Rehabilitation of gait using the method of tempo-rhythmic correction in patients with Parkinson's disease and vascular Parkinsonism

The authors have elaborated a method of tempo-rhythmic correction of gait based on synchronizing the step of patients with tempo of exogenic sound stimulation. This method has allowed to improve gait without increase of the levadopa dose that is important for prevention of complications caused by that medication. Taking into account a need of the objective estimation of walking for using this method and for solving diagnostic and expertise problems, an original soft-hardware-control led complex "Dorozhka", which allows to analyze the length of each step and provides the dynamic observation of patients for choosing and estimation of medication and non-medication treatment, has been created. With a help of this complex, healthy controls of different age and patients with Parkinson's disease and vascular Parkinsonism have been observed. Using step variability factor, statistically significant difference was found between the groups studied. The use of the soft-hardware-control led complex "Dorozhka" confirmed efficiency of tempo-rhythmic correction of gait in rehabilitation of patients with Parkinson's disease and vascular parkinsonism.