Diagnosis of postural disorders in patients with Parkinson’s disease
A.A. TAPPAKHOV1, T.E. POPOVA1, T.Ya. NIKOLAEVA1, E.E. KONNIKOVA1, N.A. SCHNAYDER2, M.M. PETROVA2
1M.K. Ammosov North-Eastern Federal University, Medical Institute, 17 Oyunsky Str., Yakutsk, Russian Federation, 677016
2Krasnoyarsk State Medical University named after V.F. Voyno-Yasenetsky, 1 Partizan Zheleznyak Str., Krasnoyarsk, Russian Federation, 660022
Tappakhov A.A. ― postgraduate student of the Department of Neurology and Psychiatry, tel. (84112) 49-66-55, e-mail: dralex89@mail.ru
Popova T.E. ― D. Med. Sc., Professor of the Department of Neurology and Psychiatry, tel. (84112) 36-30-46, e-mail: tata2504@yandex.ru
Nikolaeva T.Ya. ― D. Med. Sc., Professor, Head of the Department of Neurology and Psychiatry, tel. (84112) 36-30-46, e-mail: tyanic@mail.ru
Konnikova E.E. ― Cand. Med. Sc., Associate Professor of the Department of Neurology and Psychiatry, Head of Educational and Research Laboratory of Neurological, Psychological, and Physiological Studies of the University Clinic, tel. (84112) 49-66-55, e-mail: edilia@mail.ru
Schnayder N.A. ― D. Med. Sc., Professor, Head of the Department of Medical Genetics and Clinical Neurophysiology, tel. (8391) 201-65-24, e-mail: NASchnaider@yandex.ru
Petrova M.M. ― D. Med. Sc., Professor, Vice-rector for Scientific Work, tel. (8391) 220-06-28, e-mail: stk99@yandex.ru
The article presents the results of examination of 30 patients with Parkinson’s disease (PD) and 30 volunteers. Computer stabilometry was carried out for all surveyed persons. We calculated the average position of the center of pressure (CP) in the frontal and sagittal plane, the velocity of CP, area of statokineziogramm and quotient of Romberg. It was revealed that the area of statokinetiogram and velocity of CP significantly increases in PD patients. The use of stabilometry in clinical practice and possible ways for in-depth study are discussed in the article.
Key words: Parkinson’s disease, posturology, stabilometry, diagnosis, postural disorders.
REFERENCES
- Gandevia S.C. Proprioception, tensegrity, and motor control. J. Mot. Behav, 2014, vol. 46, no. 3, pp. 199-201.
- Usachev V.I., Dotsenko V.I., Kononov A.F. et al. New methodology of stabilometric diagnostics of the disturbance of the body’s equilibrium function. Vestnik otorinolaringologii, 2009, no. 3, pp. 19-22 (in Russ.).
- Berardelli A., Wenning G., Antonini A. et al. EFNS/MDS-ES recommendations for the diagnosis of Parkinson’s disease. Eur. J. Neurol, 2013, vol. 20, pp. 16-34.
- Levin O.S., Fedorova N.V. Bolezn’ Parkinsona [Parkinson’s disease]. Moscow: MEDPress-inform, 2012. 352 p.
- Heumann R., Moratalla R., Herrero M. et al. Dyskinesia in Parkinson’s disease: mechanisms and current non-pharmacological interventions. J. Neurochem, 2014, vol. 130, no. 4, pp. 472-489.
- Wright Willis A., Evanoff B., Lian M. et al. Geographic and ethnic variation in Parkinson disease: A population-based study of us medicare beneficiaries. Neuroepidemiology,2010, vol. 34, pp. 143-151.
- Kim S.D., Allen N.E., Canning C.G. et al. Postural instability in patients with Parkinson’s disease. Epidemiology, pathophysiology and management. CNS Drugs, 2013, vol. 27, no. 2, pp. 97-112.
- Williams D.R., Litvan I. Parkinsonian Syndromes. Contin. Lifelong Learn. Neurol, 2013, vol. 19, pp. 1189-1212.
- Doherty K.M., van de Warrenburg B.P., Peralta M.C. et al. Postural deformities in Parkinson’s disease. Lancet Neurol. Elsevier Ltd, 2011, vol. 10, no. 6, pp. 538-549.
- Skvortsov D.V. Stabilometricheskoe issledovanie [Stabilometric study]. Moscow: Mera-TSP, 2010. 176 p.
- Ebersbach G., Gunkel M. Posturography reflects clinical imbalance in Parkinson’s disease. Mov. Disord, 2011, vol. 26, no. 2, pp. 241-246.
- Tappakhov A.A., Varlamova E.N., Konnikova E.E. et al. Vyyavlenie postural’nykh narusheniy pri bolezni Parkinsona metodom komp’yuternoy stabilometrii [Detection of postural disorders in Parkinson’s disease by the method of computer stabilometry]. Ekologiya i zdorov’e cheloveka na Severe. Sbornik materialov IV Kongressa s mezhdunarodnym uchastiem. Rossiya, Yakutsk, 4-7 dekabrya 2013 g, 2013, pp. 629-634.
- Fukunaga J.Y., Quitschal R.M., Dona F. et al. Postural control in Parkinson’s disease. Braz. J. Otorhinolaryngol, 2014, vol. 80, no. 6, pp. 508-514.
- Pokhabov D.V., Abramov V.G., Nesterova Yu.V. Correction of walking disorders in patients with Parkinson’s disease and vascular parkinsonism. Zhurnal nevrologii i psikhiatrii, 2009, no. 2, pp. 20-25 (in Russ.).
- Yunishchenko N.A. Narusheniya khod’by i postural’noy ustoychivosti pri bolezni Parkinsona: avtoref. dis. … kand. med. nauk [Disorders of walking and postural stability in Parkinson’s disease: author’s abstract. Synopsis of dis. PhD siences]. Moscow: RMAPO, 2005. 26 p.