[Rehabilitation of disturbances of walking in parkinsonian patients].

Disturbances of walking is one of the most significant presentations of Parkinson's disease that frequently determine patient's status and quality of life. In Parkinson's disease (PD, which is the most frequent nosological form of parkinsonism (up to 80% of cases), disturbances of walking are related to dopaminergic mechanisms , e.g., hypokinesia and rigidity, and only partly respond to standard antiparkinsonian drugs. In less frequent vascular parkinsonism (VP), disturbances of walking develop early and do not respond to dopaminergic drugs. Therefore, the elaboration of non-pharmacological methods of treatment is urgent. Patients with PD and VP are characterized by shorter step length with the increase in the variability of length. The preliminary determination of the individual optimal frequency of sound waves provides the higher effectiveness of treatment. Audio stimulation using portable audio/sound reproduction devices is available in outpatient clinics and is able to maintain the achieved positive effect.