Method for developing static postural activity

Abstract

FIELD: neurology; therapeutic; adaptive physical education.SUBSTANCE: used to develop static postural activity in children from 2 to 7 years old. To implement the method, a “static postural activity simulator” is used. The child's feet, in individually fitted orthopedic shoes, are placed on the base of the exercise machine and secured using a limiter and fasteners. Then breathing and general development exercises, exercises with objects, with an elastic cord and a block trainer, exercises on a fitball, and balance beams are performed. In this case, the following starting positions are used: sitting, sitting with eyes closed, standing, standing with eyes closed. In addition, walking along a straight trajectory, with side steps, along a wall with side steps, with turns, steps backward, walking along a static support, along a dynamic support, from support to support, backwards, on an unstable surface are performed. Then the walking with their eyes closed in place, along a straight trajectory, along a static support, on an unstable surface are performed. Classes are held twice a day for 55 minutes.EFFECT: method allows optimizing the process of developing motor skills in children with cerebral pathology and musculoskeletal disorders in children aged 2 to 7 years.1 cl, 1 dwg, 2 ex

Description

[0001] The invention relates to the field of medicine, namely to neurology in working with severe lesions of the structures of the central nervous system responsible for the regulation of movement, and can be used in complex rehabilitation aimed at correcting mobility impairment as the main clinical syndrome in such areas as therapeutic physical education, adaptive physical education and correctional pedagogy, where the priority of rehabilitation measures is to increase the level of mobility, the formation of motor activities, and can be, in particular, used for the development of static postural activity, the correction of dysfunction of reflex activity and the formation of sitting, standing and walking skills in children from 2 to 7 years old with cerebral pathology.

[0002] From the practice of complex rehabilitation of cerebral palsy in children, there are known methods of providing therapeutic and restorative effects aimed at helping children of this nasal group, aimed at eliminating dysfunction of reflex activity, stimulating motor reactions, and developing motor skills through therapeutic physical education (Badalyan L.O., Zhurba L.T., Timonina O.V. Cerebral Palsy in Children. Kyiv: Zdorov'ya, 1988, pp. 19-32; Bortfeld S.A., Rogacheva E.N. Therapeutic physical education and massage for cerebral palsy in children. L.: Medicine, 1986, pp. 24-29; Efimenko N.I., Sermeev B.V. Content and methods of physical education classes with children suffering from cerebral palsy. M.: Soviet sport, 1991, p. 15).The disadvantage of these methods is the difficulty associated with the development of skills for transitioning from a sitting to a standing position and the ability to maintain the body vertically in a standing position, since most of the interventions aimed at correcting dysfunction of reflex activity are carried out with an orientation towards preventing muscle tone disorders, which is the case when being in a horizontal or semi-horizontal position, in which the gravity factor has a minimal impact, the development of the functional antigravity system (FAS) suffers, and therefore the formation of the function of maintaining balance and posture associated with the FSA is also difficult.

[0003] The closest in essence to the proposed method "Method for developing static postural activity" is the "Method of static proprioceptive stimulation of postural reflexes in young children with cerebromotor disorders" (patent 2203610 C2; A61B 5 / 00). The stated objective of the invention is achieved by the fact that static proprioceptive stimulation of postural reflexes is carried out alternately in individual orthoses: seat corsets and verticalizer corsets in the form of practical activity sessions of 20-30 minutes, during alternating and repeated corrective and play classes throughout the day, during leisure activities, feeding with a total stay in orthoses up to 5-6 hours per day. The disadvantages of this method are that the restoration of the functioning of the antigravity system and the achievement of an independent body position is carried out only in the “sitting” and “standing” positions and does not extend to the formation of the act of walking.

[0004] "Method for developing static postural activity" aims to develop a functional antigravity system, form the function of maintaining balance and posture, correct dysfunction of reflex activity, and form the skills of sitting, standing and walking in children aged 2 to 7 years.

