Successful Role for coMra-Therapy in Rehabilitation Centres for Children
There is a growing awareness today of the role of coMra-Therapy in clinics specialising in the treatment and rehabilitation of a wide variety of medical conditions in children.
In the Ukraine, for example, coMra-Therapy has established its reputation in a number of different centres for children. One of the first was the Nikopol Children’s Rehabilitation Centre that specialises in nervous diseases.
Dr Irina Khmelevskaya, director of the centre, explains:
Our centre is a state financed institution. We have 70 places for children and 5 of them adapted to mother and child. We have children aged from 2 months to 10 years, with some difficult cases up to 12 years, with central nervous system disorders, psychiatric disorders and musculoskeletal pathologies.
A rehabilitation course usually lasts 1 month, in certain cases more, and there is a group of 5 children for long term rehabilitation. We service children from the Dnepropetrovsk region. We have children recommended for rehabilitation both by general practitioner doctors and also specialists like psychiatrists, neurologists and orthopediatricians. Sometime the parents themselves come to us and we perform diagnostic procedures in our clinics, before any rehabilitation course.
We treat various pathologies:
- consequences of perinatal central nervous system damage
- genetic diseases of CNS, chromosome pathologies and metabolic disorders with CNS and musculosceletal damage
- Cerebral Palsy
- paralytic syndrome, obstetrical palsy, consquenses of poliomyelitis, traumas and neuroinfections
- neurosis, enuresis, encopresis
- mental development disorders, including autism
- speech development disorders
- psychological disorders
- deformations of limbs
- rehabilitation after fractures and traumas
- epilepsy in remission stage, including pharmacological remission
- minimal brain dysfunction, dyslexia, dysgraphia
- Cerebral Palsy is not our main focus, but this is the most difficult area in rehabilitation, as it requires significant time and medical personnel involvement.
We have a unit for medical and also one for socio-psychological (pedagogical) rehabilitation. Our team of pedagogues, psychologists and speech therapists work there. Both units are very closely related and cooperate together with each other.
We do not hold to any one particular system or program, we combine different elements depending on the condition. As our results show — it is most effective. We plan in the future to educate specialists for VOJTA therapy and craniosacral therapy.
This report is based on our more than 8 months experience with coMra-Therapy. We have recently received our second Delta laser set, since we use our first almost continuously.
Update on coMra-Therapy application (Delta Laser) in the Nikopol Specialised Medical Centre for Medical and Social Children’s Rehabilitation, Nikopol, Ukraine
At the Nikopol Specialised Medical Centre for Medical and Social Children’s Rehabilitation, coMra-Therapy has been used since February 2012.
During this period 157 children received treatments, and 29 of these received 2-3 courses of coMra-Therapy treatment.
Both the recommended, as well as individually-tailored treatment programs were applied. New treatment programs for coMra-therapy were developed for the following conditions:
- CP hemiparesis;
- CP tetraparesis;
- CP lower spastic diplegia;
- Mixed CP;
- Varus deformities of lower limbs;
- Valgus deformities of ankles and feet;
- Motor disorders, muscular hypotonia;
- Consequences of neonatal cervical trauma, chondrosis, unstable disks С2-С3;
- Optic nerve atrophy.
Treatment programs were selected depending on the symptoms present, the stage of the condition and the pathology.
coMra-Therapy was applied together with other rehabilitation methods: physiotherapy, apparatotherapy, various types of massage (classic, stone massage, segmental, acupressure, apparatus, logopaedic), microkinesiotherapy, Su Jok therapy, bishofite application. We have found that following the introduction of coMra-Therapy to these methods, the results of the rehabilitation programs have greatly improved.
