Multidisciplinary approach to the problem rehabilitation of children and adolescents with neurological disorders in postcovid syndrome

Objective. Study of the postclinical effectiveness of the method of medical rehabilitation for children with neurological disorders in postcovid syndrome, who are at the outpatient stage of medical rehabilitation.

Materials and methods. Study of the postclinical effectiveness of the method of medical rehabilitation was conducted on children with neurological disorders in post-COVID syndrome a confirmed history of COVID-19 with complaints of neurological disorders, continuing for 3 or more months after the COVID-19 infection at the clinical base of the Minsk City Center for Medical Rehabilitation of Children with Psychoneurological Diseases. The subjective asthenia scale (The Multidimensional Fatigue Inventory, MFI-20) was used for rapid diagnosis of asthenia in children. The diagnosis of the severity of asthenic syndrome in children infected with COVID-19 was performed using the I. K. Schatz questionnaire.

Results. The results of the postclinical analysis effectiveness of the method of medical rehabilitation of children with neurological disorders who have recovered from COVID-19 and are at the outpatient stage of medical rehabilitation are presented. The effectiveness of the method of medical rehabilitation of children and adolescents with neurological disorders after COVID-19 confirmed by the results of a comparative analysis of changes in rehabilitation potential in terms of clinical and functional indicators of headache, sleep disorders and asthenic disorders before and after rehabilitation measures. There was a statistically significant decrease in children with low and medium rehabilitation potential and an increase in children with high rehabilitation potential (p < 0.05) for all three clinical manifestations of neurological disorders in children after COVID-19.

Conclusion. The method of medical rehabilitation of neurological disorders in children can be recommended for carrying out rehabilitation measures at the outpatient and (or) inpatient stage of providing medical care to children with complaints of headache, sleep disorders and asthenic disorders 3 months or more after COVID-19 infection.

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