Патологические постуральные позы при нейродегенеративных заболеваниях
https://doi.org/10.33667/2078-5631-2022-1-64-70
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.
Ключевые слова
Об авторах
С. В. Копишинская
ФГБОУ ВО «Кировский государственный медицинский университет» Минздрава России
Россия
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
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
Россия
Коротыш Мария Анатольевна, врач-невролог
Нижний Новгород
Список литературы
1. Doherty K. M., van de Warrenburg B. P., Peralta M. C., Silveira-Moriyama L., Azulay J. P., Gershanik O. S., Bloem B. R. Postural deformities in Parkinson's disease. Lancet Neurol. 2011; 10 (6): 538–549. https://doi.org/10.1016/S1474–4422(11)70067–9
2. Fasano A., Geroin C., Berardelli A., Bloem B. R., Espay A. J., Hallett M., Lang A. E., Tinazzi M. Diagnostic criteria for camptocormia in Parkinson's disease: A consensus-based proposal. Parkinsonism Relat Disord. 2018; (53): 53–57. https://doi.org/10.1016/j.parkreldis.2018.04.033
3. Margraf N. G., Wolke R., Granert O., Berardelli A., Bloem B. R., Djaldetti R., Espay A. J., Fasano A., Furusawa Y., Giladi N., Hallett M., Jankovic J., Murata M., Tinazzi M., Volkmann J., Berg D., Deuschl G. Consensus for the measurement of the camptocormia angle in the standing patient. Parkinsonism Relat Disord. 2018; (52): 1–5. https://doi.org/10.1016/j.parkreldis.2018.06.013
4. Margraf N. G., Wrede A., Deuschl G., Schulz-Schaeffer W. J. Pathophysiological Concepts and Treatment of Camptocormia. J Parkinsons Dis. 2016; 6 (3): 485–501. https://doi.org/10.3233/JPD-160836
5. Srivanitchapoom P., Hallett M. Camptocormia in Parkinson's disease: definition, epidemiology, pathogenesis and treatment modalities. J Neurol Neurosurg Psychiatry. 2016; 87 (1): 75–85. https://doi.org/10.1136/jnnp-2014–310049
6. Türk M., Nagel A. M., Roemer F., Schlötzer-Schrehardt U., Thiel C. T., Winterholler M., Schröder R. Camptocormia as the presenting symptom in sporadic late onset nemaline myopathy: a case report. BMC Musculoskelet Disord. 2019; 20 (1): 553. https://doi.org/10.1186/s12891–019–2942–0
7. Lehmann Urban D., Motlagh Scholle L., Alt K., Ludolph A. C., Rosenbohm A. Camptocormia as a Novel Phenotype in a Heterozygous POLG2 Mutation. Diagnostics (Basel). 2020; 10 (2): 68. https://doi.org/10.3390/diagnostics10020068
8. Sato T., Natori T., Hata T., Yamashiro N., Shindo K., Takiyama Y. Camptocormia as an onset symptom of myasthenia gravis. Neurol Sci. 2017; 38 (3): 515–516. https://doi.org/10.1007/s10072–016–2752–1
9. Seidel C., Kuhnt T., Kortmann R. D., Hering K. Radiation-induced camptocormia and dropped head syndrome: Review and case report of radiation-induced movement disorders. Strahlenther Onkol. 2015; 191 (10): 765–770. https://doi.org/10.1007/s00066–015–0857–8
10. Furusawa Y., Hanakawa T., Mukai Y., Aihara Y., Taminato T., Iawata Y., Takei T., Sakamoto T., Murata M. Mechanism of camptocormia in Parkinson's disease analyzed by tilt table-EMG recording. Parkinsonism Relat Disord. 2015; 21 (7): 765–770. https://doi.org/10.1016/j.parkreldis.2015.02.027
11. Ha Y., Oh J. K., Smith J. S., Ailon T., Fehlings M. G., Shaffrey C. I., Ames C. P. Impact of Movement Disorders on Management of Spinal Deformity in the Elderly. Neurosurgery. 2015; 77 Suppl 4: S 173–S 185. https://doi.org/10.1227/NEU.0000000000000940
12. Ou R., Liu H., Hou Y., Song W., Cao B., Wei Q., Yuan X.., Chen Y, Zhao B., Shang H. Predictors of camptocormia in patients with Parkinson's disease: A prospective study from southwest China. Parkinsonism Relat Disord. 2018; (52): 69–75. https://doi.org/10.1016/j.parkreldis.2018.03.020