[0005] The primary focus of rehabilitation interventions for patients with severe lesions of the central nervous system structures responsible for movement regulation, such as cerebral palsy, is on correcting the underlying clinical syndrome—impaired mobility. Accordingly, the priority of rehabilitation interventions is to improve mobility and develop motor activity (maintaining balance and posture, locomotion, and voluntary movements). Motor activity is determined by the involvement of various muscles, which are formed by different muscle fibers (phasic, tonic, and intermediate), which determines the focus of corrective interventions. Phasic muscle fibers are predominantly represented by large motor units with rapid contraction and high tension under voluntary reflex control and ensure voluntary movement.Tonic fibers form small motor units of slow contraction and low tension that perform a postural function, ensuring the maintenance of balance and posture. Intermediate fibers in phasic muscles also support not only the maintenance of balance and posture, but also voluntary movements. In the case of cerebral palsy, the development of balance and posture (postural activity), caused by the pathophysiological mechanism of the functional antigravity system, is particularly pressing, as postural activity constitutes the unconscious operating background of all locomotor acts, voluntary actions, and is primarily associated with maintaining an upright body position. Furthermore, in postural mode, the force of muscle contractions is small but long-lasting, occurring at low stimulation frequencies, ensuring energy conservation and enabling interventions in accordance with the principle of the earliest possible initiation of rehabilitation.

[0006] "Method for Developing Static Postural Activity" involves the use of a static postural activity trainer (patent 203618 U1; A63B 23 / 00). The method works as follows: the child's feet, wearing individually fitted orthopedic shoes, are placed on the base of the trainer shoe and secured with a stopper and fasteners. By increasing the support surface, the child's vertical body position, as a biomechanical system, becomes more stable. Firm fixation of the foot to a highly rigid base significantly exceeding its area alters the relationship of the support contour to the topological dimension and the area onto which the overall center of gravity is projected, thereby helping to reduce dysfunction of the innate labyrinthine-tonic reflex and maintain balance by reducing otolithic and associated gradual components of cutaneous and muscular-articular reception.

[0007] In the practical application of the “Method for Developing Static Postural Activity,” recommendations have been developed using a static postural activity trainer, depending on the initial position (IP):

[0008] - IP "sitting" - breathing exercises, general development exercises, exercises with objects, exercises with an elastic cord, exercises with a block trainer, exercises on a fitball;

[0009] - IP "sitting with closed eyes" - breathing exercises, general development exercises, simple exercises with objects;

[0010] - IP "standing" - breathing exercises, general development exercises, exercises with objects, exercises with an elastic cord, exercises on balance beams;

[0011] - IP "standing with closed eyes" - breathing exercises, general development exercises, exercises with objects, exercises with an elastic cord, turns, turns;

[0012] - walking - walking in a straight line, walking with side steps, walking along a wall with side steps, walking with turns, steps backward, walking along a static support, walking along a dynamic support, walking from support to support, walking backwards, walking on an unstable surface;

[0013] - walking with eyes closed - step in place, walking in a straight line, walking along a static support, walking on an unstable surface.

[0014] Based on the recommendations, individual rehabilitation programs were developed, designed for both an intensive rehabilitation course in a rehabilitation center and for use by parents at home, with exercises selected, tested, and adapted for each child.

[0015] The proposed method was tested on 32 children at the Sakura Rehabilitation Center in Chelyabinsk from 2021 to 2024.

[0016] Clinical examples are presented as excerpts from discharge summaries in the dynamics of the rehabilitation process.

[0017] Example 1. Child M., born in 2018.

[0018] Diagnosis. Cerebral palsy. Spastic diplegia. GMFCS level IV.

[0019] Complaints upon admission. Developmental delay: does not walk.

