EFFECTIVENESS OF COMPLEX REHABILITATIVE MEASURES IN CHILDREN WITH EXTREMELY LOW BIRTH WEIGHT BY THE AGE OF THREE

Keywords: children, premature babies, extremely low body mass, psychomotor development
Abstarct: Objective – to make comparative analysis of rehabilitative programs’ influence on psychomotor development in children with extremely low birth weight (ELBW). Material and methods. 90 children with ELBW born on the territory of Yaroslavl region in 2012-2018 who were observed up to the age of three in out-patient pediatric department at Yaroslavl perinatal center were enrolled in retrospective cohort survey. All patients were divided into three groups: children from group 1 underwent rehabilitation by individual programs, children from group 2 – by individual programs in combination with rehabilitation by the method of “small groups”, children from group 3 did not undergo rehabilitative measures in the perinatal center. Results and discussion. Psychomotor development (PMD) lag by adjusted age on all analyzed lines and high percentage of PMD dissociation were registered in all patients enrolled in the study. Steady positive dynamics of developmental parameters up to the age of three was revealed in children from group 2 unlike patients of other groups. Conclusion. In order to reach steady positive dynamics of PMD in children with ELBW it is advisable to use complex rehabilitative programs by method of “small groups” with the involvement of doctors of exercise therapy (ET), speech therapists, teacher-speech pathologists, and parents.

BULLETIN
of the Ivanovo Medical Academy^{ISSN 1606-8157}