Pediatrics
doi: 10.25005/2074-0581-2021-23-2-201-207
Exercise-related changes of the physiological indicators in children with different forms of spastic cerebral palsy

A.A. Bruykov

Department of Medical Biology with the course of Infectious Diseases, Medical Institute, Derzhavin Tambov State University, Tambov, Russian Federation

Objective: To assess the indicators of the cardiovascular system (CVS) affected by exercise in children with various forms of cerebral palsy (CP).

Methods: Total of 24 children aged 12-14 years with spastic type of CP were enrolled in the study. They were divided into two groups. Group I included children with spastic diplegia (mean age 13.3±1.2 years), group II – with spastic double hemiplegia (mean age 13.8±0.9 years). For evaluation of the CVS functional condition, the heart rate (HR), blood pressure (BP), pulse pressure (PP), stroke volume (SV), quality and type of CVS response to physical activity (Letunov’s test) were assessed. A modified Martine-Kushelevsky test was used as an exercise test.

Results: All children revealed hypertensive type of CVS response to the Martine-Kushelevsky test. Our investigation showed that for both groups of children HR, BP, PP, and SV did not significantly change after the exercise, while the indicator of the type of CVS response to physical activity (Letunov’s test) was significantly reduced in group II (0.125± 0.008 mm Hg/bpm), compared to the group I (0.135± 0.009 mm Hg/bpm) (р<0.05).

Conclusion: Children with both spastic double hemiplegia and spastic diplegia showed hypertensive type of CVS response to the Martine-Kushelevsky test. The study showed the importance of evaluation of the CVS reactivity to the exercise for the development of individual rehabilitation programs for children with CP.

Keywords: Cerebral palsy, cardiovascular system, type of CVS response to physical activity, Martine-Kushelevsky test.

Download file:

References
  1. Rakhmonov RA, Isokova MD, Ganieva MT, Kholmatova GK. Osobennosti reabilitatsii detey, stradayushchikh detskim tserebral’nym paralichom s epilepticheskimi pristupami [Peculiarities of rehabilitation of children with ICP with epiloptic personalities]. Vestnik poslediplomnogo obrazovaniya v sfere zdravookhraneniya. 2018;2:91-4
  2. Bruykov AA, Gulin AV, Apokin VV. Izmenenie pokazateley funktsional’nogo sostoyaniya dykhatel’noy sistemy organizma detey s razlichnymi formami tserebral’nogo paralicha v protsesse reabilitatsii [Changes in the indicators of the functional state of the respiratory system of children with various forms of cerebral palsy in the process of rehabilitation]. Teoriya i praktika fizicheskoy kul’tury i sporta. 2016;7:83-5.
  3. Baymurodov RS, Amonov MK. Ippoterapiya kak metod lechebnoy fizicheskoy kul’tury (obzor literatury) [Hippotherapy as method of medical physical culture (literature review)]. Biologiya i integrativnaya meditsina. 2017;3:217-42.
  4. Gubin AV, Ovchinnikov EN, Goncharuk EV, Vasylieva NI, Popkov DA. Ekonomicheskie aspekty mnogourovnevykh ortopedicheskikh operatsiy u patsientov s detskim tserebral’nym paralichom [Economic aspects in single-event multilevel orthopedic surgery in patients with cerebral palsy]. Problemy sotsial’noy gigieny, zdravookhraneniya i istorii meditsiny. 2020;28(S):716-22. Available from: https://doi.org/10.32687/0869-866X-2020-28-s1-716-722
  5. Volokitin AS, Bruykov AA, Gulin AV. Vozdeystvie ippoterapii na nervno-myshechniy apparat organizma detey so spasticheskoy diplegiey [The effect of hippotherapy on the neuromuscular apparatus of the body of children with spastic diplegia]. Vestnik Avitsenny [Avicenna Bulletin]. 2015;1:116-20.
  6. Batysheva TT, Bykova OV, Vinogradov AV. Detskiy tserebral’nyy paralich – sovremennye predstavleniya o probleme [Infantile cerebral palsy – modern ideas about the problem]. Russkiy meditsinskiy zhurnal. 2012;20(8):401-5.
  7. Ying K, Rostenberghe HV, Kuan G, Mohd Yusoff MHA, Ali SH, Yaacob NS. Health-related quality of life and family functioning of primary caregivers of children with cerebral palsy in malaysia. Int J Environ Res Public Health. 2021;18(5):2351. Available from: https://doi.org/10.3390/ijerph18052351
  8. Gąsior JS, Zamunér AR, Silva LEV, Williams CA, Baranowski R, Sacha J, et al. Heart rate variability in children and adolescents with cerebral palsy – a systematic literature review. J Clin Med. 2020;9(4):1141. Available from: https:// doi.org/10.3390/jcm90411418
  9. Ferreira MC, Pastore C, Imada R, Guaré R, Leite M, Poyares D, et al. Autonomic nervous system in individuals with cerebral palsy: A controlled study. J Oral Pathol Med. 2011;40(7):576-81. Available from: https://doi.org/10.1111/ j.1600-0714.2011.01008.x
  10. Amichai T, Katz-Leurer M. Heart rate variability in children with cerebral palsy: Review of the literature and meta-analysis. NeuroRehabilitation. 2014;35(1):113-22. Available from: https://doi.org/10.3233/NRE-141097
  11. Maenner MJ, Blumberg SJ, Kogan MD, Christensen D, Yeargin-Allsopp M, Schieve LA. Prevalence of cerebral palsy and intellectual disability among children identified in two U.S. National Surveys, 2011-2013. Ann Epidemiol. 2016;26(3):222-6. Available from: https://doi.org/10.1016/j.annepidem.2016.01.001
  12. Whittingham K, Wee D, Sanders MR, Boyd R. Sorrow, coping and resiliency: Parents of children with cerebral palsy share their experiences. Disabil Rehabil. 2013;35(17):1447-52. Available from: https://doi.org/10.3109/09638288.201 2.737081
  13. Park IK, Lee JY, Suk MH, Yoo S, Seo YG, Oh JK, et al. Effect of equine-assisted activities on cardiac autonomic function in children with cerebral palsy: A pilot randomized-controlled trial. J Altern Complement Med. 2021;27(1):96-102. Available from: https://doi.org/10.1089/acm.2020.0346
  14. Kholod H, Jamil A, Katz-Leurer M. The associations between motor ability, walking activity and heart rate and heart rate variability parameters among children with cerebral palsy and typically developed controls. NeuroRehabilitation. 2013;33(1):113-9. Available from: https://doi.org/10.3233/NRE-130934)
  15. Keller-Ross ML, Chantigian DP, Nemanich S, Gillick BT. Cardiovascular effects of transcranial direct current stimulation and bimanual training in children with cerebral palsy. Pediatr Phys Ther. 2021;33(1):11-6. Available from: https://doi. org/10.1097/PEP.0000000000000762
  16. Zhao X, Chen M, Du S, Li H, Li X. Evaluation of stress and pain in young children with cerebral palsy during early developmental intervention programs: a descriptive study. Am J Phys Med Rehabil. 2015;94(3):169-75. Available from: https://doi.org/10.1097/PHM.0000000000000252

