METHOD FOR ASSESSING WALKING DISORDERS IN PATIENTS WITH CEREBRAL MICROANGIOPATHY (SMALL VESSEL DISEASE) Russian patent published in 2020 - IPC A61B5/11 A61B5/103 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to neurology, and can be used in assessing degree of walking disorders in patients with cerebral microangiopathy. That is ensured by clinical assessment of the symptoms. Besides, it is performed during normal walking, at the same time the patient passes his usual step 4–5 meters forward and with turning back, and in complicated samples – tandem and phalanx walking, when the patient also passes 4–5 meters forward, makes a turn and back. If observing the presence of instability when performing the complicated samples, and in the process of normal walking the length of the step corresponds to the norm, the pace of walking, its rhythm also correspond to the norm, the support base also corresponds to the normal values in the standing position, as well as in the patient there is no phenomenon of "sticking" of legs when walking, there are no difficulties when turning, there is no disturbed walking, there is no posture, and there are no propulsions, diagnosing the first mild degree of walking disorder in a patient with cerebral microangiopathy. If during normal walking there is a shortening of the length of the step, a slowing down of the rate, as well as the presence of instability when performing the complicated tests, wherein the rhythm and base of the support correspond to the norm, as well as the phenomenon of foot adhesion in walking, difficulty in turning, disruption of walking initiation, posture and propulsion changes, a second moderate degree of walking disturbance in the patient suffering cerebral microangiopathy is diagnosed. In case, when performing normal walking, there is a shortening of the length of the pitch relative to the norm, i.e. one foot of one foot is moved closer to the toe of the other foot, difficulties in turning, turning in more than 2-3 steps, but with retention of walking without support, slowing down the rate relative to the norm, the presence of an increase in the base of the support relative to the norm, as well as the presence of rhythm disturbance in the form of the absence of uniformity of steps and speed of movement with the presence of stops and fading, there are "adhesion" of the feet to the floor during walking and instability during flanking and tandem walking, wherein there is no posture change, disturbed walking and propulsion initiation, diagnosing a third expressed frontal-cerebellar type in a patient with cerebral microangiopathy. In case, when performing normal walking there is shortening of length of pitch relative to normal, presence of difficulties during turns, turning in more than 2-3 steps, presence of rate deceleration relative to norm, presence of support base reduction in standing position relative to norm, presence of rhythm disturbance in the form of absence of uniformity of steps and speed of movement with presence of stops and fades, as well as "adhesion" of legs to the floor during walking and instability in flanking and tandem walking, presence of disturbed initiation of walking in form of obstruction of walking, presence of change of posture in the form of impossibility to keep straightened back during walking and in standing position, accompanied by inclination forward, and presence of propulsions, wherein walking without support is maintained, a third expressed degree of frontal-subcortical type is diagnosed in a patient with cerebral microangiopathy. In case, when doing the usual walking, there is a need for one- or two-sided support, wherein the step length is reduced relative to the norm, presence of difficulties during turns, turning in more than 2-3 steps, presence of slowing down the rate relative to the norm, presence of rhythm disturbance of uniformity of steps and speed of movement with availability of stops and fading, and in the frontal-subcortical type reducing the support base in the standing position relative to the norm, and in the frontal-cerebellar type, increasing the support base relative to the standard, in the complicated flank and tandem walking tests presence of instability, presence of the phenomenon of foot sticking when walking, disturbed walking initiation – difficulty of beginning walking, there is a posture disorder, there are propulsions, a fourth rough degree of walking disorder in a patient with cerebral microangiopathy is diagnosed.

EFFECT: method provides a reliable assessment of the degree of walking disturbance in the patients with the given pathology within the medical technique without using additional instrumental methods of examination.

1 cl, 5 ex