Saratov JOURNAL of Medical and Scientific Research

Chupina L.P.

State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency, Neurologist

Rehabilitation of walking disorders with a freezing in patients Parkinson disease: methods of outpatient correction

Year: 2013, volume 9 Issue: №4 Pages: 923-927
Heading: rehabilitative medicine Article type: Original article
Authors: Krivonos О.V., Smolentseva I.G., Amosova N.A., Gubaydullina R.F., Karpova О.V., Chupina L. P.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

The study aimed the effectiveness of rehabilitation approaches for patients with Parkinson disease with a freezing at an outpatient condition. Material and methods. The study included 26 patients with Parkinson disease (14 men and 12 women), average age was 54.1± 9.5 years, average disease duration — 7.8± 3.1 years, the stage of the disease by Hoehn and Yahr scale — 3, 1±0.8. The control group included 15 patients with Parkinson disease (9 men and 6 women), matched in age, duration and severity. All patients have got a stable antiparkinsonian therapy before and during the study. The experiment had been performed for 6 months. The rehabilitation program consisted of 10 sessions. In rehabilitation program there had been used a sensor treadmill and Nordic walking. Patients had been kept training the Nordic walking at home through the course of the study. The results show the effectiveness of rehabilitation for reducing the severity of a freezing, increasing the speed of walking, the increased of the length step, decreased the time for turning compared to the control group. The effect had been supported by home rehabilitation training for 3 and 6 months after the study. Besides, patients from the main group did not need the change of the antiparkinsonian therapy after the study comparing with the control group.

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Principles of dispensary observation of patients with Parkinson's disease in a specialized clinical diagnostic room

Year: 2013, volume 9 Issue: №4 Pages: 869-873
Heading: Neurology Article type: Original article
Authors: Krivonos О.V., Smolentseva I.G., Amosova N.A., Chupina L.P.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

Aim: to develop and implement of the order of the dispensary observation of Parkinson's disease patients. Material and methods, the dispensary observation of Parkinson's disease patients had been performed by neurologist and diagnostic room (CDR) based on the outpatient department of health care institutions obeyed by FMBA of Russia in six Closed Administrative-Territorial Units: Seversk, Zarechniy, Ozersk, Lesnoy, Sarov and Zheleznogorsk. Neurologist examined of patients and put data to the Register's database. Register's database had 588 Parkinson's disease examined patients, 112 of them (19,1%) had stage II of the disease by Hoehn and Yahr, 231 (39,3%) patients — stage III by Hoehn and Yahr, 187 (31,8%) patients — stage IV byHoehn and Yahr, 58 (9,9%) patients — stage V by Hoehn and Yahr. The duration of the dispensary observation of Parkinson's disease patients was 4 years (2009-2012). Results. There are and implement the order of the observed and accounting of adult's group of Parkinson's disease patients were developed, who are registered in the clinical and diagnostic rooms, including the frequency of physician's visits, the list of diagnostic and treatment activities and efficiency endpoint of the dispensary observation. Conclusion. Implementation of the order of the dispensary observation according to the Register allowed to identify the main disabling PD's symptoms (depression, dementia, motor fluctuations and dyskinesia) and timely correction of therapy.

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