N.E. Ereshko¹
Dr. Hab., Associate Professor A.S. Makhov¹
PhD, Associate Professor V.P. Kartashev¹
M.S. Semiryazhko^1
1Russian State Social University, Moscow

Objective of the study was to offer theoretical provisions for special physical training model customizable for the cerebral-palsy-related movement remodeling to physiological motor stereotypes in the adolescent age, to facilitate progress in the postural controls and gait biomechanics.
Results and Conclusion. Every cerebral-palsy-diagnosed child is known to develop his/her own walking strategy or movement pattern that can hardly be changed or standardized, otherwise the vertical postural controls may be heavily compromised.
The study data and analysis showed benefits of special versatile physical trainings for functional progresses of children with cerebral palsy and their protection from potential adaptive overstrains by moderate healthy physical workouts. Such practices are recommended to include static postural control improvement exercises plus obligatory cyclic motor activities with an emphasis on the ground contact controls to improve the inter-muscular responses and reflexive fast adaptation mechanisms mobilized and excelled by such physical activity. It should be emphasized that the endurance and strength exercises should be prudently designed and managed with respect to the heart rate variability test data since the autonomous nervous system responses and controls are still incomplete and imperfect in this age group.

Keywords: cerebral palsy, gait biomechanics, classified cerebral palsy dysfunctions.

References

1. Vitenzon A.S., Perhurova I.S. et al. Biomekhanicheskaya i innervatsionnaya struktura statiko-lokomotornykh funktsiy u bolnykh DTsP [Biomechanical and innervation structure of static-locomotor functions in patients with cerebral palsy]. Regulyatsiya pozy i khodby pri detskom tserebralnom paraliche i nekotorye sposoby korrektsii [Regulation of posture and walking in infantile cerebral palsy and some methods of correction]. Moscow: Knizhnaya palata publ., 1996. pp. 111-117.
2. Klendar V.A. Otsenka funktsionalnogo sostoyaniya vegetativnoy nervnoy sistemy pri dvigatelnykh rezhimakh raznoy napravlennosti u detey i podrostkov s vrozhdennyimi narusheniyami funktsiy oporno-dvigatelnogo apparata metodom analiza variabelnosti serdechnogo ritma [Heart rate variability analysis to rate functional state of autonomic nervous system in different motor modes in children and adolescents with congenital disorders of musculoskeletal system]. PhD diss.: 14.03.11. Moscow, 2017. 126 p.
3. Petrushanskaya K.A., Vitenzon A.S. Issledovanie struktury khodby bolnykh detskim tserebralnym paralichom [Study of walking structure in patients with infantile cerebral palsy]. Rossiyskiy zhurnal biomekhaniki. 2005. No. 3. pp. 56-69.
4. Semenova E.V., Klochkova E.V., Korshikova-Morozova A.E. et al. Reabilitatsiya detey s DTsP: obzor sovremennykh podkhodov v pomoshch reabilitatsionnym tsentram [Rehabilitation of children with cerebral palsy: overview of modern approaches to help rehabilitation centers]. Moscow: Lepta Kniga publ., 2018. 584 p.
5. Ferrari A., Alboresi S., Muzzini S. et al. The term diplegia should be enhanced: around the problem of classification of cerebral palsy. Eur. J. Physic. Rehab. Med., 2008; No. 44. pp. 195-201.
6. Ereshko N.E., Makhov A.S. The effectives of regular adaptive physical education classes with adolescents suffering from cerebral palsy. Research Journal of Pharmaceutical, Biological and Chemical Sciences. 2018. Т. 9. No. 6. Pp. 631-638.