604495397

2008; 15(9): 644-648.

15. Stożek), Rudzińska M, Longana K, Szczudlik A. Wpływ kompleksowego programu rehabilitacji na równowagę i chód u chorych na chorobę Parkinsona. Neurol Neurochir. Polska. 2003; 5; 67-81. lć.Schenkman M, Hall DA, Baron AE, Schwartz RS. i wsp. Exercise for people in early or mid-stage Parkinson disease: A 16-month randomized controlled trial. Phys Ther. 2012; 92; 1395-1410.

17.    Morris ME, Iansek R, Matyas TA, Summers JJ. Ability to modulate walking cadence remains intact in Parkinson’s disease.) Neurol Neu-rosurg Psychiatr. 1993:57:1532-1534.

18.    Hackney M E, Earhart GM. Health-related quality of life and alternativ

ie value of the NDT-Bc Adv Clin Exp Med. 2013; 22(2): 261-272.

Nowiny Lek. 2008; 77(5): 385-391.

......A. Rehabilitacja osób z chorol

3:5:211-220.

datastore/download/broszura_cwiczenia_srodek_do_inter.pdf (dostęp 2014.01.15)

23.    Pasek J, Opara j, Pasek T, Kwiatek S, Sieroń A. Aktualne spojrzenie na

Neurol. 2010; 10(2): 94-99.    ^    ⁸

24.    Ahlskog JE. Does vigorous exercise have a neuroprotective etfect in Parkinson disease? Neurology. 2011; 77:288-294.

25.    Earhart GM. Dance as therapy for individuals with Parkinson disease. Eur j Phys Rehabil Med. 2009; 45(2): 231-238.

26.    Van Nimwegen M, Speelman AD.Smulders K, Overeem S, i wsp. Design

in Parkinson patients. BMC Neurology 2010; 10(70): 1-9.    ^Y

27.Smidt N, de Vet HCW, Bouter LM, Dekker J. Effectiveness ofexercise therapy: A best evidence summary of systematic reviews. Austr J Phy-sioth. 2005;51:71-85.

28. Malicka 1, Chamera-Bilińska D. Wpływ systematycznych ćwiczeń ruchowych na czynność mięśni kończyn dolnych u pacjentów z chorobę Parkinsona - doniesienie wstępne. Acta Biooptica InfMed. 2009; 2(15): 108-111.

Kinesitherapy in Parkinson's disease

I Abstract

Introduction. Parkinson's disease is an incurable, degenerative disease of the nervous system, leading to progressive disability, loss of independence and reduced quality of life.

Objective. The aim of this study is presentation of the most important issues concerning kinesitherapy in Parkinson’s disease.

Short description of state of knowledge. Kinesitherapy is an inseparable part of the treatment and plays a very important role in the process of increasing efficiency and adaptation of the patient to live with the disease. Exercises not only have a significant impact on the common symptoms in the course of the disease, but also on the generał State of health. The course of the disease is different in each patient; therefore, an individual selection of therapy is important. It depends on motor and non-motor symptoms, and the generał State of health. Exercises recommended in patients with Parkinson's disease are: breathing exercises, gait learning, strengthening, coordination, relaxation exercises, musie therapy, dancing and movement games. Regular exercises, patient's active involvement and the implementation of an exercise programme in the home environment is a prerequisite for the effectiveness of kinesitherapy.

Summary. Kinesitherapy plays an important role in the process of increasing the efficiency of a patient, preventing disability and maintaining independence and good quality of life as long as possible.

I Key words

Parkinson's disease, kinesitherapy, central nervous system, motor disorders