[Rehabilitation's possibility of the patients with severe Parkinson's disease].

Abstract

Objective: The application of the individual rehabilitating approach by hypokinesia and lack of physical activity in severe Parkinson's disease patient.

Material and methods: In the study were 43 patients with Parkinson's disease (17 men and 26 women; at the age 68.39±7.18 years) with 3-4 stage Hoehn and Yahr included. The physical state was previously defined. 10 individual complex lessons with the power exercises, the transfer training with external cueing, flexibility, balance-therapy, preparation of somatoreception to walking and the walking were in patient's stage with walking speed evaluation after the therapy conducted.

Results: Before the treatment 25 (58%) persons could not the test «6 minutes walking» perform, the time of the test «Up and Go» was lengthened and the grip strength was decreased, moreover in women the grip strength was less critical level. After the treatment the all patients participated in the test «6 minutes walking». Walking distance increased by 32.17 meter; p<0.01.

The conclusion: The individual complex rehabilitation in patient stage's approach in severe Parkinson's disease patient let improve the walking.