Objective: It is known that, in vascular parkinsonism (VP) and Parkinson’s disease (PD) it is observed shortening of steps, bradikinesia, oligokinesia, gait disorders and also tremor disturb such kind of patients.

Background: Despite, there have been developed several methods in order to differentiation, diagnostics and effective treatment maintaining to be one of the most important.

Method: In order to early and effective differential diagnostics, also to properly treat of tremor and short steps in VP and PD it is used method of tempo-rythmal correction (TRC).
98 patients have participated in our research and the mean age of them was 62.3 ± 4.7 years. 
1^st group –  28 patients who have VP and they have received both  medicamentous treatment and TRC.
In the group 2 were 24 patients with PD, they have also received  both medicamentous treatment and TRC.
Patients were observed during 12 days: was selected quiet music and have measured amount of steps and length of passed distance for 5 times during the 12 day. Patients walked in the morning under quiet music, on the midday under quickened and on the evening under fast rhythm music. The results were recorded while there were walking. 
All patients were evaluated by the Parkinson’s Disease Questionnaire (PDQ-39) scale.

Results: According to the results of our 12-day observations.
In 1^st group the maximal positive result according to PDQ-39 was on “vital activity” and was 2.56 ± 1.12. Patients said that they had felt easiness while dressing, bathing, eating, walking, running and serving to themselves.
In normal people the average length of step is 40% of the height, in the first days of TRC in all patients this index was 25 or 28% and 33.4 or 36.56% on the 12 th day of TRC.
In patients of 2^nd group according to PQD-39 the maximal positive outcome was on “vital activity” and is 2.98 ± 1.32. Patients of this group said that they felt more easiness on dressing and eating, bathing. The average length of steps in patients with PD was 20 or 24% on the first day of the TRC, and  24,26% in the last days of the TRC.

Conclusion: In conclusion, we can say that TRC is method of treatment and rehabilitation, which is effective in each type of VP and PD also in economical aspect that patient can use both in the hospital and in the home.
The average length of steps in PD is more shorter than in the VP. TRC is an effective and cost-effective method of differential diagnosis of VP and PD.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/temporhythmal-correction-the-new-way-of-therapy-and-diagnostic-secondary-vascular-parkinsonism/