Congenital spinal hernias (Spina bifida) result in severe organic damage to the central and peripheral nervous systems, leading to considerable motor, sensory, and autonomic impairments. The early postoperative rehabilitation period is often complicated by prolonged pathological processes, muscle atrophy, and disrupted segmental innervation. In recent years, transcranial magnetic stimulation (TMS) and electroneuromyographic stimulation (ENMG-stimulation) have emerged as neuromodulatory therapeutic methods that significantly accelerate neurological recovery.

This study evaluated the clinical significance of TMS and ENMG during early rehabilitation in 30 patients with spina bifida who underwent surgical treatment at the Neurosurgery Department of the Andijan Regional Multidisciplinary Children’s Hospital. The results demonstrated that combined neuromodulatory therapy markedly improved muscle strength, sensation, reflexes, psychomotor development, and functional independence. Barthel Index and Denver test outcomes indicated that TMS showed superiority over ENMG across several parameters. Overall, the findings suggest that integrating neuromodulatory technologies into early rehabilitation improves motor development prognosis in children with spina bifida.

spina bifida, congenital spinal hernia, transcranial magnetic stimulation (TMS), electroneuromyographic stimulation (ENMG), early rehabilitation, neuromodulation, Barthel Index, Denver screening, motor development, psychomotor recovery.

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