Borislav R Yoshinov, Ivet B Koleva, Martine Same and Nikolay Krastev
Sofia University, Bulgaria
Medical University of Sofia, Bulgaria
Specialized Rehabilitation hospital ‘Yassen – Bankya’, Bulgaria
Campus Sante, Porte de Paris, France
Scientific Tracks Abstracts: Physiother Rehabil
Introduction: Parkinsonism (Prk) is a neurodegenerative disorder, considered as a socially important disease
with serious impact on autonomy and quality of life of patients. Primary clinical patterns include: static tremor,
muscle rigidity (muscular and articular stiffness), brady-hypo-kinesia (including hypomimia), typical Prk-posture
and Prk-gait, pulsion phenomena (antepulsio, retropulsio, lateropulsio). There is a lot of secondary autonomic and
psychic signs and symptoms, especially anxiety or depression. In advanced Prk-cases some movement problems
are observed, e.g. freezing and on-off phenomena; peek-of-dose-dyskinesias; etc. During last years we elaborated
a complex neurorehabilitation (NR) programme, adapted to dysfunctions and problems in everyday life of Prkpatients,
including physiotherapy, ergotherapy & patients‚?? education: analytic exercises for paravertebral muscles
& for extremities; soft tissue techniques for rigid muscles; balance, transfer & coordination training; grasp & gait
training; speech & mimic exercises; training in activities of daily living.
Aim: The aim of current study was to realize a clinical approval of this complex NR-programme in parkinsonics.
Material & Methods: We observed a total of 186 Prk-patients; randomized into two therapeutic groups (gr). In gr-1 we applied traditional physiotherapy; and in gr-2 - our complex NR-programme. For database management we used t-test (ANOVA) and Wilcoxon signed rank test.
Results: The comparative analysis of the results demonstrate statistically significant amelioration (most relevant in gr-2) concerning: rigidity; mobility; pain; depression; autonomy and quality of life of Prk-patients; visualized by Unified Parkinson‚??s Disease Rating Scale, Hoehn and Yahr scale; 6-Minutes Walk test, Timed Up and Go test, Balance scale and stabilometry.
Conclusion: We recommend our own NR programme.
Borislav Radoslavov Yoshinov is physiotherapist, graduated from the Medical University of Sofia. He works at the rehabilitation hospital ‘Yasen – Bankya’ – Sofia. He is studying Medicine (Medical Faculty of Sofia University, Bulgaria).
E-mail: [email protected]