ВЛИЯНИЕ ЦИФРОВОГО ДИСТАНЦИОННОГО ОБУЧЕНИЯ НА РАЗВИТИЕ НЕВРОЛОГИЧЕСКИХ НАРУШЕНИЙ У ДЕТЕЙ И ПОДРОСТКОВ

Abstract

The aim of the research – to study the impact of digital distance learning in the current epidemiological situation for SARS-CoV-2 on the incidence of neurological disorders in schoolchildren.
Materials and methods. The analysis of appeals of children and adolescents of school age to an outpatient neurological appointment at Kuzbass Clinical Hospital for 6 months, including the period of distance learning, has been carried out.
Results. During the study period, 152 school-age children applied for neurological disorders, of which 124 children applied for headaches, 16 children complained of sleep disorders, anxiety, emotional lability, and 12 children with hyperkinetic syndrome. Among patients with headache, tension headache prevailed, diagnosed in 50 % of children. Vascular disorders were detected in 28.2 % of schoolchildren. Migraine was diagnosed in 4.8 % of cases. Residual organic brain damage was found in 9.7 % of children. In 7.2 % of those who applied, the cause of headache was the pathology of the ENT organs, decompensation of chronic somatic diseases. Dyssomnic disorders and tic hyperkinesis prevailed in younger schoolchildren. In children with hyperkinetic syndrome, local tics prevailed.
Conclusion. Changes in lifestyle during quarantine measures, limitation of general motor activity, motionless tense posture of a child who is at the monitor screen for a long time, prolonged intense visual load, uncertainty of the social situation contributes to the emergence of neurological functional disorders in the form of tension headaches, anxiety and dyssomnic disorders , as well as tic hyperkinesis. The dominant pathology among the identified functional neurological disorders in schoolchildren is tension headache. Dyssomnic disorders and tic hyperkinesis occur mainly in younger schoolchildren at the age of 7-9 years.