National Center for Children's Rehabilitation
Who Needs Rehabilitation?
Rehabilitation is necessary when a child has impairments or developmental abnormalities affecting physical, speech, cognitive, or psycho-emotional development as a result of diseases or injuries of the nervous system.
If you notice that a child has:
- delays in speech development, motor development, or self-care skills;
- difficulties with coordination, walking, or maintaining balance;
- weakness in the limbs, decreased muscle tone, or, conversely, excessive muscle tension;
- hearing impairments, psycho-emotional difficulties, or behavioral problems;
- consequences of traumatic brain injury or spinal cord injury, as well as congenital disorders —
this is a reason to consult a neurologist or another relevant medical specialist.
After examining the child and establishing a diagnosis, the physician may prescribe a course of rehabilitation. Timely rehabilitation can help improve the child’s condition and support their development.
The departments provide comprehensive rehabilitation services to children aged 1 to 18 years with the following neurological conditions:
- Cerebral palsy;
- Long-term effects of intracranial injury;
- Long-term effects of spinal cord injury;
- Long-term effects of peripheral nerve injuries of the limbs;
- Disorders of individual nerves, nerve roots and plexuses, and polyneuropathies;
- Long-term effects of inflammatory diseases of the central nervous system;
- Paralytic syndromes;
- Long-term effects of cerebrovascular diseases;
- Congenital malformations of the nervous system;
- Other developmental disorders of speech and language;
- Disorders of psychological development;
- Autism spectrum disorder;
- Sensorineural hearing loss, including status following cochlear implantation;
- Down syndrome;
- Diseases of the neuromuscular junction and muscles.
List of Contraindications for Hospitalization of a Child:
- Frequent recurrent or profuse bleeding of various origins.
- Severe anemia with a hemoglobin level below 80 g/L.
- Generalized, frequently recurrent seizures of various etiologies occurring within the past 6 months.
- Acute infectious diseases.
- Active forms of tuberculosis (A15.0–1, A15.5, A15.7–9).
- Malignant neoplasms (stages III–IV).
- Respiratory failure exceeding grade III.
- Febrile or low-grade fever of unknown origin.
- Severe complex comorbidities, including grade III protein-energy malnutrition.
- Diseases in the decompensated stage, including uncorrectable metabolic disorders (diabetes mellitus, myxedema, thyrotoxicosis, and others).
- Purulent skin diseases, contagious skin diseases (scabies, fungal infections, and others), and trophic skin changes (pressure ulcers).
- Grade II or higher activity of the rheumatic process or ongoing hormonal therapy.
- Ankylosis and persistent irreversible contractures.
- Mental disorders associated with personality desocialization (F00; F02; F03; F05; F10; F29; F63; F70; F79).
- Vegetative state, apallic syndrome.
Other comorbid conditions that prevent active participation in a rehabilitation program for 2–3 hours per day.
Notes:
- Patients in a vegetative state are provided with palliative care services. If rehabilitation potential emerges, patients are referred, in accordance with international criteria, to the appropriate stages of medical rehabilitation.
Patients diagnosed with emotional and behavioral disorders accompanied by aggression toward themselves or others are referred to mental health centers.
List of Contraindications for Hospitalization of Caregivers:
- Pregnancy beyond 21 weeks.
- Acute illnesses.
- Chronic diseases during an exacerbation, including diabetes mellitus, arterial hypertension, thyrotoxicosis, and others.
- Caregiver age over 60 years.
- Mental disorders.
- Purulent skin diseases and contagious skin diseases, including scabies, fungal infections, and others.
Epilepsy with frequent seizures.
Note
The accompanying person must have season-appropriate clothing and footwear, a change of closed non-slip shoes, sportswear, and personal hygiene items.
