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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">perinatology</journal-id><journal-title-group><journal-title xml:lang="ru">Российский вестник перинатологии и педиатрии</journal-title><trans-title-group xml:lang="en"><trans-title>Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1027-4065</issn><issn pub-type="epub">2500-2228</issn><publisher><publisher-name>Ltd. “The National Academy of Pediatric Science and Innovation”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21508/1027-4065-2022-67-5-225-230</article-id><article-id custom-type="elpub" pub-id-type="custom">perinatology-1730</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>К XVIII РОССИЙСКОМУ КОНГРЕССУ «ПЕДИАТРИЯ И ДЕТСКАЯ ХИРУРГИЯ В ПРИВОЛЖСКОМ ФЕДЕРАЛЬНОМ ОКРУГЕ». В ПОМОЩЬ ПРАКТИЧЕСКОМУ ВРАЧУ</subject></subj-group></article-categories><title-group><article-title>Ранняя диагностика двигательных нарушений у детей: междисциплинарный подход</article-title><trans-title-group xml:lang="en"><trans-title>Early diagnostics of motor disorders in children: an interdisciplinary approach</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4147-2309</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Волгина</surname><given-names>С. Я.</given-names></name><name name-style="western" xml:lang="en"><surname>Volgina</surname><given-names>S. Ya.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., проф. кафедры госпитальной педиатрии, </p><p>420011 Казань, ул. Бутлерова, д. 49</p></bio><email xlink:type="simple">Volgina_Svetlana@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6614-6115</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Журкова</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhurkova</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., вед. науч. сотр. отдела орфанных болезней и профилактики инвалидизирующих заболеваний НИИ педиатрии и охраны здоровья детей научно-клинического центра №2,</p><p>117593 Москва, ул. Фотиева, д. 10</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8582-592X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гамирова</surname><given-names>Р. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Gamirova</surname><given-names>R. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., доц., зав. кафедрой неврологии с курсами психиатрии и медицинской генетики Института  фундаментальной медицины и биологии, ст. науч. сотр. научно-исследовательской лаборатории «Нейрокогнитивные исследования»,</p><p>420008 Казань, ул. Кремлевская, д. 18</p></bio><bio xml:lang="en"><p>Kazan</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7146-7220</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Николаева</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Nikolaeva</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., рук. отдела клинической генетики,</p><p>125412 Москва, ул. Талдомская, д. 2</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9687-4583</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Соловьева</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Solovyeva</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., доц. кафедры госпитальной педиатрии,</p><p>420011 Казань, ул. Бутлерова, д. 49</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Казанский государственный медицинский университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kazan State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБНУ «Российский научный центр хирургии им. академика Б.В. Петровского» Минобрнауки РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Petrovsky National Research Center of Surgery</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГАОУ ВО «Казанский (Приволжский) федеральный университет»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kazan Federal University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ОСП «Научно-исследовательский клинический институт педиатрии им. академика Ю.Е. Вельтищева» ФГАОУ ВО РНИМУ им. Пирогова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Veltischev Research and Clinical Institute for Pediatrics of the Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>20</day><month>11</month><year>2022</year></pub-date><volume>67</volume><issue>5</issue><fpage>225</fpage><lpage>230</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ltd. “The National Academy of Pediatric Science and Innovation”, 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Ltd. “The National Academy of Pediatric Science and Innovation”</copyright-holder><copyright-holder xml:lang="en">Ltd. “The National Academy of Pediatric Science and Innovation”</copyright-holder><license xlink:href="https://www.ped-perinatology.ru/jour/about/submissions#copyrightNotice" xlink:type="simple"><license-p>https://www.ped-perinatology.ru/jour/about/submissions#copyrightNotice</license-p></license></permissions><self-uri xlink:href="https://www.ped-perinatology.ru/jour/article/view/1730">https://www.ped-perinatology.ru/jour/article/view/1730</self-uri><abstract><p>Оценка моторного развития — важная составляющая часть изучения нервно-психического развития детей, которая проводится педиатром при профилактических осмотрах. Для выявления причин двигательных нарушений, помимо изучения анамнеза, необходимо провести осмотр и физическое обследование ребенка с назначением дополнительных методов исследования. Важно помнить, что задержка развития не всегда свидетельствует о наличии заболевания, но требует динамического наблюдения. Однако если она прогрессируют, то у таких пациентов с большей вероятностью диагностируются специфические нейромышечные расстройства. В этом случае педиатр должен обратить внимание на неврологические статус ребенка, оценить остроту зрения и слух. В то же время не следует забывать, что нарушение моторики часто сочетается с общей задержкой развития (умственной отсталостью) ребенка. Фасцикуляции языка; потеря моторных навыков; органомегалия; огрубление черт лица; увеличение уровня креатинфосфокиназы (более чем в 3 раза выше нормы), дыхательная недостаточность с наличием общей слабости; резкое ухудшение состояния ребенка, сопровождающееся вялостью, рвотой, развитием судорожного синдрома; нарушения, выявленные на магнитно-резонансной томограмме головного мозга, — это настораживающие симптомы, требующие неотложного вмешательства специалистов (невролога, генетика). Кроме того, некоторые наследственные (хромосомные и моногенные) заболевания часто сочетаются с развитием двигательных отклонений. Наилучшие результаты достигаются в случае, если ранняя диагностика заболеваний, сопровождающихся двигательными нарушениями, осуществляется с использованием междисциплинарного подхода. </p></abstract><trans-abstract xml:lang="en"><p>Assessment of motor development is an important part of the study of the neuropsychic development of children, which is carried out by a pediatrician during preventive examinations. To identify the causes of motor disorders, in addition to studying the anamnesis, it is necessary to conduct a physical examination of the child with the appointment of additional research methods. It is important to remember that developmental delay does not always indicate the presence of any disease but requires dynamic monitoring. However, if they progress, then these patients are more likely to be diagnosed with specific neuromuscular disorders. In this case, the pediatrician should pay attention to the neurological status of the child, assess visual acuity and hearing. At the same time, one should not forget that motor disorders are often combined with a general developmental delay (mental retardation) of the child. Fasciculation of the tongue, loss of motor skills, organomegaly, coarsening of facial features, increased levels of creatine phosphokinase (more than 3 times higher than normal), respiratory failure, in the presence of general weakness, a sharp deterioration in the child’s condition, accompanied by lethargy, vomiting, development of convulsive syndrome, disorders detected on MRI of the brain, are alarming symptoms that require urgent intervention by specialists (neurologist, genetics). Also, some hereditary (chromosomal and monogenic) diseases are often combined with the development of motor disorders. The best results are achieved if the early diagnosis of diseases accompanied by movement disorders is carried out using an interdisciplinary approach. </p></trans-abstract><kwd-group xml:lang="ru"><kwd>дети</kwd><kwd>диагностика</kwd><kwd>задержка/отставание моторного развития</kwd><kwd>междисциплинарный подход</kwd></kwd-group><kwd-group xml:lang="en"><kwd>children</kwd><kwd>diagnostics</kwd><kwd>delayed/lagging motor development</kwd><kwd>interdisciplinary approach</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Неонатология: национальное руководство. Под ред. Н.Н. Володина. М.: ГЭОТАР-МЕДИА, 2019; 896. [Neonatology: a national guide. Editor N.N. Volodin. M.: GEOTAR-MEDIA, 2019; 896. (in Russ.)]</mixed-citation><mixed-citation xml:lang="en">Neonatology: a national guide. Editor N.N. Volodin. M.: GEOTAR-MEDIA, 2019; 896. 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