КИНЕЗИТЕРАПИЈА КАЈ ПАЦИЕНТИ СО ПАРКИНСОНОВА БОЛЕСТ
KINESITHERAPY IN PATIENTS WITH PARKINSON'S DISEASE

Summary/Abstract: Parkinson's disease is a progressive neurodegenerative disease that affects the extrapyramidal system. The disease is characterized by motor and non-motor symptoms that can significantly disrupt the patient's daily life and affect the quality of life. Incidence and prevalence increase proportionally with age. Motor symptoms occur as a result of the destruction of neurons in the striatonigral regions and consequent reduction of dopamine in the corpus striatium. As a result of these pathological processes, the characteristic symptoms of Parkinson's appear. From the point of view of neurorehabilitation, it aims to reduce the progression of the disease, prevent the occurrence of additional complications and, as far as possible, ease the patient's new condition. Purpose: To monitor the influence of kinesitherapeutic agents on motor abilities in patients with Parkinson's disease. Contingent and methods: The study included 12 patients with Parkinson's disease (7 men and 5 women, mean age 64.2±3.7), II-III according to Hoehn and Yahr during a period of 1 month. 15 individual one-hour kinesitherapeutic procedures were carried out, including spinal flexibility exercises from a relaxed initial position, dynamic exercises, games and sports elements. In the preparatory part, breathing exercises with prolonged exhalation, segmental massage, relaxing procedures, manual stretching with swaying are used. The main part of the procedure aims to reduce bradykinesia by mobilizing the spine and increasing the range of motion in the joints, improving balance and gait stability through cyclical exercises. The effect of the application of kinesitherapeutic agents on movement disorders is evaluated - subjective assessment of body posture, Waltenberg test, modified brain test. Results: The study shows that applied kinesitherapy during 1 month (15 individual procedures) has a positive effect (p<0.001), reduces the rigidity of cervical muscles, improves posture and coordination of patients with Parkinson's disease. Conclusion: The implementation of kinesitherapeutic agents for a long time shows a positive effect in patients with Parkinson's disease, which leads to an impact on their motor abilities.

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