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Parkinson’s disease (PD) is a chronic, progressive disease of the central nervous system, which gradually impairs functioning of the people who suffer from it. It is the second most prevalent neurodegenerative disease after the Alzheimer’s disease. PD affects both women and men. The risk of PD increases with age. Patients diagnosed with PD present with progressive difficulty in walking, speaking and in the ability to perform activities of daily living (ADL). The symptoms of PD include resting tremor of the upper limbs, postural instability and walking difficulty. Comprehensive rehabilitation is recommended in patients with PD. It improves muscle strength, the sense of balance, mobility and independence. One form of the rehabilitation is Nordic Walking training recommended by the clinician based on the initial functional assessment where indications and contraindications for exercises are established. This paper presents evidence based recommendations for classes of Nordic Walking in the rehabilitation of people with PD.
Modern physical therapy employs a wide range of methods, e.g. manual therapy, physical therapy, massage, physiotherapy, which are also successfully used in dental specialization. The main purpose of application of these methods is elimination of pain and increased muscle tone. The aim of the study was to examine the effectiveness of manual therapy in elimination of pain and increased muscle tone in patients with disorders of the stomatognathic system (SS). The study was conducted in a group of 26 women who reported SS pain and muscular rigidity in the face. Patients were diagnosed using various manual and instrumental techniques. Ten procedures of manual therapy of the masseter muscle were carried out. A VAS pain assessment was carried out after each treatment. After the treatment cycle was completed, electromyography was performed on patients’ masseter muscles, and the range of jaw abduction was assessed. Manual therapy was proven to be an effective method of pain and increased muscle tone treatment in patients with an impairment of the SS. After a series of 10 treatments total pain relief and a decrease in the muscle tone were achieved, leading to an increase in the range of mandible abduction in all 26 female patients under study.
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