N.L. СHERNAYA¹, G.S. MASKOVA¹, O.G. KUZNETSOVA², E.A. BELOVA¹, O.I. GRIGORIEVA²

¹Yaroslavl State Medical University, 5 Revolutsionnaya St., 5, Yaroslavl, Russian Federation, 150000

²Children’s Polyclinic №5, 20 Mashinostroiteley Pr., 20, Yaroslavl, Russian Federation, 150055 

Chernaya N.L. — D. Med. Sc., Professor, Head of the Department of Polyclinic Pediatrics, tel. (4852) 35-66-92, е-mail: nlch@mail.ru

Маskova G.S. — Cand. Med. Sc., Associate Professor, Department of Polyclinic Pediatrics, tel. +7-910-816-46-87, е-mail: maskovags@mail.ru

Kuznetsova O.G. — Head of the Department of Rehabilitation, tel. (4852) 24-28-02, е-mail: pol-ka5@mail.ru

Grigorieva O.I. — doctor of the Department of Rehabilitation, tel. (4852) 24-28-02, е-mail: pol-ka5@mail.ru

Belova E.A. — postgraduate student of the Department of Polyclinic Pediatrics. tel. (4852) 35-66-92, е-mail: katerinabelova1992@mail.ru 

The article presents findings of the rehabilitation effectiveness evaluation of 40 children aged 10-12 years with obesity, who received rehabilitation by hydrokinesitherapy method within 2 months in an outpatient clinic. We evaluated the overall effectiveness of recovery using the map of the child’s health dynamics: complaints, objective symptoms, level of functional status and self-reported health. The timing of the locomotor activity effectiveness of each child during the training was conducted by the cardiovascular system reaction. 70% of children showed high coefficient of overall rehabilitation efficiency. The reliable positive dynamic in the process of rehabilitation was observed in waist circumference (WC), neck circumference (NC) and excess body weight (p<0.05). The target values for these indicators, such as the reduction of WC >3.0 cm, the decrease of NC >1.5 cm, the reduction of body weight more than 500.0 g, are recommended to use as objective criteria for assessing the rehabilitation effectiveness of children with obesity when using hydrokinesitherapy. The paper presents the values of training heart rate in children with obesity at different stages of therapeutic swimming, when the rehabilitation efficiency was high.

Key words: schoolchildren, obesity, therapeutic swimming, rehabilitation efficiency, nutritional status.

 

 

REFERENCES

1. Maskova G.S., Chernaya N.L., Shubina E.V., Aleksandrova S.V. Age features of obesity in children. Prakticheskaya meditsina. Pediatriya. Nauchno-prakticheskiy meditsin-skiy zhurnal, 2014, no. 9(85), pp. 126-130 (in Russ.).

2. Potseluev A.A. Napravlennost’ i soderzhanie uroka fizicheskoy kul’tury dlya detey mladshego shkol’nogo vozrasta s ozhireniem : avtoref. dis. … kand. ped. nauk [The focus and content of the lesson of physical training for primary school children with obesity. Synopsis of dis. PhD ped. sciences]. Moscow, 2014. 24 p.

3. Kartelishchev A.V., Rumyantsev A.G., Smirnova N. S. Ozhirenie u detey i podrostkov [Obesity in children and adolescents]. Moscow: BINOM, 2013. 277 p.

4. Daniel G. Bessen, Robert Kushner Izbytochnyy ves i ozhirenie. Profilaktika, diagnostika i lechenie [Overweight and obesity. Prevention, diagnosis and treatment]. Moscow: BINOM, 2006. 240 p.

5. Andreeva E.N., Babarina M.B., Biryukova E.B. et al. Ozhirenie: etiologiya, patogenez, klinicheskie aspekty : rukovodstvo dlya vrachey [Obesity: etiology, pathogenesis, clinical aspects: a guide for physicians]. Moscow: MIA, 2004. 456 p.

6. Bulgakova N.Zh. Ozdorovitel’noe, lechebnoe i adaptivnoe plavanie [Recreational, therapeutic and adaptive swimming]. Moscow: Akademiya , 2008. 429 p.

7. Epifanov V.A. Lechebnaya fizicheskaya kul’tura: uchebnoe posobie [Therapeutic physical culture: a textbook]. Moscow: GEOTAR-Media, 2006. 568 p.

8. Vasil’eva E.A., Kuvina V.N., Arsent’eva N.I. Hydrocolonotherapy rehabilitation of associated deformities of the pelvis and spine in dysplastic and dystrophic syndrome in children. Byulleten’ Vostochno-Sibirskogo nauchnogo tsentra SO RAMN, 2011, no. 4-1, pp. 48-50 (in Russ.).

9. Plavanie: uchebnik dlya vuzov, red. N.Zh. Bulgakovoy [Swimming: a textbook for universities. Ed. by N.J. Bulgakova]. Moscow: Fizkul’tura i sport, 2001. 400 p.

10. Federal’nye klinicheskie rekomendatsii (protokoly) po vedeniyu detey s endokrinnoy patologiey, red. I.I. Dedova i V.A. Peterkovoy [Federal clinical guidelines (protocols) on the management of children with endocrine disorders. Ed. by I.I. Dedov and V.A. Peterkova]. Moscow: Praktika, 2014. 442 p.

11. Potapchuk A.A., Matveev S.V., Didur M.D. Lechebnaya fizicheskaya kul’tura v detskom vozraste [Therapeutic physical training in childhood]. Saint Petersburg: Rech, 2007. 464 p.

12. Nafiu O., Burke C., Lee J., Voepel-Lewis T., Malviya S., Tremper K.K. Neck circumference as a screening measure for identifying children with high body mass index.Pediatrics, 2010, Aug; 126(2).

13. Maskova G.S., Aleksandrova S.V., Kuznetsova O.G., Galenko S.Yu., Ivanova I.V. Dosage exercise — the basis of rehabilitation of children with exogenous constitutional obesity. Poliklinika: professional’nyy zhurnal dlya rukovoditeley i vrachey vsekh spetsial’nostey, 2007, no. 1, pp. 38-41 (in Russ.).

14. Smirnov V.M., Dubrovskiy V.I. Fiziologiya fizicheskogo vospitaniya i sporta: Ucheb dlya studentov srednikh i vysshikh uchebnykh zavedeniy [Physiology of Sport and Physical Education: A Textbook for students of secondary and higher education institutions]. Moscow: Vlados-press, 2002. 608 p.

15. Gustafsson T., Puntschart A., Kaijser L., Jansson E., Sundberg C. Exercise-induced expression of angiogenesis-related transcription and growth fac-tors in hu-man skeletal muscle.Am J Physiol., 1999, 276, rr. 679-685.

16. Richardson R.S., Wagner H., Mudaliar S.R., Henry R., Noyszewski E.A., Wagner P.D. Human VEGF gene expression in skeletal muscle: effect of acute normoxic and hypoxic exercise.Am J Physiol Heart Circ Physiol, 277: H2247-H2252, 1999.

17. Maskova G.S., Chernaya N.L., Nagornova E.Yu., Fomina O.V., Byteva T.A. Brachial artery endothelial function in adolescents with obesity, depending on the severity of the clinical and metabolic disorders and trophological.Kardiologiya: nauchno-prakticheskiy zhurnal, 2014, vol. 54, no. 2, pp. 31-35 (in Russ.).

18. Furmanov A.G. Ozdorovitel’naya fizicheskaya kul’tura: uchebnik [Physical Culture.Textbook]. Minsk: Tesey, 2003. 527 p.