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The Feasibility of Using of the Non-Medication in the Treatment of Post-Stroke Vascular Parkinsonism

O. Tondiy, O. Zavalna (Kharkiv, Ukraine)

Meeting: MDS Virtual Congress 2020

Abstract Number: 1185

Keywords: Parkinsonism, Rehabilitation, Rigidity

Category: Physical Therapy, Speech Therapy, Rehabilitation

Objective: Vascular parkinsonism is an infrequent but unpleasant complication of cerebrovascular disease, in particular brain stroke.

Background: The effect of the complex treatment with non-medication (ultratonetherapy, low-frequent variable magnetic field and balneothrapy) and basic medication on the patients having post-stroke vascular parkinsonism was investigated.

Method: 48 patients aged from 58 to 80 (16 females and 32 males) having post-stroke vascular parkinsonism were observed. All patients suffered acute cerebrovascular accident in the form of brain stroke from 14 to 60 days ago. Subcortical syndrome manifested in the form of muscular rigidity in the lower limbs (Hoehn & Yahr scale 1 – 1,5 – 2 points). Spasticity in the upper limbs is accounted for under the Ashworth Scale (1 – 2 points). The patients were divided into two groups. The first group (30 patients) received in addition their basic medication (the combination of statins, anticoagulants and antihypertensive drugs) and physiotherapy with ultratonetherapy – variable sinusoidal higth-tension (4 – 5 kV) higth-frequent (22kHertz) low-intensive current (power 1 – 10 Vatt), low-frequent variable magnetic field (frequency to 100 Hertz, magnetic induction 27mTesla) of upper and lower extremities, with taking turn each other, and balneotherapy (baths with sea salt) treatment. The ultratone exposure was 12 – 15 min. The low-frequent variable magnetic field exposure was 10 – 12 min. The complete course was 10 – 12 procedures. The second group (control, 18 patients), received only the basic medication.

Results: The muscle rigidity in the lower extremities and elements of spasticity in the upper extremities and subjective sensation of constraint extremities of the patients in the first group was reduced after 25 – 35 days of treatment (66.7% patients) compared to the control group, where muscle constraint reduced after 45 – 60 days of treatment (44.4% patients), p<0,05.

Conclusion: Our proposed complex to the treatment of post-stroke vascular parkinsonism resulted in earlier reducing of rigidity and subjective sensation of constraint extremities.

To cite this abstract in AMA style:

O. Tondiy, O. Zavalna. The Feasibility of Using of the Non-Medication in the Treatment of Post-Stroke Vascular Parkinsonism [abstract]. Mov Disord. 2020; 35 (suppl 1). https://www.mdsabstracts.org/abstract/the-feasibility-of-using-of-the-non-medication-in-the-treatment-of-post-stroke-vascular-parkinsonism/. Accessed June 15, 2025.
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