Background: The aim of this work was to investigate the efficacy of transcranial magnetic stimulation versus electrical galvanic vestibular stimulation on balance in geriatrics parkinsonian patients.Subjects and Methods: sixty geriatrics Parkinsonism male patients represent the sample of this study. The patients' ages ranged from 60 to 70 years with a mean value of 65.983 ± 2.76 years. They were assigned randomly into three equal groups; the study group one (G1) and the study group two (G2) and the control group (G3). The control group G3 treated by selected therapeutic physical exercise program. The study group G1 treated by the same program of treatment as the control group in addition to Transcranial magnetic stimulation TMS. The study group (G2) treated by the same program of treatment as G3 in addition to galvanic vestibular stimulation (GVS). The duration of treatment was three months, three times per week. The different aspects of dynamic balance (overall stability, anteroposterior stability and mediolateral stability indices) were assessed pre and post treatment objectively by Biodex balance system and clinically by Short Form of Berg Balance Scale (SFBBS) in all groups.Results: Comparison of each variable pre and post treatment in each group revealed a significant improvement in all different parameters in study groups (G1 & G2) P < 0.05; however the control group showed a significant improvement only in anteroposterior stability index. Conclusion:Transcranial magnetic stimulation and GVS have significant effect on treatment of balance disorders in geriatrics Parkinsonism patients.

Background: Gait abnormality is one of the most common impairments after stroke. Pelvic control exercises may affect gait and pelvic asymmetry in stroke patients. Aim of Study:To determine the effect of pelvic control exercises on pelvic asymmetry and gait in stroke patients.Patients and Methods: Thirty male ischemic stroke patients represented the study. Their age ranged from 45 to 60 years. The patients were assigned into two equal groups; control group (GA) treated by selected physical therapy program and study group while (GB) treated by the same program in addition to pelvic control exercises. The spatiotemporal gait parameters were assessed by Biodex gait trainer 2TM system. Sagittal pelvic tilt angles were measured by Palmation meter (PALM) inclinometer from standing position.Results: Post-treatment there were a significant improvement in all measured variables except the average step length of the non-affected side in both groups. Comparison between both groups revealed a significant decrease of the anterior pelvic tilting angles on both sides, the average step length of the affected side and the percent of time spent on the non affected foot with significant increase of the percent of time spent on the affected foot in favor to (GII) (p<0.05). No significant difference of the average walking speed and average step length of the non affected side was detected between both groups. Conclusion:Pelvic control exercises have a positive effect on the pelvic asymmetry and consequently on gait performance in stroke patients.

No abstract

No abstract