Authors' information:

Bruykov Aleksey Aleksandrovich
Candidate of Biological Sciences, Associate Professor of the Department of Medical Biology with the course of Infectious Diseases, Medical Institute, Derzhavin Tambov State University
ORCID ID: 0000-0001-9887-7879
SPIN: 5876-0648
E-mail: ba73-87@mail.ru

Information about support in the form of grants, equipment, medications

The study was sponsored by the grant N33-MU-20 (01) “Study of the dynamics of physiological parameters in primary school children with cerebral palsy to various programs of rehabilitation” (2020) by the Department of Education and Science of the Tambov Region, Russian Federation. The author did not receive financial support from companies manufacturing medications and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Bruykov Aleksey Aleksandrovich
Candidate of Biological Sciences, Associate Professor of the Department of Medical Biology with the course of Infectious Diseases, Medical Institute, Derzhavin Tambov State University

392000, Russian Federation, Tambov, 33 Internatsionalnaya str

Tel.: +7 (903) 6990099

E-mail: ba73-87@mail.ru


This work is licensed under a Creative Commons Attribution 4.0 International License.

Materials on the topic:
  1. CASE REPORT: FAMILIAL WISKOTT-ALDRICH SYNDROME
  2. EXTERNAL RESPIRATION AND BLOOD GAS COMPOSITION IN CHILDREN WITH HEREDITARY HEMOLYTIC ANEMIA
  3. IMPACT OF THE COVID-19 PANDEMIC ON VITAMIN D LEVELS IN CHILDREN OF RYAZAN
  4. EPIDEMIOLOGICAL ASPECTS OF CONTEMPORARY PHYSICAL DEVELOPMENT IN CHILDREN
  5. OXIDANT AND ANTIOXIDANT STATUS IN NEONATES WITH SPECIFIC INTRAUTERINE INFECTIONS
  6. CLINICAL AND ANAMNESTIC PATTERN AND SENSITIZATION TO AEROALLERGENS IN CHILDREN WITH ATOPIC BRONCHIAL ASTHMA
  7. ACID-BASIC BALANCE, BLOOD GASES AND ECHOCARDIOGRAPHIC CHANGES IN BRONCHIAL ASTHMA IN CHILDREN
  8. ADHERENCE TO THERAPY AND ITS IMPACT ON THE CONTROL OF ASTHMA SYMPTOMS IN CHILDREN
  9. FEATURES OF CLINICAL MANIFESTATIONS, CELLULAR AND HUMORAL IMMUNITY OF NEWBORNS WITH INTRAUTERINE MIXED INFECTIONS
  10. CLINICAL AND LABORATORY FEATURES OF ENDOGENOUS INTOXICATION SYNDROME IN CHILDREN UNDER 3 YEARS WITH PNEUMONIA

◄ Back to the list