Medical and Social Expert Evaluation and RehabilitationMedical and Social Expert Evaluation and Rehabilitation1560-95372412-2092Eco-Vector3552610.17816/MSER35526Features of disablement expertise in patients with Parkinson's disease with various age of the disease onsetShindryaevaNatal'ya Nikolaevna-ZimnyakovaO S-StarovoytovaI M-LevinO S-ShindryaevaN N-ZimnyakovaO S-StarovoitovaI M-LevinO S-1506201114291121072020Copyright © 2011, Eco-Vector2011Features of determination of disablement groups in patients with Parkinson's disease with various age of the disease onset were analyzed. We examined 86 patients with PD registered at the Nizhniy Novgorod office on assistance to the patients with extrapyramidal pathology including early and late onset of the disease. Slower tempo of progressing was characteristic for the patients with early onset, and their disablement developed in later terms from the moment of the disease development than in patients with late onset. Earlier disablement of the patients with late onset of the disease depended on more rapid development of postural instability, vegetative and cognitive disturbances. Medico-social examination demands taking into account the specificity of the disease course depending on the age of its onset.Parkinson's diseasemedico-social examinationcognitive disturbancesболезнь Паркинсонамедико-социальная экспертизакогнитивные нарушения[Левин О. С., Федорова Н. В. Болезнь Паркинсона. - М., 2006.][Макаров М. А. Медицинская экспертиза в неврологии. - СПб.][Приказ Министерства здравоохранения и социального развития Российской Федерации от 22 авг. 2005 г. № 535 "Об утверждении классификаций и критериев, используемых при осуществлении медико-социальной экспертизы граждан федеральными государственными учреждениями медико-социальной экспертизы". - М., 2005.][Протокол ведения больных. Болезнь Паркинсона // Пробл. стандартиз. в здравоохр. - 2005. - № 3. - С. 74- 166.][Шток В. Н., Федорова Н. В. Болезнь Паркинсона // Экстрапирамидные расстройства / Под ред. В. Н. Шток и др. - М., 2005. - С. 87-125.][Яхно Н. Н., Хатиашвили И. Т. Паркинсонизм: клиника, диагноз и дифференциальный диагноз // Рус. мед. журн. - 2002. - № 8. - С. 418-425.][Fahn S., Elton R. Unified Parkinson's disease rating scale // Recent Developments in Parkinson's Disease / Eds S. Fahn et al. - Florham Park (N. J.), 1987. - P. 153-163, 293-304.][Gibb W. R., Lees A. J. The relevance of the Lewy body to the pathogenesis of idiopathic Parkinson's disease // J. Neurol. Neurosurg. Psychiatry. - 1988. - Vol. 51. - P. 745-752.][Hoehn M. M., Yahr H. D. Parkinsonism: onset, progression and mortality // Neurology. - 1967. - Vol. 17. - P. 427-442.][Mioshi E., Dawson K., Mitchell J. et al. The Addenbrooke's Cognitive Examination Revised (ACE-R): a brief cognitive test battery for dementia screening // Int. J. Geriatr. Psychiatry. - 2006. - Vol. 21. - P. 1078-1085.][Schwab J. F., England A. C. Projection technique for evaluating surgery in Parkinson's disease // Third Symposium on Parkinson's Disease / Eds F. H. Billingham, M. C. Donaldson. - Edinburgh, 1969. - P. 152-157.]