[0020] Objective status: Increased tone in the legs. Understands spoken language. Speech is phrasal. Intelligence is appropriate for age. Partially follows instructions. Holds objects with both hands. Swallowing is not impaired. Dresses and undresses with assistance. Sanitary and hygienic skills and self-care skills are partially developed. Active movement is limited in the right arm, muscle strength is insufficient. Active movement in the legs is limited, muscle strength is weak. Muscle tone is increased by a pyramidal type, with a tendency to increase with verticalization. Sits independently with legs down. Stands with support. Does not walk. Controls pelvic functions.

[0021] During treatment I received: facial massage #10, general massage #18, foot massage #10, and therapeutic exercise session #36.

[0022] Remedial gymnastics. Therapeutic physical training sessions were conducted using a "Static Postural Activity Trainer," twice daily for 55 minutes. Exercises were performed in the "sitting" and "sitting with eyes closed" positions: breathing exercises, general developmental exercises, exercises with objects, exercises with an elastic cord, exercises with a pulley trainer, and exercises on a fitball.

[0023] During treatment, the following changes were noted: I became physically stronger, my back muscles became stronger, my muscles became softer, my arms and legs became less tense, and my joint range of motion increased. Proper biomechanics of movement was practiced. I mastered new exercises and performed well.

[0024] Recommended: Observation by a neurologist and orthopedist. Repeated treatment courses at a rehabilitation center. Physical therapy sessions using a "Static Postural Activity Trainer" on a daily basis according to an individualized program.

[0025] Diagnosis. Cerebral palsy. Spastic diplegia. GMFCS level III.

[0026] Complaints upon admission. Developmental delay: does not walk independently.

[0027] Objective status: Increased tone in the legs. Understands spoken language. Speech is phrasal. Intelligence is appropriate for age. Follows instructions with difficulty. Holds objects with both hands and shifts them. Swallowing is not impaired, eats independently. Dresses and undresses with assistance. Sanitary and hygienic skills and self-care skills are developed. Active movement is limited in the right arm, muscle strength is sufficient. Active movement in the legs is limited, muscle strength is decreased. Muscle tone is increased, pyramidal type, with a tendency to increase with verticalization. Sits independently with legs down and "cross-legged". Stands independently. Moves short distances with the help of a walker. Controls pelvic functions.

[0028] During treatment I received: facial massage #10, general massage #1, hand massage #5, foot massage #5, joint gymnastics #12, therapeutic physical training session #44.

[0029] Remedial gymnastics. Therapeutic physical training sessions were conducted using the "Static Postural Activity Trainer," twice daily for 55 minutes. Exercises were performed in the "sitting," "sitting with eyes closed," "standing," "standing with eyes closed" and walking positions. These included breathing exercises, general developmental exercises, exercises with objects, exercises with an elastic cord, exercises with a pulley trainer, exercises on a fitball, exercises on balance beams, turns, and twists.

[0030] During treatment, the following changes were noted: improved muscle tone in the back and lower extremities. During the sessions, I practiced balance and coordination, as well as walking with canes. With the instructor's help, I took up to 11 steps. I learned to sit up from a lying position. My tolerance for physical activity increased. I exercised well and put in the effort.

[0031] Recommended: Observation by a neurologist and orthopedist. Repeated treatment courses at a rehabilitation center. Physical therapy sessions using a "Static Postural Activity Trainer" on a daily basis according to an individualized program.

[0032] Diagnosis. Cerebral palsy. Spastic diplegia. GMFCS level II-III.

[0033] Complaints upon admission. Developmental delay: does not walk independently.

[0034] Objective status: Increased tone in the legs. Understands spoken language. Speech is phrasal. Intelligence is appropriate for age. Follows instructions. Holds objects with both hands and shifts them. Swallowing is not impaired, eats independently. Dresses and undresses. Sanitary and hygienic skills and self-care skills are developed. Active movements are limited in the right arm, muscle strength is sufficient. Active movements in the legs are limited, muscle strength is decreased. Muscle tone is increased, pyramidal type, with a tendency to increase with verticalization. When verticalization with body support, there is support on the entire foot. Sits independently with legs down and "cross-legged". Stands independently. Moves short distances with the help of canes. Controls pelvic functions.

