Features of peripheral hemodynamics in children with cerebral palsy engaged in cyclic physical activities (a case study of swimming and athletics)

The purpose of the study is to investigate the characteristics of peripheral hemodynamics in children with spastic diplegia who engage in cyclic sports. Research methods and organization. Three groups of children were examined: children not attending additional extracurricular physical fitness and wellness activities, children engaged in track and field, and children participating in swimming. All children were diagnosed with 'Cerebral Palsy: Spastic Diplegia (G80.1),' classified as level I according to the GMFCS. Assessments included rheovasography indices for the 'thigh-calf' and 'shoulder-forearm' recordings, muscle tone using the Ashworth scale, muscle strength, and joint range of motion using six-point scales. Research results and conclusions. In children with spastic diplegia, peripheral hemodynamics of the upper and lower limbs are characterized by increased vascular resistance and impaired microcirculation. A comparison of different types of cyclic motor activity using rheovasography indicators revealed statistically significant differences, indicating adaptation of peripheral hemodynamics in the working muscle groups. Children engaged in track and field exhibit more effective microcirculation and more pronounced venous outflow compared to children practicing swimming.