Vol. 12 No. 1 (2020): Archives of Public Health
Clinical Science

Latest findings for rehabilitation of patients with Parkinson's disease

Valenitina Koevska
Institute of Physical Medicine and Rehabilitation; Medical Faculty, Skopje, Republic of North Macedonia
Biljana Mitrevska
Institute of Physical Medicine and Rehabilitation, Medical Faculty, Skopje, Republic of North Macedonia
Erieta Nikolic-Dimitrova
Institute of Physical Medicine and Rehabilitation, Medical Faculty, Skopje, Republic of North Macedonia
Dragana Petrovska-Cvetkovska
University Clinic of Neurology, Medical Faculty, Skopje, Republic of North Macedonia

Published 2020-02-17


  • Parkinson's disease,
  • physical therapy,
  • rehabilitation

How to Cite

Koevska V, Mitrevska B, Nikolic-Dimitrova E, Petrovska-Cvetkovska D. Latest findings for rehabilitation of patients with Parkinson’s disease. Arch Pub Health [Internet]. 2020 Feb. 17 [cited 2021 Oct. 16];12(1):14-22. Available from: https://id-press.eu/aph/article/view/4468


Parkinson's disease is one of the most common neurodegenerative diseases. Given the progressive course and numerous motor and motor symptoms, this disorder can significantly affect person's functional status, quality of life, and disability.

Possibility of treatment and prevention of parkinsonism varies depending on the type of Parkinson's disease. Medication, physical therapy and surgical treatment are used. Effective pharmacologic therapy includes comprehensive physical therapy and rehabilitation, starting at the time of diagnosis. It can prevent and treat complications, slow the progression of symptoms, and enhance adaptation to the newly acquired condition. It is necessary to stimulate mechanisms of compensation and neuroplasticity. Experiences show that kinesiotherapy and physical agents are effective in the treatment of pain, walking disorders, postural instability and risk of falls. There are also alternative techniques such as yoga, tai chi, acupuncture, dance therapy, music therapy that have a positive impact on the disease. The efficacy of neurofeedback, art therapy in improving and maintaining cognitive functions has been demonstrated. Occupational therapy is of great importance for empowering the patient with activities of daily living, especially for self-care. Education and support from family and carers, as well as home and workplace adaptation, play an important role in rehabilitation. Rehabilitation and physical therapy for this disease is carried out systematically and for a lifetime. A multidisciplinary approach in treating patients with Parkinson's disease enables the maintenance of quality of life.


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