Objective: The study aimed to investigate the effectiveness of a motor rehabilitation programme for 48 patients with Parkinson’s disease using the phenomenon of paradoxical kinesia in the context of the COVID-19 pandemic.

Background: In recent years, researchers have been increasingly interested in non-drug treatment and rehabilitation of patients with Parkinson’s disease (PD), including various types of physical activity, which can significantly improve the condition of patients, including the normalisation of the mental sphere and improvement of their psychosocial functioning. The development of modern approaches to the treatment and rehabilitation of patients with Parkinson’s disease using a combination of medicinal and non-medicinal methods is essential for controlling the symptoms of PD symptoms, eliminating pathological manifestations, as well as restoring and preservation of the quality of life of patients with PD.

Method: To study the state of the psychoemotional sphere, the Hamilton Rating Scale for Depression (HRDS), the Hamilton Anxiety Rating Scale (HARS), and the A. Beck (Beck Depression Inventory, 1961), Hospital anxiety and depression scale (HADS), Symptom Check List-90-Revised – SCL-90-R (L. Derogatis et al., S. Spilberger reactive and personal anxiety scales in modifying Y.L. Khanin, and Mezzich et al. (1999) quality of life assessment methodology.

Results: It was found that patients who underwent an additional online rehabilitation program and subsequently followed the rehabilitation recommendations demonstrated a significantly better state of the psycho-emotional sphere than patients who underwent online rehabilitation but did not follow the recommendations and patients who did not undergo online rehabilitation and did not follow the recommendations.

Conclusion: The full implementation of a motor rehabilitation programme using the phenomenon of paradoxical kinesia in online and offline modes with the continuation of the implementation of recommendations for regular motor rehabilitation is a means of improving the state of the psychoemotional sphere, reducing the severity of psychopathological symptoms, primarily depression and anxiety, as well as improving the quality of life in patients with PD.

References: 1. Hommel A.L., Meinders M.J., Lorenzl S. et al. (2020) The prevalence and
determinants of neuropsychiatric symptoms in late-stage parkinsonism. Mov Disord
Clin Pract (Hoboken). 7: 531–542.
2. Martinez-Martin P., Rojo-Abuín J.M., Weintraub D. et al. (2020) Factor
analysis and clustering of the movement disorder society-nonmotor rating scale. Mov
Disord. 35: 969–75.
3. Ou R., Lin J., Liu K. et al. (2021) Evolution of apathy in early Parkinson’s
disease: a 4-years prospective cohort study. Front Aging Neurosci. 12: 620762.
4. Broen M.P., Narayen N.E., Kuijf M.L., Dissanayaka N.N., Leentjens A.F.
(2016) Prevalence of anxiety in Parkinson’s disease: a systematic review and meta-
analysis. Mov Disord. 31: 1125–1133.
5. Dlay J.K., Duncan G.W., Khoo T.K. et al. (2020) Progression of
neuropsychiatric symptoms over time in an incident Parkinson’s disease cohort
(ICICLE-PD). Brain Sci. 10: 78.
6. Weintraub D., Caspell-Garcia C., Simuni T. et al. (2020) Neuropsychiatric
symptoms and cognitive abilities over the initial quinquennium of Parkinson disease.
Ann Clin Transl Neurol. 7: 449–461.
7. Scott B.M., Eisinger R.S., Burns M.R. et al. (2020) Co-occurrence of apathy
and impulse control disorders in Parkinson disease. Neurology. 95: e2769–e2780.
8. Van der Velden R.M.J., Broen M.P.G, Kuijf M.L., Leentjens A.F.G. (2018)
Frequency of mood and anxiety fluctuations in Parkinson’s disease patients with
motor fluctuations: a systematic review. Mov Disord. 33: 1521–1527.
9. Elbeddini A., To A., Tayefehchamani Y., Wen C. (2020) Potential impact
and challenges associated with Parkinson’s disease patient care amidst the COVID-
19 global pandemic. J. Clin. Mov. Disord. 7: 7.
10. Helmich R.C., Bloem B.R. (2020) The impact of the COVID-19 pandemic
on Parkinson’s disease: hidden sorrows and emerging opportunities. J. Parkinson’s
Dis. 10: 351–354.
11. Schootemeijer S., van der Kolk N.M., Bloem B.R., de Vries N.M. (2020)
Current perspectives on aerobic exercise in people with Parkinson’s Disease.
Neurotherapeutics. 17: 1418–1433.
12. Piano C. (2020) Effects of COVID-19 lockdown on movement disorders
patients with deep brain stimulation: a multicenter survey. Front. Neurol. 11: 202.
13. Salari M. (2020) Incidence of Anxiety in Parkinson’s disease during the
coronavirus disease (COVID-19) pandemic. Mov. Disord. 35: 1095–1096.
14. Shalash A. (2020) Mental health, physical activity, and quality of life in
Parkinson’s disease during COVID-19 pandemic. Mov. Disord. 35: 1097–1099.
15. Seppi K., Ray Chaudhuri K., Coelho M. et al. (2019) Update on treatments
for nonmotor symptoms of Parkinson’s disease-an evidence-based medicine review.
Mov Disord. 34: 180–198.
16. Estevao C., Fancourt D., Dazzan P. et al. (2021) Scaling-up Health-Arts
Programmes: the largest study in the world bringing arts-based mental health
interventions into a national health service. BJPsych Bull. 45: 32–39.
17. Kwok J.Y.Y., Kwan J.C.Y., Auyeung M. et al. (2019) Effects of
mindfulness yoga vs stretching and resistance training exercises on anxiety and
depression for people with Parkinson disease: a randomized clinical trial. JAMA
Neurol. 76: 755–763.
18. Wu P.L., Lee M., Huang T.T. (2017) Effectiveness of physical activity on
patients with depression and Parkinson’s disease: a systematic review. PLoS One. 12:
e0181515
19. Weintraub D., Aarsland D., Chaudhuri K.R., Dobkin R.D., Leentjens A.F.,
Rodriguez-Violante M., Schrag A. (2022) The neuropsychiatry of Parkinson's disease:
advances and challenges. Lancet Neurol. 21(1): 89-102.
20. Eichel H.V., Heine J., Wegner F., Rogozinski S., Stiel S., Groh A., Krey L.,
Höglinger G.U., Klietz M. (2022) Neuropsychiatric Symptoms in Parkinson's Disease
Patients Are Associated with Reduced Health-Related Quality of Life and Increased
Caregiver Burden. Brain Sci. 12(1): 89.

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