Authors
- Nazarova Kristina Mikhailovna Candidate of Biology
- Golikova Anna Nikolaevna Doctor of Biological Sciences, Associate Professor
- Marchenkova Larisa Alexandrovna Doctor of Medical Sciences, Associate Professor
Annotation
Postural disorders are one of the most significant complications of Parkinson’s disease, significantly affecting the quality of life of patients. The aim of the study
was to compare the effectiveness of proprioceptive neuromuscular facilitation and therapeutic gymnastics for the correction of postural disorders in patients with Parkinson’s disease. The study was conducted based on the medical rehabilitation center of the Clinical Hospital of the Office of the President of the Russian Federation. As part of an open prospective controlled study, 50 people with PD were examined. Criteria for inclusion in the groups: voluntary informed consent of people with PD for the study; age from 45 to 75 years, stage 2–4 of PD according to Hen-Yar, absence of other neurological, orthopedic and oncological diseases, absence of gross cognitive impairment. Two groups of patients were created by simple randomization. The main group (n = 25) consisted of patients receiving proprioceptive neuromuscular facilitation classes, and the comparison group (n = 25) consisted of patients engaged in therapeutic gymnastics. The rehabilitation course consisted of 12 classes of 30 minutes each. The evaluation of the dynamics of the results was carried out using computer optical topography on the Biokinect® complex Bodyscanner 3D (Nevrokor, Russia). Classes in the main group showed a significant effect on the correction of postural disorders in patients with Parkinson’s disease. This is manifested in a decrease in the angles of inclination of the cervical, thoracic and lumbar spine, as well as the angle of inclination of the upper arms and the angles of displacement. Therapeutic gymnastics also demonstrated a positive effect on postural disorders, but the changes were less pronounced compared to the main group. Conclusions. Thus, roprioceptive neuromuscular facilitation is an effective method of correcting postural disorders in patients with Parkinson’s disease.
How to link insert
Nazarova, K. M., Golikova, A. N. & Marchenkova, L. A. (2025). THE EFFECTIVENESS OF PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION IN COMPARISON WITH THERAPEUTIC GYMNASTICS FOR THE CORRECTION OF POSTURAL DISORDERS IN PATIENTS WITH PARKINSON’S DISEASE Bulletin of the Moscow City Pedagogical University. Series "Pedagogy and Psychology", № 3 (59), 167. https://doi.org/10.24412/2076-9091-2025-359-167-176
References
1.
1. Nazarova K. M., Nalobinа A. N. The effect of camptocormia on postural control, balance and gait of persons with Parkinson’s disease. Modern issues of biomedicine. 2024;8(1):24. (In Russ.). https://doi.org/10.51871/2588-0500_2024_08_01_24. EDN: AKYWPV.
2.
2. Nazarova K. M., Nalobinа A. N. The effect of the Pisa Tower syndrome on balance and gait in Parkinson’s disease: a comparative study. Bulletin of Restorative Medicine. 2024;23(3):8–13. (In Russ.). https://doi.org/10.38025/2078-1962-2024-23-3-8-13. EDN: CHETIX.
3.
3. Odarushchenko O. I. Complex application of audiovisual stimulation and cognitive-behavioral psychotherapy in the rehabilitation of patients with postcoid disorders syndrome: a prospective randomized study / O. I. Odarushchenko, M. A. Ansokova, L. A. Marchenkova [et al.]. Bulletin of Restorative Medicine. 2023;22(4):96–104. (In Russ.). https://doi.org/10.38025/2078-1962-2023-22-4-96-104. EDN: JAZIBE.
4.
4. Smolentseva I. G., Amosova N. A., Kuzmina A. V. Rehabilitation for Parkinson’s disease: current state and prospects. Bulletin of the National Society for the Study of Parkinson’s Disease and Movement Disorders. 2022;(2):188–193. (In Russ.). https://doi.org/10.24412/2226-079X-2022-12464. EDN: WSUYUU.
5.
5. Terentyeva E. V., Yurova O.V., Dubinskaya A. D. Modern view of the etiology and methods of treatment of bruxism: review. Bulletin of restorative medicine.
2024;23(6):119–129. (In Russ.). https://doi.org/10.38025/2078-1962-2024-23-6-119-129. EDN: XMEJNX.
6.
6. Çoban F., Belgen Kaygısız B., Selcuk F. Effect of clinical Pilates training on balance and postural control in patients with Parkinson’s disease: a randomized controlled trial. Journal of Comparative Effectiveness Research. 2021;10(18):1373–1383. https://doi.org/10.2217/cer-2021-0091. EDN: EMHUWI.
7.
7. Klockgether T. Parkinson’s disease: clinical aspects. Cell Tissue Res. 2004;(318):115–120. https://doi.org/10.1007/s00441-004-0975-6.
8.
8. Mazhar T. Effects of conventional physical therapy with and without proprioceptive neuromuscular facilitation on balance, gait, and function in patients with Parkinson’s disease / T. Mazhar, A. Jameel, F. Sharif, M. Asghar. The Journal of the Pakistan Medical Association. 2023;73(6):1280–1283. https://doi.org/10.47391/jpma.6710. EDN: WJLAOT.
9.
9. Youm C. Impact of Trunk Resistance and Stretching Exercise on Fall-Related Factors in Patients with Parkinson’s Disease: A Randomized Controlled Pilot Study / Ch. Youm, Y. Kim, B. Noh [et al.]. Sensors. 2020;20(15):4106. https://doi.org/10.3390/s20154106. EDN: TSPMGB.