PATHOPHYSIOLOGICAL BASES OF REHABILITATION IN CERVICAL DYSTONY


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Abstract

Cervical dystonia (CD) is a local form of muscular dystonia; its pathogenesis involves central and peripheral sensorimotor mechanisms, leading to abnormal posture, imbalance, ambulation disorders, and pain. Combination of botulinotherapy and rehabilitation methods is the most effective strategy for the treatment of CD. The main methods of rehabilitation include biological feedback, multimodal kinesiotherapy programs, relaxation, vibration, and transcutaneous electrical nerve stimulation, other methods physiotherapy, active exercises for increasing muscle strength and posture correction, methods of muscle stretching, mobilization and vestibular stimulation. Each of these methods has its own pathophysiological justification for use in CD. The review presents a modern view of approaches to the therapy of CD.

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About the authors

Z. A Zalyalova

FSBEI HE “Kazan State Medical University" of RMH; Republican Consultative and Diagnostic Center for Extrapyramidal Pathology and Botulinotherapy

Email: z.zalyalova@gmail.com
MD, Prof., Department of Neurology and Rehabilitation

I. F Khafizova

FSBEI HE “Kazan State Medical University" of RMH

Z. G Khayatova

FSBEI HE “Kazan State Medical University" of RMH

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