[0035] During treatment received: sports medical massage #27, general massage #11, hand massage #6, joint gymnastics #34, therapeutic physical training session #108.

[0036] Remedial gymnastics. Therapeutic physical training sessions were conducted using the "Static Postural Activity Trainer," twice daily for 55 minutes. Exercises were performed in the standing position, the standing position with eyes closed, walking, and walking with eyes closed. These included breathing exercises, general developmental exercises, fitball exercises, balance beam exercises, turns, pivots, walking in a straight line, side-stepping, side-stepping along a wall, walking with turns, backward steps, walking along a static support, walking along a dynamic support, walking from support to support, walking backwards, and walking on an unstable surface.

[0037] During treatment, the following changes were noted: improved muscle tone in the back and lower extremities. During sessions, balance and coordination were practiced, as well as the correct gait pattern independently using canes. Support on the foot improved. He tried climbing stairs.

[0038] Recommended: Observation by a neurologist and orthopedist. Repeated treatment courses at a rehabilitation center. Physical therapy sessions using a "Static Postural Activity Trainer" on a daily basis according to an individualized program.

[0039] Diagnosis. Cerebral palsy. Spastic diplegia. GMFCS level II.

[0040] Complaints upon admission: Walks independently. Gait pattern is abnormal.

[0041] Objective status: Understands spoken language. Speech is phrasal. Intelligence is appropriate for age. Reads and counts. Follows instructions. Holds objects with both hands and shifts them. Swallowing is not impaired, eats independently. Dresses with assistance, undresses independently. Sanitary, hygienic and self-care skills are developed. Active movements are limited in the right hand, muscle strength is sufficient. Active movements in the legs are limited, muscle strength is reduced. Muscle tone is increased, pyramidal type. When standing up with support behind the body, there is support on the entire foot. Sits independently. Stands independently, walks independently, including outdoors, adducts the right hip, leans on the right heel. Gait is spastic-paretic. Posture is impaired, pelvic tilt. Controls pelvic functions.

[0042] During treatment received: speech therapist session No. 23, music therapy No. 4, therapeutic physical training No. 80.

[0043] Remedial gymnastics. Therapeutic physical training sessions were conducted using the "Static Postural Activity Trainer," twice daily for 55 minutes. Exercises were performed in standing, standing with eyes closed, walking, and walking with eyes closed positions. These included breathing exercises, general developmental exercises, balance beam exercises, turns, pivots, side-stepping, turning, backward steps, and backward walking.

[0044] During treatment, the following changes were noted: Balance and coordination were practiced, as was correct gait pattern. He learned to step over obstacles, turn, and step onto a step. He climbs stairs using one hand. His coordination improved, and he began placing his feet more evenly when walking. He studied hard and put in the effort.

[0045] Recommended: Observation by a neurologist and orthopedist. Repeated treatment courses at a rehabilitation center. Physical therapy sessions using a "Static Postural Activity Trainer" on a daily basis according to an individualized program.

[0046] Currently, the child walks independently for fairly long distances, including outdoors. He is a good student in a mainstream school.

[0047] Example 2. Child A., born in 2017.

[0048] Diagnosis. Cerebral palsy, mixed form. 3PR and MP. GMFCS level IV.

[0049] Complaints upon admission. Developmental delay: does not sit or crawl. Speech is about 5 words, understands spoken language, knows colors, geometric shapes, animals, transportation, household objects, and vegetables. Correctly points to pictures when asked. No finger pointing, pointing with a fist. Turns pages of books with a fist. Eats awkwardly with a spoon, does not drink from a cup, and drinks independently from a bottle with handles. Sanitary and hygiene skills are still developing.

