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About the Authors

Natalia Vasilchenko – "Aksai" Children's Center of NJSC KazNMU named after S.D. Asfendiyarov, Clinical and Diagnostic Department, pediatrician, Almaty, Kazakhstan, This email address is being protected from spambots. You need JavaScript enabled to view it.

Elena Ustinova – Republican State Institution "National Scientific and Practical Center for the Development of Special and Inclusive Education", neurologist, Almaty, Kazakhstan, This email address is being protected from spambots. You need JavaScript enabled to view it.

Аbstract

Pediatricians and pediatric neurologists are often the first to notice delays in motor skills, speech, or emotional reactions. Careful observation and the doctor's clinical experience allow for timely referral of the child for examination, clarification of the extent of nervous system damage, and initiation of corrective measures using a multidisciplinary approach.

Purpose. To study the involvement of a pediatrician and a multidisciplinary approach in the rehabilitation of patients with cerebral.

Methods. Robotic mechanotherapy, Bobath therapy, Vojta method, kinesiotherapy, biofeedback training, virtual rehabilitation, occupational therapy, and therapy based on neuroplasticity principles.

Results. A series of observations and rehabilitation interventions showed that comprehensive interdisciplinary collaboration among a pediatrician, neurologist, and rehabilitation specialist leads to significant improvement in motor, cognitive, and speech functions in children diagnosed with cerebral palsy. The obtained data confirm the effectiveness of an integrative approach aimed not only at physical rehabilitation but also at addressing the psycho-emotional and social aspects of a child’s development.

Conclusion. The analysis emphasized the importance of a comprehensive and individualized approach provided by a multidisciplinary team for each patient with the participation of a pediatrician as a coordinator. The use of modern technologies and active parental involvement in the rehabilitation process allow for more substantial progress in a shorter period. Rehabilitation programs that include home-based exercises and family training help children continue practicing outside the rehabilitation center, which is especially important for maintaining positive changes over the long term.

Keywords

Cerebral palsy, rehabilitation, neurology, pediatrics, motor development, neuroplastisity, interdisciplinary approach.

References

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About the Authors

Anar Nurpeissova – Senior nurse of the Admission Department, NJSC “National Center for Children's Rehabilitation”, Astana, Kazakhstan, This email address is being protected from spambots. You need JavaScript enabled to view it., https://orcid.org/0009-0004-9607-2216

Аbstract

This review article focuses on the role of Advanced Practice Nurses in pediatric rehabilitation, taking into account the requirements of the national accreditation system of the Republic of Kazakhstan and international quality standards of the Joint Commission International. The article examines recent open-access studies from Scopus and Web of Science databases, addressing the effectiveness of advanced nursing practice, the work of multidisciplinary teams, and the impact of expanded nursing competencies on pediatric treatment outcomes. The national accreditation of Kazakhstan emphasizes patient safety, process standardization, and assessment of nursing care quality. Joint Commission International standards highlight the importance of clinical protocols, team communication, and systematic professional development. Comparative analysis shows that integrating Advanced Practice Nurses practice into pediatric rehabilitation contributes to improved functional outcomes, increased family satisfaction, and optimization of physician workload. Systematic implementation of the Advanced Practice Nurses model requires adaptation of international requirements, strengthening educational programs, and developing mechanisms for competency assessment.

Keywords

Advanced practice nurse, pediatric rehabilitation, accreditation, international standards.

References

1. International Council of Nurses (ICN). Guidelines on Advanced Practice Nursing. 2020. URL: https://www.icn.ch/system/files/documents/2020-04/ICN_APN%20Report_EN_WEB.pdf
2. Профессиональный стандарт «Медицинская сестра расширенной практики». Национальная система квалификаций, РК. 2023. URL: https://career.enbek.kz/ru/professionalstandart/400/2957

Professionalʹnyy standart “Meditsinskaya sestra rasshirennoy praktiki” (Professional Standard “Advanced Practice Nurse”) [in Russian]. Natsionalʹnaya sistema kvalifikatsiy, RK. 2023. URL: https://career.enbek.kz/ru/professionalstandart/400/2957

3. Приказ Министра здравоохранения Республики Казахстан от 7 апреля 2023 года № 65 «Об утверждении стандарта организации оказания медицинской реабилитации». URL:https://adilet.zan.kz/rus/docs/V2300032263

Prikaz Ministra zdravookhraneniya Respubliki Kazakhstan ot 7 aprelya 2023 goda № 65 “Ob utverzhdenii standarta organizatsii okazaniya meditsinskoy reabilitatsii” (Order of the Minister of Health of the Republic of Kazakhstan dated 7 April 2023 No. 65 “On Approval of the Standard for the Organization of Medical Rehabilitation”) [in Russian]. URL: https://adilet.zan.kz/rus/docs/V2300032263

4. HAO “Национальный центр детской реабилитации”. JCI‑реаккредитация. URL: http://www.nccr.kz/index.php/ru/o-nas/about-ru/svidetelstvo-ob-akkreditatsii-i-litsenzii

NAO “Natsionalʹnyy tsentr detskoy reabilitatsii”. JCI reakkreditatsiya (NJSC “National Center for Children’s Rehabilitation”. JCI Reaccreditation) [in Russian]. URL: http://www.nccr.kz/index.php/ru/o-nas/about-ru/svidetelstvo-ob-akkreditatsii-i-litsenzii

