ГоловнаArchive of numbers2022Volume 30, issue 4 (113)Peculiarities of manifestation and general rehabilitative signif icance of the phenomenon paradoxical kinesia in Parkinson’s disease
Title of the article Peculiarities of manifestation and general rehabilitative signif icance of the phenomenon paradoxical kinesia in Parkinson’s disease
Authors Bogdanova Iryna
Voloshyna Natalia
Fedosieiev Serhii
Voloshyn-Gaponov Ivan
Tereshchenko Liudmyla
Bogdanova Taisia
In the section MECHANISMS OF FORMATION AND MODERN PRINCIPLES OF TREATMENT OF NEUROLOGICAL DISORDERS
Year 2022 Issue Volume 30, issue 4 (113) Pages 4-11
Type of article Наукова стаття Index UDK 616.858-008.6-036.66:616.009.2 Index BBK -
Abstract DOI: https://doi.org/10.36927/2079-0325-V30-is4-2022-1

 The purpose of the study: is to identify the factors contributing to the occurrence of paradoxical kinesias (PK) in Parkinson’s disease (PD) and to assess their frequency and clinical manifestations (according to the results of interviews). All patients interviewed were divided into two groups. The first group (45 people) — patients without symptoms of dementia, the second group (18 people) — patients with symptoms of dementia. The MMSE assessment was conducted no more than three months before this survey to assess the frequency of PK phenomenon, before the introduction of quarantine restrictions. Patients with PD initially have virtually no idea about the phenomenon of PK, but when informed (individually and in groups) in a group of patients without clinically significant cognitive decline, understanding of the essence and possibilities of PK increases from 6.7% to 88.9% of respondents. Patients with PD, cognitively preserved, note the manifestations of PK in the form of a spontane- ous ability to perform movements faster and more dexterously in 82.2% of observations, with vital movements of posture control, walking, and balance observed in 93.3% of patients, and the per- formance of complex acts in 51.1% of observations. Factors contributing to the manifestation of PK are often (in more than 50.0% of cases) in the group of patients without significant cognitive decline is - rhythm, counting, cues (84.4%), listening to music (93.3% of answers), environment (64.4%), strong emotions (93.3%); communication with certain people (88.9 %; answers); quality of sleep (80.0 %); less frequent, but practically applicable are internal order and conscious control (48.9 %) and visualization of the motor act (40.0 %). The realization of the phenomenon of PK with the help of factors that reveal it can be used in conducting classes on motor rehabilitation, but it is necessary to preserve the cognitive poten- tial of patients. The rehabilitation potential of patients with PD is defined as medium or low level. This level of rehabilitation potential is generally sufficient for the implementation of the developed individual rehabilitation programs.
Key words Parkinson’s disease, paradoxical kinesia, cognitive potential, rehabilitation
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Bibliography 1. Karaban I. M., Karasevych N. V. Ahonisty dofaminovykh retseptoriv u kompleksnii patohenetichnii terapii khvoroby Parkinsona. Mizhnarodnyi nevrolohichnyi zhurnal. 2017. No. 5. S. 52—58. http://www.mif-ua.com/archive/article/45070. (In Ukrainian).
 2. Ponomarov V. V., Mazurenko E. V. Diahnostyka khvoroby Parkinsona na rannikh stadiiakh zakhvoriuvannia. Medychni novyny. 2012. No. 1. S. 13—16. (In Ukrainian).
3. Bohdanova Y. V. Stan metabolichnykh i rehuliatornykh protsesiv u khvorykh na khvorobu Parkinsona v zalezhnosti vid stupenia tiazhkosti ta skhemy likuvannia. Ukrainskyi visnyk psykhonevrolohii. 2012. T. 29, vyp. 2 (71). S. 5—8. (In Ukrainian).
4. Slobodin T. N. Sovremenny’e predstavleniya o patogeneze bolezni Parkinsona. NejroNEWS. 2011. No. 7(34). S. 2—27. (In Russian).
5. Voloshyna N. P., Fedosieiev S. V., Bohdanova I. V. Postava i patolohichni pozy u khvorykh z khvoroboiu Parkinsona (diah- nostyka, klinichna interpretatsiia). I International Scientific and Theoretical Conference “Interdisciplinary Research: Scientific Horizons and Perspectives”. Vilnius, Republic of Lithuania — 12 March 2021. Vol. 3. P. 74—79. (In Ukrainian).