[0050] Objective status: conscious, responds to examination, smiles. Follows instructions selectively. Holds head up, occasionally leaning to the side. Active limb movements are limited, muscle strength is decreased in the arms and legs. Muscle tone is increased, pyramidal type. No active reciprocal crawling (there are elements of coordinated crawling, but most often crawls in leaps and bounds). Does not sit up from a prone position. When seated, sits in various positions, supporting himself with his arms. Attempts to stand with support. Walks with body support, occasionally supporting himself on his toes. Has partial control over pelvic functions.

[0051] During treatment I received: facial massage #11, hand massage #28, foot massage #12, session with a neuropsychologist #9, and therapeutic physical training session #40.

[0052] Remedial gymnastics. Therapeutic physical training sessions were conducted using the "Static Postural Activity Trainer," twice daily for 55 minutes. Exercises were performed in a sitting position: breathing exercises, general developmental exercises, exercises with objects, exercises, and an exercise with a pulley trainer.

[0053] During treatment, the following changes were noted: she became physically stronger, her back muscles became stronger, and she is now trying to stand and walk with support. Proper biomechanics of movement were practiced.

[0054] Recommended: Observation by a neurologist and orthopedist. Repeated treatment courses at a rehabilitation center. Physical therapy sessions using a "Static Postural Activity Trainer" on a daily basis according to an individualized program.

[0055] Diagnosis. Cerebral palsy, mixed form (spastic-hyperkinetic), 3PR and MP. GMFCS level III-IV.

[0056] Complaints upon admission. Developmental delay: does not sit or crawl. Speaks approximately 10 words, understands spoken language, knows colors, geometric shapes, animals, transportation, household objects, and vegetables. Correctly points to pictures when asked. No finger pointing gesture, pointing with the palm of the hand. Turns pages of books with a fist. Eats with a spoon awkwardly, does not drink from a cup, and drinks independently from a bottle with handles. Sanitary and hygienic skills are still developing. Attempts to brush teeth and dress. Partially controls pelvic functions.

[0057] Objective status: conscious, responds to examination, smiles. Follows instructions selectively. Holds head up, occasionally leaning to the side. Active limb movements are limited, muscle strength is decreased in the arms and legs. Muscle tone is increased, pyramidal type. There are elements of coordinated crawling, but most often crawls in leaps and bounds; after reminders, the patient again correctly positions his arms and legs. Stands with support. Sits with support on his arms. Walks with hand support, and supports himself on his foot. Has partial control over pelvic functions.

[0058] During treatment received: sports medical massage No. 10, fine motor skills classes No. 12, therapeutic physical training class No. 59.

[0059] Remedial gymnastics. Therapeutic physical training sessions were conducted using a "Static Postural Activity Trainer," twice daily for 55 minutes. Exercises were performed in the "sitting," "sitting with eyes closed," and "standing" positions, as well as walking. These included breathing exercises, general developmental exercises, exercises with objects, exercises with an elastic cord, exercises with a pulley trainer, exercises on a fitball, and walking in a straight line.

[0060] During treatment, the following changes were noted: improved muscle tone. She can sit independently, stand with support, and her balance and coordination have improved. Her step quality has improved, and she has begun taking steps independently. She can stand independently for longer periods. Facial muscle tone has improved, and she can chew better. Her speech activity has increased, and she has begun saying "yes." Manipulative function of her right hand has improved. Her tolerance for physical activity has increased.

[0061] Recommended: Observation by a neurologist and orthopedist. Repeated treatment courses at a rehabilitation center. Physical therapy sessions using a "Static Postural Activity Trainer" on a daily basis according to an individualized program.

[0062] Diagnosis. Cerebral palsy, mixed form (spastic-hyperkinetic). 3PR and MP. GMFCS level III. Dysarthria.

