Issue: 2018, Vol. 23, No. 4
WALKING PATHOLOGICAL STEREOTYPE CORRECTION IN PARKINSON DISEASE
- walking correction, foot back push stimulation, Parkinson disease.
- Objective – to estimate the effectiveness of a new technique for walking correction which is based upon foot back push stimulation in patients with Parkinson disease. Material and methods. 24 patients with predominantly mixed form of Parkinson disease with walking disorders were enrolled in the study. The correction of walking pathological stereotype was performed by the new technique which was based upon foot back push stimulation, by the course of 10-15 individual trainings (duration of each was amounting to 20–30 min). The patients were examined before and after the correction course. Walking kinematic parameters were estimated by laser apparatus “Induction analyzer of walking kinematic parameters ЛА-1”, motion deficiency – according to the III part of UPDRS, equilibrium – by posturegraphy complex «MBN Stabilo» and «BergBalanceScale» (BBS), fall risk – by «DynamicGateIndex» scale (DGI). Results. After the training course statistically significant improvement of basic kinematic walking indices was found as follows: step length increase – from 0,46 [0,39; 0,55] to 0,54 [0,48; 0,62] m (p < 0,001), average walking speed – from 0,68 [0,55; 0,88] to 0,88 [0,69; 1,02] m/sec (p < 0,001), positive dynamics of motion disorders was marked (by UPDRS) – from 36 [23; 52] to 25 [11; 40] points (p < 0,001); fall risk (by DGI) – from 19 [15; 20] to 23 [20; 23] points (p<0,001), dynamic equilibrium improvement (by BBS) – from 44 [40; 47] to 49 [46; 52] points (p < 0,001). Conclusions: 1. The completion of walking correction course by the developed technique for foot back push stimulation in patients with I-II stages of Parkinson disease provided the improvement of some kinetic walking indices such as the increase of step length at the average to 10 sm and average walking speed to 0,20 m/sec; the improvement of dynamic equilibrium function and decrease of fall risk. 2. This course did not result in the improvement of static equilibrium function because in Parkinson disease the latter was disturbed to rather small degree.