunction in the Down syndrome.</p>
<p><em><strong>RESULTS:</strong> </em>According to the results of testing on a 10-point scale for assessing speech function, 6 months after the procedures, there was a significant improvement in the indicators of expressive and impressive speech, speech attention, as well as positive dynamics in the formation and improvement of neatness skills. Undesirable effects were noted in isolated cases and were manifested by a short-term sleep disturbance or arousal after a session of transcranial micropolarization.</p>
<p><strong><em>CONCLUSIONS: </em></strong>The method of transcranial micropolarization adapted by N.Yu. Kozhushko, can be recommended for complex habilitation for patients with Down syndrome. Timely corrected neurological symptoms can improve the quality of life of such children and their families, and contribute to their timely adaptation in society.</p>Down syndrometranscranial micropolarizationretreat of psycho-speech developmentneurological statusсиндром Даунатранскраниальная микрополяризациязадержка психоречевого развитияневрологический статус[Fenoll R, Pujol J, Esteba-Castillo S, et al. Anomalous white matter structure and the effect of age in down syndrome patients. J Alzheimers Dis. 2017;57(1):61–70. doi: 10.3233/JAD-161112][Handen BL, Cohen AD, Channamalappa U, et al. Imaging brain amyloid in nondemented young adults with Down syndrome using Pittsburgh compound B. Alzheimers Dement. 2012;8(6):496–501. doi: 10.1016/j.jalz.2011.09.229][Salehi A, Delcroix JD, Belichenko PV, et al. Increased App expression in a mouse model of Down’s syndrome disrupts NGF transport and causes cholinergic neuron degeneration. Neuron. 2006;51(1):29–42. doi: 10.1016/j.neuron.2006.05.02][Rafii MS, Lukic AS, Andrews RD, et al. PET imaging of tau pathology and relationship to amyloid, longitudinal mri, and cognitive change in down syndrome: results from the down syndrome biomarker initiative (DSBI). J Alzheimers Dis. 2017;60(2):439–450. doi: 10.3233/JAD-170390][Salehi A, Delcroix JD, Belichenko PV, et al. Increased App expression in a mouse model of Down’s syndrome disrupts NGF transport and causes cholinergic neuron degeneration. Neuron. 2006;51(1):29–42. doi: 10.1016/j.neuron.2006.05.022][Puzin SN, Shurgaja MA, Memetov SS, et al. Disability in the XXI century. The State of the Problem of Medical and Social Rehabilitation and Habilitation of the Disabled in Modern Russia. Medico-social expertise and rehabilitation. 2018;1–2(21):10–17. doi: 10.18821/1560-9537-2018-21-1-10-17][Puzin SN. Problems of formation of primary disability of the adult population in the Russian Federation. Medico-social expertise and rehabilitation. 2007; 2:1–6.][Methodology of medical and social expertise and the formation of conclusions on rehabilitation measures in children: a methodological guide. Ed. by V.G. Pomnikov, G.O. Penina, O.N. Vladimirova. Saint Petersburg; 2014. 281 p. (In Russ).][Patent RUS 2248227 C1. Kozhushko NYu, Ponomareva EA, Ilyukhina VA, et al. A method of treating mental development disorders in children. 2005. Available from: https://yandex.ru/patents/doc/RU2248227C1_20050320. Accessed: 15.10.2021. (In Russ).][Patent RUS 2402973 С1. Kozhushko NYu, Matveev YuK. A method for correcting mental development disorders in children. 2010. (In Russ). Available from: https://yandex.ru/patents/doc/RU2402973C1_20101110. Accessed: 15.10.2021.][Speech therapy: textbook. Ed. by L.S. Volkova, S.N. Shakhovskaya. 3rd ed., revised and updated. Moscow: VLADOS; 2002. 680 p. (Correctional pedagogy). (In Russ).]