Neuromotorial and dance-movements therapeutics as a rehabilitation programm for patient with “Pica Disease” (Clinical case)
https://doi.org/10.25016/2782-652X-2023-0-86-33-43
Abstract
Relevance. Methods of neuromotor and dance-movement therapy, aimed at psychomotor correction of emotional, motor, and cognitive spheres of the human psyche, are relatively recently used in rehabilitation of patients of different nosological groups. Pick’s disease is a chronic and progressive disease of the central nervous system, usually occurring at the age of 50–60 years and characterized by destruction and atrophy of the cerebral cortex mainly in the frontal and temporal lobes. The prevalence in the structure of dementias is 2–5 percent.
The clinical picture of the disease is characterized by imperceptible onset and gradual progression. The average age of onset is 54 years. The average duration to death is 6 years.
At the beginning of the disease, a gradual disturbance of the emotional-volitional and behavioral sphere, as well as a decrease in criticism of his condition is characteristic of the clinic. Thus, correction of psychomotor state of patients with the help of dance-movement therapy as a non-verbal psychotherapeutic method provides an opportunity to improve the quality of life of such patients.
The purpose of this work is to test neuromotor and dance-movement therapy as a method of nonverbal psychotherapy in the rehabilitation of a patient with Pick’s disease.
Methodology. This paper describes in detail the psychological, psychomotor analysis of a patient with Pick’s disease who is in a psychiatric hospital. The psychotherapeutic work of the dance and movement therapist, based on psychological and psychomotor pre-diagnosis, is described and analyzed in detail.
The results and their analysis. Description of the motor-emotional state of the patient during dance therapy sessions is presented dynamically, relying on psychodiagnostic tools. It can be noted that the pre-morbidly high level of intelligence prolongs the process of reduction and selectivity of impairment, allowing mobilization of compensatory capacities from reserves of other brain hemispheres through a complex artistic dance expression. When local cognitive functions of the left hemisphere are disabled, compensatory processes of the right hemisphere of the brain are activated.
Conclusion. To summarize, we note that neuromotor and dance-movement therapy can be successfully used in the rehabilitation of patients with both Pick’s disease and Alzheimer’s disease. In the presence of cognitive regression of the left hemisphere, compensatory activation of the right hemisphere of the brain in dance-movement therapy can significantly improve the quality of life of such patients.
About the Authors
N. Y. OganesianRussian Federation
Natalia Yurievna Oganesian – PhD Psychol. Sci, dance movement therapist
6, Emb. Оbvodny canal, St. Petersburg, 191167
E. N. Solovyeva
Russian Federation
Emilya Nikolaevna. Solovyeva – PhD Med. Sci, neurologist
6, Emb. Оbvodny canal, St. Petersburg, 191167
E. G. Zhuraveva
Russian Federation
Evgeniya Gennadievna Zhuravleva – clinical psychologist
6, Emb. Оbvodny canal, St. Petersburg, 191167
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Review
For citations:
Oganesian N.Y., Solovyeva E.N., Zhuraveva E.G. Neuromotorial and dance-movements therapeutics as a rehabilitation programm for patient with “Pica Disease” (Clinical case). Bulletin of psychotherapy. 2023;1(86):33-43. (In Russ.) https://doi.org/10.25016/2782-652X-2023-0-86-33-43