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Parkinsonism (Prk) is a neurodegenerative disorder, considered as a socially important disease with serious decline in autonomy and quality of life of patients. Objective: During last years, we estimated the efficacy of application of different physical modalities and neurorehabilitation methods on independence in activities of daily living and on quality of life of these patients. The GOAL of current study was to evaluate qualitatively and quantitatively the impact of some preformed physical modalities [as Electrical Stimulations (ES) and Deep Oscillation (DO)] in the complex neurorehabilitation (NR) program in Prk-patients. Materials & Methods: We observed 170 Prk-patients, covering the criteria of the Unified Parkinson’s Disease Rating Scale (UPDRS); randomized into five 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-electrical stimulations (ES) for feet extensors and flexors; in gr-4-Deep Oscillation (DO) paravertebrally; in gr-5-ES and DO. 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: Results demonstrate statistically significant amelioration (in all experimental groups) concerning: brady-hypo-kinesia; gaitstability, pulsionphenomena (especially retropulsio); Hoehn and Yahr scale; Depression and Anxiety. Paravertebral pain, Rigidity (muscular and articular stiffness) and Prk-posture were most significantly influenced in gr-4 and gr-5. In gr-3 and gr-5 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, ES and DO; useful for the autonomy in activities of daily living of Parkinsonic patients.

Neurorehabilitation Algorithms In Parkinsonism: Impact Of Electrical Stimulations And Deep Oscillation On Autonomy And Quality Of Life