Quality of life at cervical distonia
https://doi.org/10.20538/1682-0363-2020-1-43-49
Abstract
The aim of the study was to study the physical and psychological components regarding the quality of life of patients with cervical dystonia.
Material and methods. 170 respondents were examined. The main group included 120 patients with cervical dystonia, 50 patients were included in the control group, consisting of patients with cervicalgia of various genesis. The diagnosis of cervical dystonia met uniform criteria for the diagnosis and treatment of dystonia adopted in 2011 by the European Federation of Neurological Societies and the Movement Disorders Society (European Federation of Neurological Societies / Movement Disorders Society, EFNS / MDS). In the control group, the pain syndrome of the cervical spine was caused by a degenerative process and was confirmed by X-ray examination and /or MRI. As part of our research, we determined the quality of life in men and women in both groups using the SF-36 questionnaire with a study of the parameters of physical and psychological well-being.
Results and conclusion. A considerably significant effect of cervical dystonia on the somatic and mental parameters regarding the quality of life in both men and women has been established. Significant decrease in all indicators representing the quality of life in patients with cervical dystonia was revealed compared with respondents without dystonic hyperkinesis. As a chronic disease, cervical dystonia leads to psycho-physiological stress, which significantly impairs the quality of life of patients. Significant gender differences were identified: women from the groups of cervical dystonia and cervicalgia were more often exposed to psychological deprivation and reduced physical activity than men from the same groups.
About the Authors
O. A. DruzhininaRussian Federation
42, Serebrennikovskaya Str., Novosibirsk, 630099, Russian Federation
N. G. Zhukova
Russian Federation
2, Moscow Trakt, Tomsk, 634050, Russian Federation
L. P. Shperling
Russian Federation
42, Serebrennikovskaya Str., Novosibirsk, 630099, Russian Federation
References
1. Brin M. Fundamentals of dystonia. Handbook of botulinum toxin treatment. 2nd ed. / еds. P. Moore, M. Naumann. John Wiley & Sons, 2003: 101–118.
2. Singer C., Velickovic M. Cervical dystonia. Etiology and pathophysiology. Neurologic. Clinics. 2008; 26 (1): 9–22. DOI: 10.1016/S0733-8619(08)80002-3.
3. Jinnah H.A., Berardelli A., Comella C., Defazio G., Delong M.R., Factor S., Galpern W.R., Hallett M., Ludlow C.L., Perlmutter J.S., Rosen A.R. The focal dystonias сurrent views and challenges for future research. Movement Disorders. 2013; 28 (7): 926–943. DOI: 10.1002/mds.25567.
4. Albanese A., Sorbo F.D. Dystonia and tremor: the clinical syndromes with isolated tremor. Tremor Other Hyperkinet Movements. 2016; 6: 319. DOI: 10.7916/D8X34XBM.
5. Charles P.D., Adler C.H., Stacy M., Comella C., Jankovic J., Manack Adams A., Brin M.F., Schwartz M. Cervical dystonia and pain: characteristics and treatment patterns from CD PROBE (Cervical dystonia patient registry for observastion of onabotulinumtoxin a efficacy). Journal of Neurology. 2014; 261: 1309–1319. DOI: 10.1007/s00415-014-7343-6.
6. Hertenstein E., Tang N.K., Bernstein C.J., Nissen C., Underwood M.R., Sandhu H.K. Sleep in patients with primary dystonia: a systematic review on the state of research and perspectives. Sleep Medicine Reviews. 2016; 26: 95–107. DOI: 10.1016/j.smrv.2015.04.004.
7. Pekmezovic T., Svetel M., Ivanovic N., Dragasevic N., Petrovic I., Tepavcevic D.K., Kostic V.S. Quality of life in patients with focal dystonia. Clin. Neurol. Neurosurg. 2009; 111 (2): 161–164. DOI: 10.1016/j.clineuro.2008.09.023.
8. Bezerra M.E., Rocha-Filho P.A. Headache. Headache аttributed to сraniocervical dystonia – а little known headache. Headache. 2017; 57 (2): 336–343. DOI: 10.1111/head.12996.
9. Reichel G., Stenner A., Jahn A. The phenomenology of cervical dystonia. Fortschr. Neurol. Psychiatr. 2009; 77 (5): 272–277. DOI: 10.1055/s-0028-1109416.
10. Орлова О.Р., Тимербаева С.Л., Хатькова С.Е., Котляров В.В., Коренко Л.А., Залялова З.А., Фальковкий И.В., Шперлинг Л.П., Антипова Л.Н., Антипенко Е.А., Мингазова Л.Р., Сойхер М.И., Красавина Д.А. Фокальные дистонии и их лечение препаратом диспорт (ботулинический токсин типа А). Журнал неврологии и психиатрии имени С.С. Корсакова. 2012; 112 (5): 81–89.
11. Новик А.А., Ионова Т.И. Руководство по исследованию качества жизни в медицине. 2-е изд. / под ред. акад. РАМН Ю.Л. Шевченко. М.: Олма Медиа Групп, 2007:313.
12. Официальный сайт Президента РФ. URL: http:www.kremlin.ru/text/appears/2005/09/93296.shtml.
13. Schipper H., Clinch J.J., Olweny C.L. Quality of life studies: definitions and conceptual issues / ed. B. Spilker. Quality of life and pharmacoeconomics in clinical trials. Lippincott-Raven Publishers: Philadelphia, 1996: 11–23.
14. Farivar S.S., Cunningham W.E., Hays R.D. Correlated physical and mental health summary scores for the SF-36 and SF-12 Health Survey, V.I. Health Quality Life Outcomes. 2007; 5: 54. DOI: 10.1186/1477-7525-5-54.
15. Клинические рекомендации по диагностике и лечению дистонии / под ред. Е.И. Гусева. Всероссийское общество неврологов. Президиум. М., 2014: 20–24.
16. Albanese A., Asmus F., Berardelli A., Bhatia K., Elia A.E., Elibol B., Filippini G., Gasser T., Krauss J.K., Nardocci N., Newton A., Valls-Solé J., Vidailhet M. EFNS guidelines on diagnosis and treatment of primary dystonias. European Journal of Neurology. 2011; 18: 5–18. DOI: 10.1111/j.1468-1331.2010.03042.x.
Review
For citations:
Druzhinina O.A., Zhukova N.G., Shperling L.P. Quality of life at cervical distonia. Bulletin of Siberian Medicine. 2020;19(1):43-49. https://doi.org/10.20538/1682-0363-2020-1-43-49