Conductive cryotherapy in medical rehabilitation of children with chronic constipation

Relevance. Medical rehabilitation of children with chronic constipation is one of the urgent and socially significant problems in modern pediatrics due to the high prevalence of the disease and the possibility of developing complications in the form of encopresis, rectal fissures, and paraproctitis. Currently,one of the promising areas of modern physiotherapy is the development of methods for the combined use of physical factors in order to increase the effectiveness of treatment. The article discusses the scientific basis and efficacy of the combined effects of conductive cryotherapy and transcutaneous electrical nerve stimulation in children with chronic constipation. Purpose: scientific substantiation of the use of conductive cryotherapy and its combined effects with transcutaneous electrical nerve stimulation for chronic constipation in children. Material and methods. Clinical and functional studies were carried out in 120 children aged 3 to 15 years. The functional state of the colon before and after treatment was assessed using ballonography and anorectal profilometry. Results. It has been established that the use of the combined effects of conductive cryotherapy and transcutaneous electrical nerve stimulation, i.e. cryoelectrical nerve stimulation, increases the effectiveness of treatment of children with chronic constipation compared to patients who received separate exposure to each of the physical factors, which was confirmed by indicators of the functional state of the colon (ballonography, anorectal profilometry). The obtained results allow substantiating the possibility and necessity of recommending methods of conductive cryotherapy and cryoelectrical nerve stimulation in the medical rehabilitation program for children with chronic constipation.