Kineziotyping in a Complex Program of Physical Therapy of Children with Hemiparesis Aged 5 - 7 Years

The article presents the results of study the effectiveness of an algorithm for kinesiotaping for children with hemiparesis aged 5-7 in a traditional complex physical therapy program. We developed the programs of physical therapy with the use of kinesiotherapy, physiotherapy procedures, therapeutic massage, etc., which solve the issues of increasing motor activity, physical and mental development, social adaptation of children with cerebral palsy, etc. We believe that it is necessary to pay attention to the spread of the kinesiotaping method in the rehabilitation of children. The goal of kinesiotherapy involves providing stability in the muscles and joints, without limiting the range of their movements. Application of this method in the physical therapy of children with cerebral palsy requires additional research, in particular, for children with hemiparesis of 5-7 years old. Results and discussion. Having analyzed various programs and methods of physical therapy for children with hemiparesis to develop a comprehensive program of physical therapy, it was important to adhere to the basic principles of physical therapy: early onset of physiotherapy; continuity; complexity; individuality of physiotherapeutic measures; the need for physiotherapy in the team. Physiotherapeutic treatment is comprehensive and includes means of orthopedic, speech therapy, hardware physiotherapy, kinesiotherapy, hydrokinesiotherapy, kinesiotherapy. Kinesiotaping of rehabilitation children at all stages of the program was carried out according to the single algorithm. The kinesiotaping algorithm consisted of the following techniques: muscle technique – stimulating typing of muscles; muscle technique for reducing the muscle tone; technique tendon correction. Each kinesiotape was pasted for 5 days with interruptions of 3-5 days. At each stage of the kinesiological warming, the force of the tension of the tape varied by 5-10%. Kinesiotaping shoulder girdle muscles on the right side of the tension of type by 20-45% and stimulating taping of posterior muscle groups of the forearm tension of tape 5-25% improved shoulder rotation, reduced manifestations of spasticity of the upper limb, increased mobility in the elbow (10,4°) and the radial-wrist joints (bending – by 8,6°, extension – by 9,6°). During stimulating taping of the back group of muscles of the pelvic belt by 10-45% of the maximum, since the first sessions of kinesiotherapy, an increase in the function of flexion of the right hip was observed at 9,4°. Combining different variants of kinesiotaping (muscle technique for reducing the tone in the shin muscles with tension of 10-30% in the therapeutic area and copula-tendon correction on Achilles tendon with the tension's distribution of 25-50% of maximum) in children stimulate the ability to hold the entire case with full verticalization in the correct position. Moreover, there appeared a turn of the feet and knees outside and was increased the foot's support area, improved the walking.