Practical Experience in Child Rehabilitation with Attention Deficit Disorder and Hyperactivity

Abstract

Most children with attention deficit hyperactivity disorder have comorbid pathology, which complicates rehabilitation. The aim of the study. Improving the results of rehabilitation measures in children suffering from attention deficit hyperactivity disorder. Materials and methods. An examination of 87 patients aged 3 to 11 years with attention deficit hyperactivity disorder was conducted. Upon admission, all patients were examined by the State Autonomous Institution of the Astrakhan Region “Regional Rehabilitation Center for Children and Adolescents with Disabilities”: doctors (neurologist, pediatrician, exercise therapy specialist, psychiatrist, orthopedist, physiotherapist, functional diagnostics specialist), teachers (psychologist, speech therapist, defectologist), as well as an instructormethodologist in adaptive physical education. The effectiveness of non-drug rehabilitation methods included in the individual rehabilitation program was monitored. Results. It was revealed that the most common clinical type of attention deficit disorder was the “mixed” form (p < 0.05), compared to “inattentive” and “hyperactive-impulsive”. Based on an interdisciplinary approach, a scoring system was developed, and schemes of comprehensive medical and pedagogical rehabilitation for three types of attention deficit hyperactivity disorder were created and tested. The applied schemes allowed us to develop practical recommendations for each group of patients. Conclusion. The group of children with a score of 0 points decreased by 17.2 %, with a score of 1 point – decreased by 26.4 %, with a score of 2 points – increased by 10.3 %, with a score of 3 points – increased by 33.3 %. A clearly traceable trend towards increased independence, motivation and socialization of children with such a severe combined pathology is evident.