13. Cerri S., Mus L., Blandini F. Parkinson's Disease in Women and Men: What's the Difference? J Parkinsons Dis. 2019; 9 (3): 501–515. https://doi.org/10.3233/JPD-191683
14. Tatu L., Bogousslavsky J. Camptocormia: New Signs in an Old Syndrome. Front Neurol Neurosci. 2018; (42): 87–95. https://doi.org/10.1159/000475683
15. Nakane S., Yoshioka M., Oda N., Tani T., Chida K., Suzuki M., Funakawa I., Inukai A., Hasegawa K., Kuroda K., Mizoguchi K., Shioya K., Sonoda Y., Matsuo H. The characteristics of camptocormia in patients with Parkinson's disease: A large cross-sectional multicenter study in Japan. J Neurol Sci. 2015; 358 (1–2): 299–303. https://doi.org/10.1016/j.jns.2015.09.015
16. Ali F., Matsumoto J. Y., Hassan A. Camptocormia: Etiology, diagnosis, and treatment response. Neurol Clin Pract. 2018; 8 (3): 240–248. https://doi.org/10.1212/CPJ.0000000000000453
17. Margraf N. G., Rohr A., Granert O., Hampel J., Drews A., Deuschl G. MRI of lumbar trunk muscles in patients with Parkinson's disease and camptocormia. J Neurol. 2015; 262 (7): 1655–1664. https://doi.org/10.1007/s00415–015–7726–3
18. Bertram K. L., Stirpe P., Colosimo C. Treatment of camptocormia with botulinum toxin. Toxicon. 2015; 107 (Pt A): 148–153. https://doi.org/10.1016/j.toxicon.2015.06.004
19. Mensikova K., Kaiserova M., Vastik M., Kurcova S., Kanovsky P. Treatment of camptocormia with continuous subcutaneous infusions of apomorphine: 1-year prospective pilot study [published correction appears in J Neural Transm (Vienna). 2015; 122 (6): 835–839. https://doi.org/10.1007/s00702–014–1297–9
20. Mills R., Bahroo L., Pagan F. An update on the use of botulinum toxin therapy in Parkinson's disease. Curr Neurol Neurosci Rep. 2015; 15 (1): 511. https://doi.org/10.1007/s11910–014–0511–3
21. Lee K. H., Kim J. M., Kim H. S. Back Extensor Strengthening Exercise and Backpack Wearing Treatment for Camptocormia in Parkinson's Disease: A Retrospective Pilot Study. Ann Rehabil Med. 2017; 41 (4): 677–685. https://doi.org/10.5535/arm.2017.41.4.677
22. Fasano A., Aquino C. C., Krauss J. K., Honey C. R., Bloem B. R. Axial disability and deep brain stimulation in patients with Parkinson disease. Nat Rev Neurol. 2015; 11 (2): 98–110. https://doi.org/10.1038/nrneurol.2014.252
23. Artusi C. A., Zibetti M., Romagnolo A., Rizzone M. G., Merola A., Lopiano L. Subthalamic deep brain stimulation and trunk posture in Parkinson's disease. Acta Neurol Scand. 2018; 137 (5): 481–487. https://doi.org/10.1111/ane.12889
24. Schulz-Schaeffer W.J., Margraf N. G., Munser S., Wrede A., Buhmann C., Deuschl G., Oehlwein C. Effect of neurostimulation on camptocormia in Parkinson's disease depends on symptom duration. Mov Disord. 2015; 30 (3): 368–372. https://doi.org/10.1002/mds.26081
25. Ekmekci H., Kaptan H. Camptocormia and deep brain stimulation: The interesting overlapping etiologies and the therapeutic role of subthalamic nucleus-deep brain stimulation in Parkinson disease with camptocormia. Surg Neurol Int. 2016; 7 (Suppl 4): S 103–S 107. https://doi.org/10.4103/2152–7806.176130
26. Liang S., Yu Y., Li H., Wang Y., Cheng Y., Yang H. The Study of Subthalamic Deep Brain Stimulation for Parkinson Disease-Associated Camptocormia. Med Sci Monit. 2020; 26: e919682. https://doi.org/10.12659/MSM.919682
27. Chieng L. O., Madhavan K., Wang M. Y. Deep brain stimulation as a treatment for Parkinson's disease related camptocormia. J Clin Neurosci. 2015; 22 (10): 1555–1561. https://doi.org/10.1016/j.jocn.2015.05.018
