Evaluation of the application of the intensive neurophysiological rehabilitation system in children with nervous system disorders who lived in regions affected by hostilities
Factors of prolonged martial law in Ukraine significantly worsen the condition of children with neurological disorders, making it relevant to evaluate the effectiveness of rehabilitation systems in this vulnerable group. Aim - to evaluate the application of the Intensive Neurophysiological Rehabilitation System (INRS) according to the method of Academician V.I. Kozyavkin in children with neurological disorders from Ukrainian regions affected by hostilities, through the analysis of changes in gross motor functions, muscle tone, and psycho-emotional state. Materials and methods. A retrospective analysis of 257 discharge summaries from medical records of children aged 1–18 years who underwent a course of INRS from January to October 2025 was conducted. The included children had diseases of the nervous system and resided in regions affected by hostilities. Descriptive statistics, Gross Motor Function Classification System (GMFCS), Modified Ashworth Scale for muscle tone assessment, Manual Ability Classification System (MACS), as well as evaluations of psycho-emotional state and speech were used. Results. Overall clinical improvement was recorded in 96.9% of children (249 out of 257) with an average course duration of only 10 days. Reduction of muscle tone was observed in 71.2%, increase in the range of active movements - in 74.3%, and improvement of gross motor functions - in 41.2% of patients. Improvement in speech and psycho-emotional state was noted in 36.6% of children. This study enabled the evaluation of the Intensive Neurophysiological Rehabilitation System (INRS) specifically in a cohort of children who lived in areas affected by military actions. Conclusions. The Intensive Neurophysiological Rehabilitation System according to the method of Academician V.I. Kozyavkin contributes to the recovery of motor, cognitive, and psycho-emotional functions in children with organic lesions of the central nervous system under conditions of prolonged military stress. The results substantiate the need to expand access to INRS for children from affected regions and to include this method in the standards of rehabilitation for children with nervous system disorders in conditions of martial law. The authors declare no conflict of interest.