The Elaboration of Treatment and Rehabilitation Complex Myopia Methods and a Study of Its Efficiency for Children Aged 10–11
Topicality. For the treatment of childhood myopia, a large number of methods have been proposed, among them physical rehabilitation techniques and pathogenically justified methods. In practice, in order to improve the effectiveness of treatment, there is a need to systematize their use. To solve this problem, the conditions of health resort treatment are most preferable. The purpose of the research is to develop a complex of treatment and rehabilitation methods and study their effectiveness for myopia of children aged 10-11. Research methods. The study involved 68 children that were treated at a pediatric health resort. Thus, two peer study groups were formed. In the control group, children received routine ophthalmic treatment. In the treatment group, according to the myopia pathogenesis specifics, step therapy was suggested, which was supplemented by exercises to strengthen extraocular muscles compared to the treatment in the control group. At the beginning and at the end of treatment, the children received an ophthalmological observation and assessment of their physical condition. Statistical processing of the obtained digital values was performed using Student's t-test. Results. During health resort treatment, three stages according to the pathogenetic chains of myopia development were distinguished and taking into account generally accepted motor regimens in the conditions of health resort treatment: sparing treatment, health improving training and active training, which were complemented by exercises aimed at extraocular muscles strengthening. The use of the proposed complex of treatment and rehabilitation methods allowed increasing the treatment by 32%. Conclusions. The weakening of children`s physical well-being and promotion their eye strain is the reason for the increase in number of children with myopia, that requires rehabilitation measures improvement for myopia. Elaboration of the complex therapeutic and rehabilitation methods, taking into account the peculiarities of etiology and pathogenesis is one of the trends of rehabilitation therapy improvement for myopia. The proposed approach of step therapy of myopia and gradual increase of physical activity after the relaxation stage allowed to improve the children`s physical training and promote the effectiveness of myopia treatment by 32%. On completion of the health resort treatment course, the child should receive recommendations for further rehabilitation activities.
Aprelev, A. E. (2011). Algoritm primeneniya razlichnyih refleksoterapevticheskih metodov u patsientov s priobretennoy blizorukostyu [Algorithm for the use of various reflexotherapy methods for patients with acquired myopia]. Voprosyi kurortologi fizioterapii i lechebnoy fizicheskoy kulturyi, no. 3, 27–29.
Vasileva, V. V. Eremenko, E. Yu., Matveeva, N. V., Matveev, O. B. (2012). Fizicheskaya reabilitatsiya studentov s narusheniem organov zreniya [Physical rehabilitation of students with visual impairment]. Vestnik fizioterapii i kurortologii, no. 2, 106–108.
4. Venger, G. E., Venger, L. V., Burdeynyiy, S. I. (2012). Sovremennyie vzglyadyi na patogenez progressiruyuschey miopii i vozmozhnosti ee lecheniya [Modern views on the of progressive myopia pathogenesis and the possibilities of its treatment]. Tavricheskiy mediko-biologicheskiy vesnik. T. 15. 33, ch. 3 (59), 15–29.
Gayday, I. N. (2004). Zabolevaemost i rasprostranennost bolezney organa zreniya v Ukraine [Incidence and prevalence organ of vision diseases in Ukraine]. Glavnyiy vrach, no. 6, 28–30.
Dashevskiy, A. I. (1983). Okorrektsii osnovnih elementov v anatomo-opticheskoy sisteme glaza [Correction of the main elements in the anatomical and optical system of the eye]. Oftalmologicheskiy zhurnal. no. 4, 209–213.
Egorova, T. S., Smirnova, T. S., Romashin, O. V., Egorova, I. V. (2016). Deformatsii pozvonochnika u slabovidyaschih shkolnikov s vyisokoy oslozhnennoy blizorukostyu i vozmozhnosti ih korrektsii [Spinal deformities in visually impaired schoolchildren with high complicated myopia and the possibility of its correction]. Voprosy kurortologii, fizioterapii i lechebnoy fizicheskoy kultury, no. 2, 20–25.
Iomdina, E. N., Smirnova, T. S., Vahidova, L. T., Kostanyan, I. A., Minkevich, N. I. (2010). Patogeneticheskie mehanizmy narusheniy metabolizma soedinitelnoy tkani pri progressiruyuschey miopii [Pathogenetic mechanisms of connective tissue metabolism disorders for progressive myopia]. Tez. dokl. IX s'ezd oftalmologv Rossii. Moskva, 16-18 iyunya 2010, 116.
Kendzhaeva, D. O., Usenko, V. A. (2010). Rasstroystva akkomodatsii pri blizorukosti s assimetrichnyim porazheniem pozvonochnyih kanalov v sheynom otdele [Accommodation disorders for myopia with asymmetric lesions of the vertebral canals in the cervical spine]. Tez.dokl. IX s'ezd oftalmologv Rossii. Moskva, 16-18 iyunya 2010 goda, 117.
Kizeev, M. V., Ershova, S. Yu., Krasnogorskaya, V. S., Antipina, S. B., Nezhkina, N. N. Otsenka Effektivnosti kompleksnyih reabilitatsionnyih meropriyatiy u detey i podrostkov s anomaliyami refraktsii v vide miopii, gipermetropii, spazma akkomodatsii [Evaluation of the complex rehabilitation measures effectiveness in children and adolescents with refractive anomalies for the myopia, hyperopia, accommodation spasm]. Kurortnaya meditsina, 2016, no. 2, 179–181.
Pyiltsina, N. Yu. O. (2007). Vzaimosvyazi klinicheskogo techeniya blizorukosti s anatomicheskim somatotipom u detey i podrostkov [The interconnection of the clinical myopia course with the anatomical somatotype of children and adolescents]. Avtoref. dis. kand.med. nauk: 14.00.08. Glaznyie bolezni. Moskva, 11.
Ruban, L. A. (2016). Metodi korektsii miopii fIzichnimi vpravami [Methods of myopia correction by physical exercises]. no.2, 193–197.
Samoylov, A. N., Korobitsin, A. N. (2016). Reabilitatsiya patsientov s patologicheskoy blizorukostyu [Rehabilitation of patients with pathological myopia]. Prakticheskaya meditsina. T. 1, no. 2 (94). 135–136.
Serdyuchenko, V. I., Dragomiretskaya, E. I., Nostopyireva, E. I., Golovko, I. I. (2002). Somaticheskiy status i fizicheskoe razvitie detey i podrostkov kak faktoryi riska razvitiya miopii [Somatic status and physical development of children and adolescents as risk factors for the myopia development]. Oftalmol. zhurn., no. 2. S. 4–8.
Slipota ta slabkozorist, shliakhy profilaktyky v Ukraini (2011). . Dovidnyk likaria. Za redaktsiieiu prof. S. O. Rykova. Kyiv, 263.
Ehlers, N., Hjortdal, J., Scerensen, R. (1996). Long-term experience with epikeratophakia for high myopia. 22-nd European Сornea Сonference, June 7 th - 9th, Aachen-Erkensruhr, Germany, 11.
Molosiu, E. (2013). Screenig of refractive errors in children 3 to 9 years of age, in the city of Fier, Alban. European Society of Ophthalmology 8-11 June, 2013. Copenhagen, Denmark. Copenhagen, 2013. EP-PED. 557.
Olsen, H. (1996). Radial keratotomy and photorefractive keratectomy for low myopia, a prospective study. 22-nd European Cornea Conference, June 7 th - 9th, 1996. Aachen/Erkensruhr, Germany, 13.