Frontiers Journal of Neurology & Neuroscience

Neurorehabilitation In Parkinsonism: Impact Of Functional Electro Stimulations On Autonomy

Abstract

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

The GOAL of current study was to evaluate qualitatively and quantitatively the impact of functional electro stimulations (FES) in the complex neurorehabilitation (NR) programme in parkinsonics.

Material & Methods: We observed a total of 282 Prk-patients; randomized into three therapeutic groups (gr). In gr 1 we applied traditional physiotherapy; in gr 2 – a complex NR-programme, including physiotherapy, ergotherapy & patients’ education: analytic exercises for paravertebral muscles & for extremities; soft tissue techniques for rigid muscles; balance, transfer & coordination training; speech & mimic exercises; training in activities of daily living (position therapy, transfers, verticalization; grasp & gait training; self-service – bathing, eating, etc.).  In patients of gr 3 we added FES with pulses of low frequency electric currents - for feet extensors.

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.

The Comparative Analysis Of The Results: demonstrates statistically significant amelioration (most relevant in gr 2 and especially in gr3) concerning: brady-hypo-kinesia; rigidity (muscular and articular stiffness); Prk-posture; gait stability, pulsion phenomena (especially retropulsio); depression and anxiety; autonomy and quality of life of Prk-patients. In gr3 we perceived most important improvement of data of Timed Up and Go test (TUG); 6-Minutes’ Walk test (6-MWT); Unified Parkinson’s Disease Rating Scale (UPDRS), Hoehn and Yahr scale; Berg Balance scale (BBS), and stabilometry.

Conclusion: We recommend our own NR programme, including physiotherapy, occupational therapy and functional electro stimulations; useful for the autonomy in activities of daily living of parkinsonic patients.

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