vspВопросы современной педиатрииCurrent Pediatrics1682-55271682-5535Издательство «ПедиатрЪ»10.15690/vsp.v23i3.2763vsp-3520Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWОбщие принципы реабилитации пациентов с церебральным параличом после одномоментных многоуровневых ортопедических операций (SEMLS)General Rehabilitation Principles for Patients with Cerebral Palsy After Single-Event Multilevel Surgery (SEMLS)https://orcid.org/0000-0002-4079-3450КлочковаО. А.KlochkovaOlga A.

Клочкова Ольга Андреевна - кандидат медицинских наук, заведующая отделом разработки научных подходов к ведению детей с двигательными нарушениями.

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dc.klochkova@gmail.comhttps://orcid.org/0000-0002-8996-867XПопковД. А.PopkovDmitry A.

Курган

Kurgan

https://orcid.org/0000-0003-0818-6906МамедъяровА. М.MamedyarovAyaz M.

Москва

Moscow

https://orcid.org/0009-0008-0266-6515МамедовУ. Ф.MamedovUlvi F.

Курган

Kurgan

НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»РоссияResearch Institute of Pediatrics and Children’s Health in Petrovsky National Research Centre of SurgeryRussian FederationНМИЦ травматологии и ортопедии им. акад. Г.А. ИлизароваРоссияIlizarov National Medical Research Centre for Traumatology and OrthopedicsRussian Federation202412072024233152161Copyright © Клочкова О.А., Попков Д.А., Мамедъяров А.М., Мамедов У.Ф., 20242024Клочкова О.А., Попков Д.А., Мамедъяров А.М., Мамедов У.Ф.Klochkova O.A., Popkov D.A., Mamedyarov A.M., Mamedov U.F.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vsp.spr-journal.ru/jour/article/view/3520

Одномоментные многоуровневые ортопедические операции (single-event multilevel surgery; SEMLS) — стандарт хирургической коррекции вторичных ортопедических деформаций при детском церебральном параличе (ДЦП). SEMLS включают в себя одномоментное устранение мягкотканных контрактур, костных деформаций, подвывихов и вывихов в суставах с целью восстановления походки и общей функциональной активности пациентов с церебральным параличом. Обширность вмешательства определяет необходимость проведения спланированной и долгосрочной послеоперационной реабилитации, однако нет согласованных рекомендаций, как российских, так и зарубежных, по ведению пациентов в послеоперационном периоде. В настоящем обзоре приведен анализ работ по реабилитации после SEMLS при ДЦП, предложены рекомендации по подготовке и поэтапному послеоперационному восстановлению двигательной функции, профилактике сопутствующих осложнений.

Single-Event Multilevel Surgery (SEMLS) is the standard for surgical correction of secondary orthopedic deformities in cerebral palsy (CP). SEMLS include simultaneous correction of soft tissue contractures, bone deformities, incomplete and complete joint dislocation to improve the gait and functional activity of patients with CP. The surgery volume determines the need for planned and long-term postoperative rehabilitation, however, there are no confirmed guidelines, neither Russian, nor foreign, on the patient’s management during postoperative period. This review provides an analysis of rehabilitation approaches after SEMLS at CP, offers recommendations on preparation and step-by-step postoperative restoration of motor function, and prevention of any associated complications.

детский церебральный параличмногоуровневые ортопедические операцииспастичностьспастическая диплегияанализ походкиреабилитацияcerebral palsymultilevel orthopedic surgeriesspasticityspastic diplegiagait analysisrehabilitationОтсутствуетNot specifiedReferencesSadowska M, Sarecka-Hujar B, Kopyta I. Cerebral Palsy: Current Opinions on Definition, Epidemiology, Risk Factors, Classification and Treatment Options. Neuropsychiatr Dis Treat. 2020;16: 1505–1518. https://doi.org/10.2147/NDT.S235165Sadowska M, Sarecka-Hujar B, Kopyta I. Cerebral Palsy: Current Opinions on Definition, Epidemiology, Risk Factors, Classification and Treatment Options. Neuropsychiatr Dis Treat. 2020;16: 1505–1518. https://doi.org/10.2147/NDT.S235165Australian Cerebral Palsy Register Report 2023. Available online: https://cpregister.com/wp-content/uploads/2023/01/2023ACPR-Report.pdf. Accessed on May 19, 2024.Australian Cerebral Palsy Register Report 2023. 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The authors declare that there are no conflicts of interest present.