28. Pirtošek Z., Bajenaru O., Kovács N., Milanov I., Relja M., Skorvanek M. Update on the Management of Parkinson's Disease for General Neurologists. Parkinsons Dis. 2020; 2020: 9131474. https://doi.org/10.1155/2020/9131474
29. Lefaivre S. C., Almeida Q. J. Can sensory attention focused exercise facilitate the utilization of proprioception for improved balance control in PD? Gait Posture. 2015; 41 (2): 630–633. https://doi.org/10.1016/j.gaitpost.2015.01.013
30. Duarte R., Mesnard M., de Sèze M., Vignolles C., Wentzy P. Characterization of morphological trunk changes in camptocormia patients. Comput Methods Biomech Biomed Engin. 2015; 18 (Suppl 1): 1930–1931. https://doi.org/10.1080/10255842.2015.1069573
31. Brown E. V.D., Bleakley S., Vojcsik G., Weidle J., Boring E. The effect of a novel thoracolumbar brace on spinal alignment in Parkinson's disease: a pilot study. J Phys Ther Sci. 2020; 32 (1): 72–78. https://doi.org/10.1589/jpts.32.72
32. Ye B. K., Kim H. S., Kim Y. W. Correction of camptocormia using a cruciform anterior spinal hyperextension brace and back extensor strengthening exercise in a patient with Parkinson disease. Ann Rehabil Med. 2015; 39 (1): 128–132. https://doi.org/10.5535/arm.2015.39.1.128
33. Cai Y., Reddy R. D., Varshney V., Chakravarthy K. V. Spinal cord stimulation in Parkinson's disease: a review of the preclinical and clinical data and future prospects. Bioelectron Med. 2020; (6): 5. https://doi.org/10.1186/s42234–020–00041–9
34. Okada Y., Kita Y., Nakamura J., Kataoka H., Kiriyama T., Ueno S., Hiyamizu M., Morioka S., Shomoto K. Galvanic vestibular stimulation may improve anterior bending posture in Parkinson's disease. Neuroreport. 2015; 26 (7): 405–410. https://doi.org/10.1097/WNR.0000000000000360
35. Raju S., Ravi A., Prashanth L. K. Cervical Dystonia Mimics: A Case Series and Review of the Literature. Tremor Other Hyperkinet Mov (NY). 2019; (9): 10.7916/tohm.v0.707. https://doi.org/10.7916/tohm.v0.707
36. Savica R., Kumar N., Ahlskog J. E., Josephs K. A., Matsumoto J. Y., McKeon A. Parkinsonism and dropped head: dystonia, myopathy or both? Parkinsonism Relat Disord. 2012; 18 (1): 30–34. https://doi.org/10.1016/j.parkreldis.2011.08.006
37. Bouça-Machado R., Pona-Ferreira F., Gonçalves N., Leitão M., Cacho R., Castro-Caldas A., Ferreira J. J. CNS Multidisciplinary Team. Outcome Measures for Evaluating the Effect of a Multidisciplinary Intervention on Axial Symptoms of Parkinson's Disease. Front Neurol. 2020; (11): 328. https://doi.org/10.3389/fneur.2020.00328
38. Bouça-Machado R., Duarte G. S., Patriarca M., Castro Caldas A., Alarcão J., Fernandes R. M., Mestre T. A., Matias R., Ferreira J. J. Measurement Instruments to Assess Functional Mobility in Parkinson's Disease: A Systematic Review. Mov Disord Clin Pract. 2019; 7 (2): 129–139. https://doi.org/10.1002/mdc3.12874
39. Iijima M., Osawa M., Uchiyama S., Kitagawa K.. Pramipexole-induced antecollis in patients with Parkinson's disease: Two cases and literature review. eNeurological Sci. 2015; (1): 21–23. https://doi.org/10.1016/j.ensci.2015.09.001
40. Fasano A., Borlot F., Lang A. E., Andrade D. M. Antecollis and levodopa-responsive parkinsonism are late features of Dravet syndrome. Neurology. 2014; 82 (24): 2250–2251. https://doi.org/10.1212/WNL.0000000000000521
41. Kataoka H., Sawada Y., Namizaki T., Shimozato N., Yoshiji H., Ueno S. Intrajejunal Infusion of Levodopa-Carbidopa Gel Can Continuously Reduce the Severity of Dropped Head in Parkinson's Disease. Front Neurol. 2017; (8): 547. https://doi.org/10.3389/fneur.2017.00547