6. Kulisevsky J, Luquin MR, Arbelo JM, Burguera JA, Car- rillo F, Castro A, Chacón J, García-Ruiz PJ, Lezcano E, Mir P, Martinez-Castrillo JC, Martínez-Torres I, Puente V, Sesar A, Valldeoriola-Serra F, Yañez R. Enfermedad de Parkinson avan- zada. Características clínicas y tratamiento (parte I) [Advanced Parkinson’s disease: clinical characteristics and treatment (part 1)]. Neurologia. 2013 Oct;28(8):503-21. doi: 10.1016/j. nrl.2013.05.001. (panish).
 7. Ballanger B, Thobois S, Baraduc P, Turner RS, Brous- solle E, Desmurget M. “Paradoxical Kinesis” is not a Hallmark of Parkinson’s disease but a general property of the motor system. Movement Disorders, Wiley. 2006. No. 21 (9). Р. 1490- 1495. doi: 10.1002/mds.20987.
 8. Kozak V. V., Rotaru L. Paradoksal’ny’e kinezii pri bolezni Parkinsona: teorii vozniknoveniya i ix prakticheskoe primene- nie. Zhurnal nevrologii i psixiatrii. 2016. No. 2. S. 109-115. DOI: 10.17116/jnevro201611621109-115. (In Russian).
9. Glickstein M, Stein J. Paradoxical movement in Parkin- son’s disease. Trends Neurosci. 1991 Nov;14(11):480-2. doi: 10.1016/0166-2236(91)90055-y.
10. Schlesinger I, Erikh I, Yarnitsky D. Paradoxical kinesia at war. Mov Disord. 2007 Dec;22(16):2394-7. doi: 10.1002/ mds.21739.
11. Hammond TC (2010) New developments: falls, drooling & exercise in Parkinson’s disease. The Parkinson’s source. Issue 40. APDA Magazine.
12. Bonanni L, Thomas A, Anzellotti F, Monaco D, Cicco- cioppo F, Varanese S, Bifolchetti S, D’Amico MC, Di Iorio A, Onofrj M. Protracted benefit from paradoxical kinesia in typical and atypical parkinsonisms. Neurol Sci. 2010 Dec;31(6):751-6. doi: 10.1007/s10072-010-0403-5.
13. Sacks O. Awakenings. New York : Duckworth & Co., 1973. 408 р.
14. Rasskazova E. I., Kovyazina M. S., Varako N. A. Primen- enie skriningovy’x shkal v nejropsixologicheskoj reabilitacii: vozmozhnosti, trebovaniya i ogranicheniya. Vestnik YUUrGU. Seriya “Psixologiya”. 2016. T. 9, No. 3. S. 5—15. DOI: 10.14529/ psy160301. (In Russian).
15. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975 Nov;12(3):189-98. doi: 10.1016/0022-3956(75)90026-6.
16. Mitchell A. J. The Mini-Mental State Examination (MMSE): an update on its diagnostic validity for cognitive disorders. In: A. J. Lerner (Ed.) Cognitive screening instruments. A practical ap- proach. London: Springer, 2013. P. 15-46. https://neurosys.ru/ diagnostika/osmotr/ocenka-narusheniya-kognitivnih-funkciy/ test-mmse.
17. Bozhenova N. A., Dzhumagalieva A. A., Zaikina O. A. Ispol’zovanie metoda vizualizacii pri podgotovke studentov- sportsmenov. Mezhdunarodny’j studencheskij nauchny’j vestnik. 2018. No. 5. URL: https://eduherald.ru/ru/article/view?id=1880. (In Russian).
18. Koyama S, Tsuruhara K, Yamamoto Y. Duration of men- tally simulated movement before and after a golf shot. Percept Mot Skills. 2009 Feb;108(1):327-38. doi: 10.2466/ PMS.108.1.327-338.
19. Porretta DL, Surburg PR. Imagery and physical practice in the acquisition of gross motor timing of coincidence by ado- lescents with mild mental retardation. Percept Mot Skills. 1995 Jun; 80(3 Pt 2):1171-83. doi: 10.2466/pms.1995.80.3c.1171.
20. G. Michael Lacourse, L. R. Elizabeth Orr, C. Steven Cramer, Michael J. Cohen. Brain activation during execution and mo- tor imagery of novel and skilled sequential hand movements. Neuroimage. 2005 Sep. No. 27(3). Р. 505-519. doi: 10.1016/j. neuroimage.2005.04.025.
21. Elefant C, Baker FA, Lotan M, Lagesen SK, Skeie GO. The effect of group music therapy on mood, speech, and singing in individuals with Parkinson’s disease--a feasibility study. J Music Ther. 2012 Autumn;49(3):278-302. doi: 10.1093/ jmt/49.3.278.
22. F. Styns, L. Van Noorden, D. Moelants, M. Leman. Walking on music. Human movement science. 2007. No. 26(5). Р. 769- 785. doi: 10.1016/j.humov.2007.07.007.