THE USE OF ROBOTIC MOTOR REHABILITATION IN COMPLEX TREATMENT OF SUBLUXATION AND DISLOCATION OF THE HIP IN CHILDREN WITH SEQUELAE OF SPINA BIFIDA

摘要

The article presents the results of rehabilitation in children with sequelae of spina bifida using the robotic complex “Pediatric Lokomat” produced by «Hocoma» company (Switzerland). In such patients, one of the most significant orthopedic problems in frequency and clinical relevance is the instability of the hip joint. The approach to rehabilitation treatment in children after reconstructive surgery of the hip involves the principle “early motion - late weight bearing”. Conventional methods of rehabilitation treatment are performed in supine position, and don’t allow to combine this principle with training the skills of vertical posture, which leads to the development of osteoporosis and the risk of pathological fractures. Robotic mechanotherapy enables to cope with this problem by working in isokinetic mode with no load on the supporting surface.