Authors

  • Farhod Ermatov
    Central Asian Medical University

DOI:

https://doi.org/10.71337/inlibrary.uz.ijms.79515

Abstract

Cerebral palsy (CP) is a condition arising from perinatal injuries to the central nervous system, characterized by persistent motor and postural disorders, along with cognitive impairments in children. The hyperkinetic type is manifested by uncontrolled and involuntary movements such as dystonia, athetosis, and choreic hyperkinesias. Since brain functional plasticity is high in children under the age of 5, the early implementation of modern neurorehabilitation methods is particularly important. One such method is transcranial micropolarization (TCMP), which improves neurophysiological activity by applying low-intensity electrical currents to specific brain regions.

 

 

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EVALUATION OF THE EFFECTIVENESS OF MICROPOLARIZATION DEVICE

TREATMENT IN CHILDREN UNDER 5 YEARS OLD WITH HYPERKINETIC

TYPE OF CEREBRAL PALSY

Assistant:

Ermatov Farhod Akhmedovich

Central Asian Medical University

International Medical University

Department of Pediatrics and Pediatric Surgery

Relevance of the topic:

Cerebral palsy (CP) is a condition arising from perinatal injuries to the central nervous

system, characterized by persistent motor and postural disorders, along with cognitive

impairments in children. The hyperkinetic type is manifested by uncontrolled and

involuntary movements such as dystonia, athetosis, and choreic hyperkinesias. Since brain

functional plasticity is high in children under the age of 5, the early implementation of

modern neurorehabilitation methods is particularly important. One such method is

transcranial micropolarization (TCMP), which improves neurophysiological activity by

applying low-intensity electrical currents to specific brain regions.

Research objective:

To evaluate the clinical and functional effectiveness of transcranial micropolarization in

children under the age of 5 with the hyperkinetic type of cerebral palsy.

Materials and methods:

The study was conducted during 2024–2025 at the “Mother and Child” Genesis Clinic

(Fergana). It involved 40 children under 5 years old diagnosed with the hyperkinetic type of

CP.

Participants

were

divided

into

two

groups:

• Main group (n=20): Received a standard rehabilitation program (physical therapy, speech

therapy,

kinesitherapy)

plus

transcranial

micropolarization

therapy;

• Control group (n=20): Received only the standard rehabilitation program.

TCMP was administered using the “Elmikron” device in a 10-day course, with daily

sessions lasting 25–30 minutes, targeting the frontal and supratemporal brain zones.

Effectiveness was evaluated using the GMFCS (Gross Motor Function Classification

System), the Ashworth Scale (for muscle tone assessment), and the PEDI (Pediatric

Evaluation of Disability Inventory) index.

Results and discussion:

Children treated with TCMP showed a significant reduction in hyperkinesias (in 65% of

cases). The GMFCS score improved in 40% of children, while PEDI scores showed a 30–

35% increase in daily motor activity. The Ashworth Scale indicated a decrease in muscle


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tone by an average of 1.2–1.4 points (p<0.01). In the control group, these changes were less

pronounced. The therapy was well tolerated by patients, and no adverse effects were

observed.

Conclusion:

Transcranial micropolarization is a clinically and functionally effective method in the

complex treatment of hyperkinetic type cerebral palsy in children under 5 years old. It has a

beneficial effect on motor activity, tone modulation, and social participation. The results of

the study conducted at the “Mother and Child” Genesis Clinic support the broader

implementation of this method in pediatric neurorehabilitation practice.

References:

1. Ivanova G.E., Kozlov A.A. Transcranial micropolarization in children with CP:

effectiveness and safety. Neurology Today, 2022.

2. Palisano R. et al. Gross Motor Function Classification System for Cerebral Palsy.

CanChild, 2020.

3. Sharipov A.N. Cerebral Palsy in Children: Pathogenesis and Rehabilitation Methods.

Tashkent: Ilm, 2021.

4. Yatsuk S., Zhuravleva O. Microcurrent stimulation in pediatric cerebral palsy. Child

Neurotherapy Journal, 2023.

5. American Academy of Pediatrics. Clinical approaches to childhood cerebral palsy. 2021.

References

Ivanova G.E., Kozlov A.A. Transcranial micropolarization in children with CP: effectiveness and safety. Neurology Today, 2022.

Palisano R. et al. Gross Motor Function Classification System for Cerebral Palsy. CanChild, 2020.

Sharipov A.N. Cerebral Palsy in Children: Pathogenesis and Rehabilitation Methods. Tashkent: Ilm, 2021.

Yatsuk S., Zhuravleva O. Microcurrent stimulation in pediatric cerebral palsy. Child Neurotherapy Journal, 2023.

American Academy of Pediatrics. Clinical approaches to childhood cerebral palsy. 2021.