INCREASING FUNCTIONALITY AND QUALITY OF LIFE THROUGH MEDICAL REHABILITATION IN PATIENTS WITH PARKINSON’S DISEASE
Parkinson’s disease is a neurodegenerative disorder of the extrapyramidal nervous system, due to the destruction of pigmented dopaminergic neurons, particularly in the substantia nigra of the brainstem. The age range at which this symptomatology most frequently occurs is between 50 and 70 years. In Romania, incidence is 4000-5000 new cases per year, with a prevalence of 30,000-50,000 cases for the whole country. There are three major clinical symptoms: rest tremor, extrapyramidal rigidity, akinesia. Physical-kinetic treatment is extremely important, helping patients to maintain their professional and extraprofessional activities for as long as possible, improving walking disorders, hypokinesia and the flexion tendency, while being supported by adequate psychotherapy. The work techniques should be chosen depending on the clinical form and the severity of the functional deficit, as well as on the individual peculiarities of each patient.The whole medical rehabilitation program should be carried out in a peaceful, relaxing environment, taking into consideration the quality not the quantity of the exercises, while a decisive role is played by the family, which must continuously encourage and support the patient.