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Патологические постуральные позы при нейродегенеративных заболеваниях

https://doi.org/10.33667/2078-5631-2022-1-64-70

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Аннотация

Целью данного обзора является анализ данных современной литературы по патологическим постуральным позам при нейродегенеративных заболеваниях. В данном обзоре собраны данные о распространенности, клинической картине и лечении аксиальных постуральных деформаций при паркинсонизме и других нейродегенеративных заболеваниях. Рассмотрены возможные патофизиологические механизмы, требующие дальнейшего изучения. Постуральные деформации были разделены в соответствии с тем, в какой плоскости преобладает деформация – в сагиттальной или фронтальной. Наиболее частыми патологическими постуральными позами при нейродегенеративных заболеваниях являются камптокормия, синдром Пизанской башни, антеколлис, ретроколлис и сколиоз. Эпидемиологические исследования патологических постуральных поз при различных нейродегенеративных заболеваниях необходимы для понимания частоты встречаемости этих состояний в популяции и для выявления и описание новых типов поз. Исследование патомеханизма каждой конкретной патологической позы у конкретного больного необходимо для понимания тактики ведения этого больного. Применение реабилитационных схем медикаментозной и немедикаментозной терапии, в зависимости от типа течения и выраженности патологической постуральной позы, поможет предотвратить это часто необратимое состояние и снизить количество осложнений, например падений, у пациентов с нейродегенеративными заболеваниями.

Об авторах

С. В. Копишинская
ФГБОУ ВО «Кировский государственный медицинский университет» Минздрава России
Россия

Копишинская Светлана Васильевна, к. м. н., доцент кафедры неврологии, нейрохирургии и нейрореабилитации

г. Киров



И. А. Величко
ФБГОУ ВО «Кубанский государственный медицинский университет» Минздрава России
Россия

Величко Иван Александрович, ассистент кафедры нервных болезней и нейрохирургии с курсом нервных болезней и нейрохирургии факультета повышения квалификации и профессиональной переподготовки специалистов

г. Краснодар

 



М. А. Коротыш
ООО «Медико-генетический центр „Геном“»
Россия

Коротыш Мария Анатольевна, врач-невролог

Нижний Новгород



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Рецензия

Для цитирования:


Копишинская С.В., Величко И.А., Коротыш М.А. Патологические постуральные позы при нейродегенеративных заболеваниях. Медицинский алфавит. 2022;(1):64-70. https://doi.org/10.33667/2078-5631-2022-1-64-70

For citation:


Kopishinskaya S.V., Velichko I.A., Korotysh M.A. Pathological postural postures in neurodegenerative diseases. Medical alphabet. 2022;(1):64-70. (In Russ.) https://doi.org/10.33667/2078-5631-2022-1-64-70

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ISSN 2078-5631 (Print)