Патофизические основы реабилитации при цервикальной дистонии


З.А. Залялова (1, 2), И.Ф. Хафизова (1), З.Г. Хаятова (1)

1) ФГБОУ ВО «Казанский государственный медицинский университет» Минздрава России, Казань
2) Республиканский консультативно-диагностический центр экстрапирамидной патологии и ботулинотерапии, Казань

Цервикальная дистония (ЦД) – локальная форма мышечной дистонии, в патогенезе которой участвуют центральные и периферические сенсомоторные механизмы, приводящие к патологической позе, нарушению равновесия, ходьбы, возникновению боли. Комбинация ботулинотерапии с методами реабилитации – наиболее эффективная стратегия лечения ЦД. Основные методы реабилитации включают биологическую обратную связь, мультимодальные программы кинезиотерапии, релаксацию, вибрацию и чрескожную электростимуляцию нервов, другие методы физиотерапии, активные упражнения для повышения мышечной силы и коррекции осанки, методы растяжения мышц, мобилизации и вестибулярной стимуляции. Каждый из этих методов имеет свое патофизиологическое обоснование для применения при ЦД. В обзоре представлен современный взгляд на подходы к терапии ЦД.

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Об авторах / Для корреспонденции


Автор для связи: З.А. Залялова – д.м.н., проф., кафедра неврологии и реабилитации ФГБОУ ВО «Казанский ГМУ» Минздрава России,
Республиканский клинико-диагностический центр экстрапирамидной патологии и ботулинотерапии, Казань; e-mail: z.zalyalova@gmail.com


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