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Volume 08
Journal of Alzheimers Disease & Parkinsonism
Parkinsons Congress 2018
May 14-15, 2018
May 14-15, 2018 Singapore
4
th
Global Experts Meeting on
Parkinson’s & Movement Disorders
Effective diagnostic and treatment methods in vascular parkinsonism and parkinson’s disease:
Temporhythmal correction
Dilshoda Akramova, Rakhimbaeva G S, Azizova R B
Tashkent Medical Academy, Uzbekistan
Background:
It is known that, in vascular parkinsonism and parkinson’s disease it is observed shortening of steps, bradi,
oligokinesis and tremor disturb such kind of patients. Despite, there have been developed several methods to differentiation,
diagnostics and effective treatment maintaining to be one of the most important topics of the nowadays.
Method:
For early and effective differential diagnostics, also to properly treat of tremor and short steps in vascular parkinsonism
and parkinson’s disease, temporhythmal correction was used. 80 patients have participated in our research and the mean age
of them was 62.3±4.7 years. All patients were divided into 4 groups. Group-1 of patients who have vascular parkinsonism
and they have received both medicamentous treatment and temporhythmal correction. In the group-2 were patients with
parkinson’s disease, they have also received both medicamentous treatment and temporythmal correction. Group-3 was a
group of patients with vascular parkinsonism, they have received only medicamentous treatment. Group-4 of patients with
parkinson’s disease, they have received only medicamentous treatment. First, there is measured height, weight and body mass
index. Calculated and scheduled common length of steps, number of steps passed in 500 m and sum of spent kcal. Patients
were observed for 10 days was selected quiet music and have measured number of steps and length of passed distance for
3 times during the 10 days. Patients walked in the morning under quiet music, on the midday under quickened and on the
evening under fast rhythm music.
Result:
The results were recordedwhile there were walking. All patients were evaluated by the Parkinson’s DiseaseQuestionnaire
(PDQ-39) scale. According to the results of our 10-day observations; in group-1, the maximal positive result according to
PDQ-39 was on vital activity and was 2.87±1.36. Patients said that they had felt easiness while dressing, bathing, eating and
serving to themselves. In normal people the average length of step is 40% of the height, in the first days of tempo-rhythmal
correction in all patients this index was 25 or 28% and 30 or 32% on the last day of correction. In patients of group-2 according
to PQD-39 the maximal positive outcome was on vital activity and is 2.23±1.16. Patients of this group said that they felt more
easiness on dressing and eating. The average length of steps in patients with parkinson’s disease was 21 or 23% on the first day
of the temporhythmic correction, and 22.24% in the last days of the temporhythmal correction. Groups 3 and 4 received only
medicamentous therapy, and correction was not conducted in group patients. The PDQ-39 consisted in group-3: 1.9±2.16 and
group-4: 2.03±1.37.
Conclusion:
In conclusion, we can say that temporhythmal correction is method of treatment and rehabilitation, which is
effective in each type of vascular parkinsonism and parkinson’s disease also in economical aspect that patient can use both in
the hospital and in the home. The average length of steps in parkinson’s disease is shorter than in the vascular parkinsonism.
Temporal correction is an effective and cost-effective method of differential diagnosis of vascular parkinsonism and parkinson’s
disease.
dilshoda-akramova@mail.ruJ Alzheimers Dis Parkinsonism 2018, Volume 8
DOI: 10.4172/2161-0460-C2-040