STM Article Repository

Introduction: Parkinsonism (Prk) is a neurodegenerative disorder, considered as a socially important disease with serious decline in autonomy and quality of life of patients.

Our objective during last years was to estimate the efficacy of application of different neurorehabilitation (NR) methods on independence in activities of daily living (ADL) of patients.

The GOAL of current study was to evaluate qualitatively and quantitatively the impact of physiotherapy (PT), ergotherapy (ET) and some preformed physical modalities [as Electrical Stimulations, Deep Oscillation, Magnetic field and Transcutaneous electroneurostimulation] in the complex NR of Prk.

Materials and Methods: We observed 204 Prk-patients, covering the criteria of the Unified Parkinson’s Disease Rating Scale (UPDRS); randomized into six therapeutic groups (gr). In gr-1 we applied traditional physiotherapy (control group); in gr 2 – a complex NR-programme, including physiotherapy, ergotherapy & patients’ education. In patients of next groups, we added preformed physical modalities: in gr-3 – ES for feet extensors and flexors; in gr-4 – DO; in gr-5 – MF and in gr-6 – TENS paravertebrally.

For database management we used parametrical analysis (t-test - analysis of variances ANOVA) and non-parametric distribution analysis (Wilcoxon signed rank test); performed using SPSS package. The treatment difference was considered statistically significant if the P value was < 0.05.

Results: The comparative analysis of results demonstrates statistically significant amelioration (in all experimental groups) concerning: brady-hypo-kinesia; gait stability, pulsion phenomena (especially retropulsio); Hoehn and Yahr scale; depression and anxiety. Paravertebral pain, rigidity (muscular and articular stiffness) and Prk-posture were most significantly influenced in groups with preformed physical modality. In gr-2 and gr-3 we perceived most important improvement of autonomy in different activities, Timed Up and Go test, etc.

Conclusion: We recommend our own NR programme, including physiotherapy, occupational therapy and preformed modalities; useful for the autonomy in ADL of parkinsonic patients.