[The effect of the complex rehabilitation on posture and gait in Parkinson disease].
Rehabilitation plays an important role in treatment of Parkinson's disease (PD). The influence of rehabilitation on balance and gait in PD hasn't been widely investigated. There is general agreement about positive influence of rehabilitation on postural instability and prevention of falls, but therapeutic program prevention of falls hasn't been worked out. Ambiguous results of studies indicate necessity of further investigations.


METHODS
61 patient were included (H&Y 1, 5-3) and randomly assigned to two groups with and without rehabilitation. The balance test battery included: Functional Reach Test, Balance Performance-Oriented Mobility Assessment (Tinetti), assessment on force platform of quiet standing and active standing with Rhythmic Weight Shifts Test and dynamic task (reaction time, number of hitted targets). Gait was assessed with: timed Up&Go test, 10 m walk, locomotion test and 360 degrees turn. Patients were assessed 3 times, at month intervals. Between 1 and 2 assessment, exercising group took part in 1 month complex rehabilitation, consist of the 28 therapeutic sessions.


RESULTS
The group, which took part in rehabilitation significantly improved in quiet standing with closed eyes after rehabilitation in comparison with initial status. All of the rest variables significantly improved in exercising group after rehabilitation both in comparison between evaluations and in comparison with the nonexercising group.


CONCLUSIONS
Rehabilitation significantly influences balance and gait of patients with PD.
Stozek
Joanna
J
Katedra Rehabilitacji Klinicznej, AWF, Klinika Neurologii CM UJ w Krakowie. wrstozek@cyf-kr.edu.pl
Rudzińska
Monika
M
Longawa
Krystyna
K
Szczudlik
Andrzej
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005684:Gait; D006801:Humans; D008297:Male; D008875:Middle Aged; D010300:Parkinson Disease / Q000503:physiopathology* / Q000534:rehabilitation*; D011187:Posture