Active rehabilitation measures to train mobility in disabled children

PhD N.A. Gross1
PhD T.L. Sharova1
A.V. Molokanov1
A.V. Malinin2
1Federal Scientific Center for Physical Culture and Sports, Moscow
2St. Petersburg Scientific Research Institute of Physical Culture, St. Petersburg

Objective of the study was to design and test by experiment the effectiveness of the rehabilitation course with the use of active physical exercises to develop motor abilities in disabled children.
Methods and structure of the study. The study involved 50 children with disabilities aged 3-16 years. Depending on the level of development of the large motor skills on the international scale Gross Motor Function Classification System, out of 50 disabled children, 6 were attributed to the 1st level of Gross Motor Function Classification System, 15 - to the 2nd, 6 - to the 3rd, 10 - to the 4th, 13 - to the 5th. The program consisted of 16 individual one-hour training sessions conducted 2-3 times a week. The active physical exercises were performed using the simulators adapted to the disabled children's abilities.
Results of the study and conclusions. Children with disabilities of all degrees of difficulty have great potential, which should be realized in a timely manner through active physical exercises. The study found that out of 142 exercises mastered, 26.1% were directed towards the development and correction of walking, 15.5% - towards the development of balancing skills and ability for balance maintenance in the sitting and standing positions, 8.5% - towards the adaptation to physical loads, 5.6% - towards the formation of step movements and the ability to stand up from the sitting position, increasing the subjects' overall endurance to physical activities.
The children attributed to the most difficult levels 4 and 5 on the Gross Motor Function Classification System scale were able to master 29 and 35 exercises, respectively, no less than in other groups.
Individual training sessions with the use of active physical exercises and pedagogical tests increase the effectiveness of rehabilitation measures.

Keywords: children with disabilities, motor disabilities, physical exercises, level of development of motor functions on Gross Motor Function Classification System scale.

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