ZH.F. SABIROV^{1, 2}, G.M. AKHMEDOVA^{1, 2}, T.I. KHAIBULLIN^{1, 2}

 ¹KSMA — Branch Campus of the FSBEI FPE RMACPE MOH Russia, Kazan

²Republican Clinical Diagnostic Center for demyelinating diseases of the Ministry of Health of the Republic of Tatarstan, Kazan

 Contact details:

Sabirov Zh.F. — post-graduate student of the Neurology Department, neurologist

Address: 13 Vatutin St., Russian Federation, Kazan, 420021, tel.: +7-987-228-59-19, e-mail: javdat_11@mail.ru

 The main cause of occupational and social activity disorders in patients with multiple sclerosis (MS) is motor deficit. The genesis of movement disorders reflects multifocal lesions of various parts of the spinal cord and brain. The patient groups were formed according to the EDSS scale: with mild (EDSS 2,5–4,0 b), moderate (EDSS 4,5–5,5 b) and severe motor disorders (6,0–6,5 b). There was performed neurological examination of patients with an assessment of the cognitive and vestibular functions of the body. The dominant syndromes in the development of motor disorders are central paresis, focal, pelvic and cognitive impairments. The developed complex of rehabilitation measures with the use of a stabilometric complex, a treadmill and physiotherapeutic treatment, made it possible to improve the motor function in patients with multiple sclerosis at all stages of the disease. These measures were implemented in the Republican Clinical and Diagnostic Center for demyelinating diseases in Kazan.

Key words: multiple sclerosis, rehabilitation, stabilometric complex, treadmill, correction of motor disorders.

 (For citation: Sabirov Zh.F., Akhmedova G.M., Khaibullin T.I. Correction of motor disorders in patients with multiple sclerosis. Practical medicine. 2020. Vol. 18, № 5, P.)

 REFERENCES

1. Granatov E.V., Khabirov F.A., Khaybullin T.I., Babicheva N.N. et al. Rehabilitation treatment of patients with multiple sclerosis with combined coordination-motor and proprioceptive disorders. Innovatsionnye metody diagnostiki i lecheniya v nevrologii: tezisy dokladov, 2012, pp. 19–21 (in Russ.).
2. Shevchenko P.P. Multiple sclerosis: etiopathogenesis from the standpoint of modern science. Uspekhi sovremennogo estestvoznaniya, 2014, no. 6, pp. 123–124 (in Russ.).
3. Dubovskiy V.A. Stabilometric methods of rehabilitation of patients with impaired vertical posture stability. Doklady BGUIR, 2016, no. 4, pp. 67–72 (in Russ.).
4. Motl R.W., Balto J.M., Ensari I. et al. Self-efficacy and Walking Performance in Persons With Multiple Sclerosis. J Neurol Phys Ther, 2017, vol. 41 (2), pp. 114–118.
5. Peresedova A.V., Chernikova L.A., Zavalishin I.A. Physical rehabilitation in multiple sclerosis: general principles and modern high-tech methods. Vestnik Rossiyskoy akademii meditsinskikh nauk, 2013, no. 10, pp. 14–21 (in Russ.).
6. Gunn H., Andrade J., Paul L. et al. Balance Right in Multiple Sclerosis (BRiMS): a guided self-management programme to reduce falls and improve quality of life, balance and mobility in people with secondary progressive multiple sclerosis: a protocol for a feasibility randomised controlled trial. Pilot Feasibility Study, 2018, vol. 4, p. 26.
7. Shmidt T.E., Yakhno N.N. Rasseyannyy skleroz [Multiple sclerosis]. Moscow: MEDpress-inform, 2016. 272 p.