[0063] Complaints upon admission: Muscle tone disturbance, gait disturbance, balance difficulties, and impaired right hand manipulation. Recently, she has become more active and moves around the house more quickly. She stands and holds herself up for short periods of time on her knees with a straight back. Her finger grasp has improved. She crawls on all fours. She stands with support. She can turn around with support. She has begun to walk along a support. She has learned to walk with hand support, placing weight on her entire foot. Her speech has increased in number. She understands spoken language, knows colors, geometric shapes, animals, transportation, household items, and vegetables. She has learned to count to 20. She points to pictures correctly when asked and has a pointing gesture. She leafs through books and enjoys listening. She watches cartoons. She eats awkwardly with a spoon, drinks from a mug with her mother's help, and drinks through a straw. She started blowing into a tube. Her hygiene skills have been developed. She's trying to brush her teeth and get dressed.Can take off mittens, hat, and socks. Attends kindergarten.

[0064] Objective status: conscious, responds to examination, smiles. Follows instructions. Holds head up, occasionally leaning to the side. Active limb movements are limited, muscle strength is decreased in the arms and legs. Muscle tone is increased, pyramidal type. There are elements of coordinated crawling, but most often crawls in leaps and bounds; after reminders, the patient again correctly positions his arms and legs. Stands with support. Sits with support on his arms. Walks with support by the hand, with support on the foot. Controls pelvic functions.

[0065] During treatment received: sports medical massage #17, joint gymnastics #1, fine motor skills classes #9, speech therapy classes #18, manual therapy #9, therapeutic physical training class #48.

[0066] Remedial gymnastics. Therapeutic physical training sessions were conducted using a "Static Postural Activity Trainer," twice daily for 55 minutes. Exercises were performed in the "sitting," "sitting with eyes closed," "standing," and "standing with eyes closed" positions, as well as walking. These included breathing exercises, general developmental exercises, exercises with objects, exercises with an elastic cord, exercises with a pulley trainer, exercises on a fitball, turns, pivots, and walking in a straight line.

[0067] During treatment, the following changes were noted: improved muscle tone. The quality of her steps improved, she began taking steps independently, and learned to stop while maintaining her balance. She can stand independently for longer periods. Facial muscle tone improved, and she can chew better. Speech activity increased. Speech is phrasal, often syllabic. She has learned to say many words, reads syllables, and counts. Balance and coordination have improved. Manipulative function of her right hand has improved. Exercise tolerance has increased.

[0068] Recommended: Observation by a neurologist and orthopedist. Repeated treatment courses at a rehabilitation center. Physical therapy sessions using a "Static Postural Activity Trainer" on a daily basis according to an individualized program.

[0069] Diagnosis. Cerebral palsy, mixed form (spastic-hyperkinetic). 3PR and MP. GMFCS level II-III. Dysarthria.

[0070] Complaints upon admission: muscle tone disturbance, gait disturbance, balance difficulties, and impaired right hand manipulation. She does not sit; if asked to sit, she sits, including in a high chair. Recently, she has become more active and moves around the house more quickly. She crawls on all fours. Stands with support. Can turn around with support. She has begun to walk along a support. She has learned to walk with hand support, placing weight on her entire foot. She takes a few steps independently. Her speech is phrasal and dysarthric. She knows poems and songs. She understands spoken language, knows colors and geometric shapes, knows animals, transportation, household items, and vegetables. She has learned to count. She points to pictures correctly when asked and has a pointing gesture. Her finger grip has improved. She leafs through books and enjoys listening to them. She watches cartoons. She eats independently. Her personal hygiene skills have been developed. Brushes teeth. Undresses partially independently, dresses with assistance.

[0071] Objective status: conscious, responds adequately to examination. Follows instructions. Speech is phrasal and dysarthric. Holds head up, occasionally leaning to the side. Active limb movement is limited, muscle strength is decreased in the arms and legs. Active limb movement is limited, muscle strength is decreased in the arms and legs. Muscle tone is dystonic. Crawls. Stands with support. Sits. Walks with hand support, weight on the foot. Walks on high knees. Can take a few steps independently. Controls pelvic functions. Attends kindergarten.

[0072] During treatment received: general massage #30, speech therapy sessions #55, fine motor skills sessions #30, manual therapy #9, sensory integration #16, body-oriented meridian practices #8, therapeutic physical training session #44.

