Il. Brin et Kk. Bakhteev, ABOUT SOME ALTERATIONS OF STANDING AND WA LKING INDEXES IN CHILDREN WITH INFANTILE CEREBRAL PARALYSIS UNDER THE INFLUENCE OF SMALL DOSE OF NACOM, Zurnal nevropatologii i psihiatrii im. S.S. Korsakova, 95(5), 1995, pp. 39-43
10 patients were treated with Nacom preparation (62.5 mg/daily in one
dose in the morning). Both the feet support area during standing of on
e leg and the vertical component of support reactions were examined by
the using EMED pedographical analyser (Germany-Japan). These indexes
were analysed in patients before treatment, in patients treated with N
acom early - in a week after its withdrawal and after 1 months of Naco
m administration. It was determined that support area of equinovarus f
eet was enlarged during the treatment due to the increase of the loadi
ng on the heel and the middle part of the feet. Meanwhile the support
area of equinovarus feet was decreased as a consequence of loading alt
erations on foot inner side. The varus component of deformation turned
out to be subjected most of all to Nacom action while the equinos one
underwent less alterations and the valgus one has changed insignifica
ntly. The improvement of dynamic characteristics of walking, support a
nd pushing legs functions as well as of relations between support step
periods phases was observed in all patients. The Nacom effect depende
d upon the type of initial feet deformation. The results obtained were
explained in terms of decrease in influence of both tonic cervical re
flexes and synergic tonic reactions on feet. That resulted in alterati
ons in biomechanic and innervation components of static locomotor func
tions in infantile cerebral paralysis.