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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vsp</journal-id><journal-title-group><journal-title xml:lang="ru">Вопросы современной педиатрии</journal-title><trans-title-group xml:lang="en"><trans-title>Current Pediatrics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-5527</issn><issn pub-type="epub">1682-5535</issn><publisher><publisher-name>Издательство «ПедиатрЪ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15690/vsp.v13i4.1097</article-id><article-id custom-type="elpub" pub-id-type="custom">vsp-180</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>В ПОМОЩЬ  ВРАЧУ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>A DOCTOR’S AID</subject></subj-group></article-categories><title-group><article-title>ЭФФЕКТИВНОСТЬ ДИНАМИЧЕСКОЙ ЭЛЕКТРОНЕЙРОСТИМУЛЯЦИИ У СПОРТСМЕНОВ С ТРАВМАМИ ОПОРНО-ДВИГАТЕЛЬНОГО АППАРАТА</article-title><trans-title-group xml:lang="en"><trans-title>EFFICIENCY OF DYNAMIC ELECTRONEUROSTIMULATION IN SPORTSMEN WITH SUPPORTING-MOTOR APPARATUS INJURIES</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жукова</surname><given-names>В. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhukova</surname><given-names>V. Yu.</given-names></name></name-alternatives><bio xml:lang="en"><p>Zhukova Viktoriya Yur'evna, MD, assistant at Pediatric Department № 2</p></bio><email xlink:type="simple">viktoriyzh@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гордеев</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Gordeev</surname><given-names>V. V.</given-names></name></name-alternatives><email xlink:type="simple">viktoriyzh@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лобанов</surname><given-names>Ю. Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Lobanov</surname><given-names>Yu. F.</given-names></name></name-alternatives><bio xml:lang="en"><p>Conflict of interests</p><p>The authors have indicated they have no financial relationships relevant to this article to disclose.</p></bio><email xlink:type="simple">viktoriyzh@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Алтайский государственный медицинский университет, Барнаул</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Altai State Medical University, Barnaul</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>02</day><month>08</month><year>2014</year></pub-date><volume>13</volume><issue>4</issue><issue-title>Вопросы современной педиатрии</issue-title><fpage>131</fpage><lpage>135</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Жукова В.Ю., Гордеев В.В., Лобанов Ю.Ф., 2014</copyright-statement><copyright-year>2014</copyright-year><copyright-holder xml:lang="ru">Жукова В.Ю., Гордеев В.В., Лобанов Ю.Ф.</copyright-holder><copyright-holder xml:lang="en">Zhukova V.Y., Gordeev V.V., Lobanov Y.F.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://vsp.spr-journal.ru/jour/article/view/180">https://vsp.spr-journal.ru/jour/article/view/180</self-uri><abstract><sec><title>Цель исследования</title><p>Цель исследования: оценить клиническую эффективность электродинамических методов реабилитации при травмах опорно-двигательного аппарата (ОДА) у подростков, занимающихся спортом. Пациенты и методы: под наблюдением находились 46 мальчиков в возрасте 14–16 лет с травмами ОДА. 20 мальчиков получали только реабилитационные мероприятия (физиотерапия, лечебная физкультура, массаж, тейпинг), тогда как у других 26 подростков лечение было дополнено ДЭНС-терапией. Длительность процедур составляла 30–40 мин, курс лечения — 10–14 дней. Клинический эффект ДЭНС-терапии оценивали по динамике клинических симптомов и результатам анализа показателей качества жизни (исходно, после курса реабилитации и через 1 мес), используя методы доказательной медицины. Результаты: после двухнедельного курса ДЭНС-терапии у подростков с травмой ОДА снижение абсолютного риска (САР) колебалось от 34,6 (8,7–60,5)% (физическое функционирование) до 56,9% (33,1–80,8%; школьное функционирование; р =0,022), снижение относительного риска (СОР) по этим же показателям было равно 69,2% (16,2–88,7%) и 71,1% (39,8–86,2%; р =0,002). Относительный риск (ОР) зафиксирован на уровне 0,31 (0,11–0,89; р =0,022) и 0,29 (0,14-0,86; р =0,0002). Значение СОР более 50% всегда соответствует клинически значимому эффекту, значение от 25 до 50% очень часто соответствует клинически значимому эффекту. В основной группе имело место статистически значимое улучшение таких показателей по опроснику MDASI, как боль (p =0,001), нарушение сна (p =0,050) и чувство подавленности (p =0,045). По данным опросника PedsQL™4.0, в точке II отмечено значимое улучшение эмоционального функционирования (с 83,7±6,97 до 91,2±3,75). Выводы: показано наличие выраженного клинического эффекта курса реабилитации при травме ОДА у юных спортсменов. Включение ДЭНС-терапии значительно снижает частоту неблагоприятных исходов и улучшает клинический эффект реабилитации.</p></sec><sec><title> </title><p> </p></sec></abstract><trans-abstract xml:lang="en"/><kwd-group xml:lang="ru"><kwd>подростки</kwd><kwd>травмы</kwd><kwd>динамическая электронейростимуляция</kwd><kwd>клиническая эффективность</kwd></kwd-group><kwd-group xml:lang="en"><kwd>teenagers</kwd><kwd>injuries</kwd><kwd>Dynamic Electroneurostimulation</kwd><kwd>clinical efficiency</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Razumov A. N. Uchebnik po vosstanovitel’noi meditsine. Pod red. A. N. Razumova, I. P. Bobrovnitskogo, A. M. Vasilenko [Textbook of Regenerative Medicine. Edited by A. N. Razumov, I. P. Bobrovnitskii, A. M. Vasilenko]. Moscow, Vosstanovitel’naya meditsina, 2009. 648 p.</mixed-citation><mixed-citation xml:lang="en">Razumov A. N. 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