Number of coMra-Therapy courses by condition:
|Lower flaccid paraparesis after poliomyelitis||B91||1 child|
|Other motor disorders:
motor disorder of pyramidal type,
|Myotonic syndrome on residual background||G71.1||2 children|
|Muscular dystrophy||G71.0||1 child|
|Consequences of neonatal cervical trauma, chondrosis, unstable disks C2-C3||T 09||1 child|
|Neuropathy of facial nerve||G51||3 children|
|Partial optic atrophy, esotropia||H47.2||2 children|
|Delay of psychoverbal development||G98||24 children|
|Chronic tic disorder||F95.1||1 child|
|Intellectual disability, developmental disorder, emotional and behavioral disorder.||F70-79,
|Kyphoscoliosis, thoracic section of spine||M41||4 children|
|Valgus deformity of feet,
Varus deformity of feet and ankles
|Congenital unstable hip||Q65.6||3 children|
|Cholecystitis, cholesterolosis of gallbladder||K81,
|Chronic disease of tonsils||J35.0||8 children|
|Hypertrophy of tonsils with hypertrophy of adenoids||J35.3||22 children|
|Acute sinusitis, allergic rhinitis||J01-J30.1||1 child|
|Acute bronchitis||J20||1 child|
|Sensorineural hearing loss||H90||3 children|
Following treatments with coMra-Therapy significant positive results were noted.
For children with CP abnormal muscle tone decreased after treatments and also motor activity increased. Treatment programs were chosen for individuals depending on their type of CP. More significant improvements were noted for spastic types. After 2-3 courses of treatment all children with CP had increased range of motion in limbs, especially in their hands.
The duration of courses was 15-21 days, 1-2 times a day, with a 3 week break between the courses. Twisting of limbs and overall posture problems became less expressed, and the volume of movement increased in elbow and shoulder joints. Children became more active, they used their paretic limb in movements more often, and their gripping of objects improved. Together with an increase in motor activity, their vocabulary and cognitive activity increased.
A girl with flaccid lower paresis after poliomyelitis had a severe movement disorder, (no reliance on the feet, no crawling, and sitting only while relying on support from her hands). After two courses of coMra-Therapy combined with kinesiotherapy and massage, the child started to rely on her feet, was able to stand with some help, and got up on her own while using a bigger object as support. The therapy in her case consisted of two treatments a day for 21 days, with a break of 3 weeks between courses.
With musculoskeletal disorders a strengthening of the trunk muscles and normalising of muscle tone was noted. Greater efficiency was noted in posture disorders and in valgus and varus deformations of the feet. We found a normalising of spine muscle tone and in the lower limbs, the asymmetry of the girdles and shoulder blades decreased, as well as there being better posture.
For the children with enuresis and encopresis full relief was achieved – 1/3 of the treated children showed a full regression of symptoms. After two months the symptoms had not returned. In other cases a decrease in frequency of enuresis or an increase in remission period was achieved.
For children with psychiatric disorders and speech disorders the coMra-Therapy biostimulation and sedative programs were used.
The treatment of tonsils and adenoids demonstrated a change in the compensation stage, resulting in free breathing through nose, which is especially important during kinesiology exercises.
A child with partial optical atrophy and esotropia benefited from a slightly decreased angle of eyeball to center, recognising objects on bigger pictures. The eye bottom has not yet been reviewed, and the child continues the rehabilitation program.
Children with diffuse muscular hypotonia benefited from increased toning in the extremities and better motor coordination.
A child with stuttering underwent a change to the remission stage. There were less tics during the day and their severity decreased.
With treatments for paresis of the facial nerve the asymmetry of the face decreased.
coMra-Therapy was applied to a child with residual symptoms of acute bronchitis with wet cough. Following a full course of treatment the symptoms disappeared.
Through using the recommended program for cholesterolosis of the gallbladder, better appetite was noted and the pain disappeared.
In the case of sensorineural hearing loss no difference was noted, in this case most probably a decision concerning hearing aids should be taken.
We are also experimenting with an interesting field of research, which is the application of coMra-Therapy together with Bishofit natural minerals. Poltava Bishofit (a physio gel) is applied as a thin layer to the chosen area (as a “band” along the spine or as a “boot”, or “glove” to the cervical collar area), allowing 10-15 minutes for the minerals to penetrate the skin. A coMra-Therapy treatment is then applied to the same area. This method has shown good results with muscle tone, pain reflex syndrome, and hypertonic muscles.
The conclusion from our results is that coMra-Therapy has been shown to have an extensive application in children’s diseases and naturally complements existing rehabilitation methods.
No contraindications were noted by our Centre's specialists.
Moreover coMra-Therapy has also shown very good results in infants up to 1 year old, an area in which the choice of therapies and treatment methods is much more limited in terms of rehabilitation.
If we were to summarise coMra-Therapy’s definitive advantages we would specify:
- easy to endure,
- simple treatment process,
- no pain during treatment