[0073] Remedial gymnastics. Therapeutic physical training sessions were conducted using a "Static Postural Activity Trainer," twice daily for 55 minutes. Exercises were performed in the "sitting," "sitting with eyes closed," "standing," and "standing with eyes closed" positions, as well as walking. These included breathing exercises, general developmental exercises, exercises with objects, exercises with an elastic cord, exercises with a pulley trainer, exercises on a fitball, turns, pivots, walking in a straight line, and walking on an unstable surface.

[0074] During treatment, the following changes were noted: improved muscle tone and gait quality. She takes more independent steps and has learned to stop while maintaining balance. She stands independently. She sits with a straight back more confidently. Postural control of the body has improved. Walking on unstable surfaces was practiced. Vestibular and cerebellar training was conducted. The number and quality of steps taken increased. Exercise tolerance increased. Facial muscle tone improved. School skills were practiced. Balance and coordination improved. Manipulative function of the right hand and grip improved. Writing skills were practiced, she learned to hold a pencil and trace lines. She studied well and tried hard.

[0075] Recommended: Observation by a neurologist and orthopedist. Repeated treatment courses at a rehabilitation center. Physical therapy sessions using a "Static Postural Activity Trainer" on a daily basis according to an individualized program.

[0076] The child currently attends a special school. He moves independently indoors and can move outdoors with support.

[0077] The Gross Motor Function Classification System (GMFCS) is a measure of gross motor function or mobility. This study used mobility changes to track developmental gradations in the children and evaluate the effectiveness of interventions. The diagram (Fig. 1) compares mobility changes over a 3-year period (the study period) for patients treated at a rehabilitation center using conventional methods without the "Static Postural Activity Development Method" (control group) and those treated using the "Static Postural Activity Development Method" (experimental group). Based on the five-level classification scale (Gross Motor Function Classification System, GMFCS), the average statistical indicators for the groups of subjects at the beginning of the study were 3.29 in the control group and 3.22 in the experimental group.No significant differences in this indicator were found between the groups. At the end of the study, it was 2.75 in the control group and 2.49 in the experimental group. The results confirm positive dynamics in mobility over the study period. By the end of the study, the indicator in the control group had changed by 16.41% (p<0.05), while in the experimental group it had changed by 22.43% (p<0.05), confirming the effectiveness of the "Method for Developing Static Postural Activity."

[0078] The use of the "Method for Developing Static Postural Activity" allows for the optimization of the process of developing motor skills in children with cerebral pathology and musculoskeletal disorders. Once the technique is mastered, it can be practiced at home by parents for daily exercises with children, by physical therapy specialists and adaptive physical education specialists in inpatient and outpatient medical institutions, specialized educational and upbringing institutions, in health resort support institutions and rehabilitation centers for children with nervous pathology and musculoskeletal problems.

Claims

A method for developing static postural activity in children aged 2 to 7 years, including the use of a "static postural activity simulator," characterized in that the child's feet, in individually selected orthopedic shoes, are placed on the base of the simulator and secured with a limiter and fasteners, then exercises are performed 2 times a day for 55 minutes in the following starting positions (SP): - IP "sitting" - breathing exercises, general development exercises, exercises with objects, exercises with an elastic cord, exercises with a block trainer, exercises on a fitball; - IP "sitting with closed eyes" - breathing exercises, general development exercises, simple exercises with objects; - IP "standing" - breathing exercises, general development exercises, exercises with objects, exercises with an elastic cord, exercises on balance beams; - IP "standing with closed eyes" - breathing exercises, general development exercises, exercises with objects, exercises with an elastic cord, turns, twists; - walking along a straight trajectory, with side steps, along a wall with side steps, with turns, steps backwards, walking along a static support, along a dynamic support, from support to support, backwards, on an unstable surface; - walking with closed eyes in place, along a straight trajectory, along a static support, on an unstable surface.

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