UKRAINS'KYI VISNYK PSYKHONEVROLOHII

The Scientific and Practical Journal of Medicine
ISSN 2079-0325(p)
DOI 10.36927/2079-0325
Home » Archive of numbers » 2020 » Volume 28, issue 1 (102) » Studying diff erent aspects of quality of life in the system of neurorehabilitation of patients with neurodegenerative pathology

Studying diff erent aspects of quality of life in the system of neurorehabilitation of patients with neurodegenerative pathology

Authors

Type of Article

  • Scientific Article

In the Section

  • MECHANISMS OF FORMATION AND MODERN PRINCIPLES OF TREATMENT OF NEUROLOGICAL DISORDERS

Key words

Index UDK:
  • 616.832-004.2:616.8-08:616.69

Abstract

Breach of partnership signifi cantly worsens life satisfaction, leads to emotional disturbances, aff ects self-esteem, and ultimately is a quality of life problem. Erectile dysfunction (ED) continues to remain the most important problem of the health and quality of life of the male population. This problem in men with multiple sclerosis is detected in 50—90 % of cases. The article presents the result of isolating pathogenetic variants of erectile dysfunction in 73 men of the Eastern region of Ukraine with a remitting type of course of multiple sclerosis who were being treated at the Institute of Neurology, Psychiatry and Narcology of the National Academy of Medical Sciences of Ukraine. At the time of the examination, all patients were in a post-debut period in a state of remission (full or partial). The clinical characteristics of the debut included the defeat of all functional systems: the optic nerve (in the form of retrobulbar neuritis), the pyramidal, cerebellar systems, impaired sensitivity and damage to the brain stem, sphincter disorders. Three pathogenetically diff erent variants of ED were distinguished: with a predominant violation of suprasacral regu lation of erection, with a predominant violation of sacral regulation of erection, with a predominantly psychogenic ED. The predominant ED variants are the va riant with the predominant violation of suprasacral regulation of erection and the variant with predominantly psychogenic ED. The ED variant with a predominant violation of sacred regulation of erection was characterized by a moderate level of personal and reactive anxiety on the SpilbergerKhanin scale, positively correlated with damage to the function of the pelvic organs and was defi ned as prognostically unfavorable.

The study confi rmed the previously established clinical heterogeneity of ED in the remitting type of multiple sclerosis. The results of the study are supposed to be used in the development of rehabilitation programs for the remitting type of multiple sclerosis, taking into account regional specifi cs.

Pages

  • 42-46

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References

  1. Guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation / Hatzimouratidis K., Amar E., Eardley I. [et al.] // Eur. Urol. 2010; 57 (5): 804—814. DOI: https://doi.org/10.1016/j.eururo.2010.02.020.
  2. Aytac I. A., Mckinlay J. B. and Krane R. J. The likely worldwide increase in erectile dysfunction between 1995 and 2025 and some possible policy consequences // BJU Int. 1999; 84 (1): 50—56. DOI: https://doi.org/10.1046/j.1464-410x.1999.00142.x.
  3. Sexual disorders in men with multiple sclerosis: evalua tion and management / Previnaire J.  G., Lecourt G., Soler  J.  M.  [et  al.]  // Ann. Phys. Rehabil. Med. 2014; 57  (5): 329—336. DOI: https://doi.org/10.1016/j.rehab.2014.05.002.
  4. Kessler T. M., Fowler C.  J., Panicker J.  N. Sexual dysfunction in  multiple sclerosis  // Expert Rev. Neurother. 2009; 9  (3): 341—350. DOI: https://doi.org/10.1586/14737175.9.3.341.
  5. Ashtari F., Rezvani R., Afshar H. Sexual dysfunction in women with multiple sclerosis: Dimensions and contributory factors // J. Res. Med. Sci. 2014; 19 (3): 228—261. PMID: 24949030.
  6. NIH Consensus Conference. NIH Consensus Development Panel on Impotence // JAMA. 1993; 270 (1): 83—90. PMID: 8510302.
  7. Multiple sclerosis: sexual dysfunction and its response to medications / Mattson D., Petrie M., Srivastava D. K. [et  al.]  // Arch. Neurol. 1995; 52  (9): 862—868. DOI: https://doi.org/10.1001/archneur.1995.00540330040012.
  8. Kirkeby H. J., Petersen T., Poulsen E. U. Pharmacologically induced erection in patients with multiple sclerosis // Scand. J. Urol. Nephrol. 1988; 22 (4): 241—244. DOI: https://doi.org/10.3109/00365598809180793.
  9. Sexual disturbances arising from multiple sclerosis / Minderhoud J. M., Leemhuis J. G., Kremer J. [et al.] // Acta. Neurol. Scand. 1984; 70 (4): 299—306. DOI: https://doi.org/10.1111/j.1600-0404.1984.tb00827.x.
  10. Valleroy M. L., Kraft G. H. Sexual dysfunction in multiple sclerosis // Arch. Phys. Med. Rehabil. 1984; 65 (3): 125—128.
  11. Lilius H. G., Valtonen E. J., Wikström J. Sexual problems in  patients suffering from multiple sclerosis  // Scand. J. Soc. Med. 1976; 4 (1): 41—44. DOI: https://doi.org/10.1177/140349487600400108.
  1. Sexual dysfunction in multiple sclerosis: a case-control study. I. Frequency and comparison of  groups / Zorzon M., Zivadinov R., Bosco A. [et al.] // Mult. Scler. 1999; 5 (6): 418—427. DOI: https://doi.org/10.1177/135245859900500i609.
  2. Erectile dysfunction in multiple sclerosis / Burdin K. A. A., Kyzlasov P. S., Martov A. G. [et al] // Medicine in Kuzbass. 2017; 16 (3): 17-22. Available at: http://mednauki.ru/index.php/MK/article/view/129/246. Дата доступа: 23 марта 2020.
  3. Suicide risk in multiple sclerosis: A systematic review of  current literature / Pompili M.  A.  Forte, M. Palermo [et al.] // J. of Psychosom. Research. 2012; 73 (6): 411—417. DOI: https://doi.org/10.1016/j.jpsychores.2012.09.011.
  4. Suicidal ideation in multiple sclerosis / Turner A.  P., Williams  R.  M., Bowen J.  D. [at  al.]  // Arch. Phys. Med. Rehabil. 2006; 87 (8): 1073—1078. DOI: https://doi.org/10.1016/j.apmr.2006.04.021.
  5. Krupin V. N. N., Belova AN, Sokolova IA Erection disorder in patients with multiple sclerosis: a review of the literature and our own results // Modern technologies in medicine. 2010. № 2. С. 87-94.
  6. Male sexual dysfunction and infertility associated with neurological disorders / Fode M., Krogh-Jespersen S., Brackett  N.  L. [et  al.]  //Asian. J. of  Androl. 2012; 14  (1): 61—68. DOI: https://doi.org/10.1038/aja.2011.70.
  7. Abzalova K. B., Kolpinsky G. I. Diagnostics of neurogenic erectile dysfunction // Medicine in Kuzbass. 2005. № 4. С. 15-17.

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UKRAINS'KYI VISNYK PSYKHONEVROLOHII

The Scientific and Practical Journal of Medicine

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