42. Chen Q., Vu J. P., Cisneros E., Benadof C. N., Zhang Z., Barbano R. L., Goetz C. G., Jankovic J., Jinnah H. A., Perlmutter J. S., Appelbaum M. I., Stebbins G. T., Comella C. L., Peterson D. A. Postural Directionality and Head Tremor in Cervical Dystonia. Tremor Other Hyperkinet Mov (NY). 2020; (10). https://doi.org/10.7916/tohm.v0.745
43. Ferrazzano G., Berardelli I., Belvisi D., De Bartolo M. I., Di Vita A., Conte A., Fabbrini G. Awareness of Dystonic Posture in Patients with Cervical Dystonia. Front Psychol. 2020; (11): 1434. https://doi.org/10.3389/fpsyg.2020.01434
44. Jinnah H.A, Neychev V., Hess E. J. The anatomical basis for dystonia: the motor network model. Tremor Other Hyperkinet Mov 2017; (7): 506. https://doi.org/10.7916/D8V69X3S
45. Garone G., Capuano A., Travaglini L., Graziola F., Stregapede F., Zanni G., Vigevano F., Bertini E., Nicita F. Clinical and Genetic Overview of Paroxysmal Movement Disorders and Episodic Ataxias. Int J Mol Sci. 2020; 21 (10): 3603. https://doi.org/10.3390/ijms21103603
46. Huh Y. E., Kim K., Chung W. H., Youn J., Kim S., Cho J. W. Pisa Syndrome in Parkinson's Disease: Pathogenic Roles of Verticality Perception Deficits. Sci Rep. 2018; 8 (1): 1804. https://doi.org/10.1038/s41598–018–20129–2
47. Michel S. F., Arias Carrión O., Correa T. E., Alejandro P. L., Micheli F. Pisa Syndrome. Clin Neuropharmacol. 2015; 38 (4): 135–140. https://doi.org/10.1097/WNF.0000000000000092
48. Akiyama H., Nukui S., Akamatu M., Hasegawa Y., Nishikido O., Inoue S. Effectiveness of spinal cord stimulation for painful camptocormia with Pisa syndrome in Parkinson's disease: a case report. BMC Neurol. 2017; 17 (1): 148. https://doi.org/10.1186/s12883–017–0926-y
49. Tinazzi M., Juergenson I., Squintani G., Vattemi G., Montemezzi S., Censi D., Barone P., Bovi T., Fasano A. Pisa syndrome in Parkinson's disease: an electrophysiological and imaging study. J Neurol. 2013; 260 (8): 2138–2148. https://doi.org/10.1007/s00415–013–6945–8
50. Lee Y. F. Antipsychotic-Induced Pisa Syndrome: A 2-Year Follow-up Study. Clin Neuropharmacol. 2018; 41 (2): 60–63. https://doi.org/10.1097/WNF.0000000000000274
51. Suresh Kumar P. N., Gopalakrishnan A. Clozapine-associated Pisa syndrome: A rare type of tardive dystonia. Indian J Psychiatry. 2017; 59 (3): 390–391. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_308_16
52. Alwardat M., Di Lazzaro G., Schirinzi T., Sinibaldi Salime P., Mercuri N. B., Pisani A. Does Pisa syndrome affect upper limb function in patients with Parkinson's disease? An observational cross-sectional study. NeuroRehabilitation. 2018; 42 (2): 143–148. https://doi.org/10.3233/NRE-172274
53. Geroin C., Gandolfi M., Maddalena I., Smania N., Tinazzi M. Do Upper and Lower Camptocormias Affect Gait and Postural Control in Patients with Parkinson's Disease? An Observational Cross-Sectional Study. Parkinsons Dis. 2019; (2019): 9026890. https://doi.org/10.1155/2019/9026890
54. Miletić V., Radić B., Relja M.. Acute pisa syndrome as a neurological emergency. J Neuropsychiatry Clin Neurosci. 2015; 27 (2): e159–e160. https://doi.org/10.1176/appi.neuropsych.14050105
55. Schlenstedt C., Gavriliuc O., Boße K., Wolke R., Granert O., Deuschl G., Margraf N. G. The Effect of Medication and Deep Brain Stimulation on Posture in Parkinson's Disease. Front Neurol. 2019; (10): 1254. https://doi.org/10.3389/fneur.2019.01254
56. Capecci M., Serpicelli C., Fiorentini L., Censi G., Ferretti M., Orni C., Renzi R., Provinciali L., Ceravolo M. G. Postural rehabilitation and Kinesio taping for axial postural disorders in Parkinson's disease. Arch Phys Med Rehabil. 2014; 95 (6): 1067–1075. https://doi.org/10.1016/j.apmr.2014.01.020
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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