5. Институт качества и аккредитации в здравоохранении (ИКАЗ). URL: https://accreditation.kz/iec?lang=

Institut kachestva i akkreditatsii v zdravookhranenii (IKAZ). (Institute for Quality and Accreditation in Healthcare (IQAH)) [in Russian]. URL: https://accreditation.kz/iec?lang=

6. Приказ Министра здравоохранения Республики Казахстан от 21 декабря 2020 года № ҚР ДСМ-305/2020 "Об утверждении номенклатуры специальностей и специализаций в области здравоохранения, номенклатуры и квалификационных характеристик должностей работников здравоохранения" (зарегистрирован в Реестре государственной регистрации нормативных правовых актов под № 21856). URL: https://adilet.zan.kz/rus/docs/V2000021856

Prikaz Ministra zdravookhraneniya Respubliki Kazakhstan ot 21 dekabrya 2020 goda № QR DSM-305/2020 “Ob utverzhdenii nomenklatury spetsialʹnostey i spetsializatsiy v oblasti zdravookhraneniya, nomenklatury i kvalifikatsionnykh kharakteristik dolzhnostey rabotnikov zdravookhraneniya” (Order of the Minister of Health of the Republic of Kazakhstan dated 21 December 2020 No. QR DSM-305/2020 “On Approval of the Nomenclature of Specialties and Specializations in Healthcare, and the Nomenclature and Qualification Characteristics of Healthcare Worker Positions”) [in Russian]. URL: https://adilet.zan.kz/rus/docs/V2000021856

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10. Kilpatrick, K., Savard, I., Audet, L. A., Kra-Friedman, A., Atallah, R., Jabbour, M., Zhou, W., Wheeler, K., Ladd, E., Gray, D. C., Henderson, C., Spies, L. A., McGrath, H., & Rogers, M. (2023). A global perspective of advanced practice nursing research: A review of systematic reviews protocol. PloS one, 18(1), e0280726. https://doi.org/10.1371/journal.pone.0280726
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About the Authors

Manzura Kankina – Senior Nurse of the Psychoneurological Department, NJSC "National Center for Children's Rehabilitation", Astana, Kazakhstan, This email address is being protected from spambots. You need JavaScript enabled to view it., https://orcid.org/0009-0001-9434-5389

Bekzat Khalimgaziyeva – Nurse of the Psychoneurological Department, NJSC "National Center for Children's Rehabilitation", Astana, Kazakhstan, This email address is being protected from spambots. You need JavaScript enabled to view it., https://orcid.org/0009-0003-6138-7392                                                   

Aiman Bektembaeva – Nurse of the Psychoneurological Department, NJSC "National Center for Children's Rehabilitation", Astana, Kazakhstan, This email address is being protected from spambots. You need JavaScript enabled to view it.

Akerke Zafidinkyzy – Nurse of the Psychoneurological Department, NJSC "National Center for Children's Rehabilitation", Astana, Kazakhstan, This email address is being protected from spambots. You need JavaScript enabled to view it.

Esmira Sadebay – Nurse of the Psychoneurological Department, NJSC "National Center for Children's Rehabilitation", Astana, Kazakhstan, This email address is being protected from spambots. You need JavaScript enabled to view it.

Аbstract

Recent studies increasingly support the strong connection between the gut and brain, particularly in Autism Spectrum Disorders. This article explores the theoretical foundations of the gut–brain axis, as well as the metabolic and neuroimmune pathways involved in the pathophysiology of Autism Spectrum Disorders. It also reviews current diagnostic tools and treatment strategies. Particular emphasis is placed on the role of gut microbiota and the potential for its modulation through probiotics, dietary interventions, and experimental techniques. The paper highlights the importance of a multidisciplinary approach to diagnosis and therapy, and discusses the potential of early microbiota-targeted interventions for the prevention of Autism Spectrum Disorders in high-risk children.

Keywords

autism, autism spectrum disorders, gut microbiota, gut-brain axis, probiotics, inflammation.

References

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About the Authors

Dr Séverine Alonso-Bekier – Psychomotor therapist-expert, PhD, ISRP Paris, France, This email address is being protected from spambots. You need JavaScript enabled to view it., https://orcid.org/0009-0004-5654-6827

Abstract

In the previous article, the author focused on neurodevelopment, the importance of early diagnosis of developmental disorders, and the measurable effects of early stimulation. Psychomotor therapists are the ideal professionals to provide this early intervention. The concept of developmental trajectories and the importance of early intervention require knowledge of all the subtilities of child development and specific measurement and assessment tools. Drawing on the sensorimotor and tonic experiences that form the basis of psychomotor functioning, psychomotor therapists intervene in a target-oriented manner to support the regulation of psychomotor functions. This approach aims to prevent or limit deviations from expected development by reducing the intensity and impact of observed disorders. Through early and structured action on sensory integration, muscle tone, posture and motor coordination, the psychomotor therapist also helps to prevent the onset of associated disorders, reducing the risk of comorbidities and promoting more harmonious overall development. In continuation of this theme, this article aims to clarify the objectives and methods of psychomotor therapy in the specific support of child development. The article also presents the process of assessment and diagnosis in psychomotor therapy.

Keywords

Neurodevelopment, early stimulations, psychomotor therapy, psychomotor assessment, plasticity.

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