It is known that, in vascular parkinsonism and Parkinsonʼs disease it is observed shortening of steps, bradi, oligokinesis, and also tremor disturb such kind of patients Despite, there have been developed several methods in order to differentiation, diagnostics and effective treatment maintaining to be one of the most important topics of the nowadays.

Methods of Research: In order to early and effective differential diagnostics, also to properly treat of tremor and short steps in vascular parkinsonism and Parkinsonʼs disease it is used method of tempo-rythmal correction80 patients have participated in our research and the mean age of them was 62.3 ± 4.7 years. All patients were divided into 4 group:

1^st group - patients who have vascular parkinsonism and they have received both medicamentous treatment and temporythmal correction.

In the group 2 were patients with Parkinsonʼs disease, they have also received both medicamentous treatment and temporythmal correction.

Group 3 was a group of patients with vascular parkinsonism they have received only medicamentous treatment.

4^th group of patients with Parkinsonʼs disease, they have received also only medicamentous treatment.

First of all, there is measured height, weight and body mass index. Calculated and scheduled common length of steps, amount of steps passed in 500 m and sum of spent kcal. Patients were observed during 10 days: was selected quiet music and have measured amount of steps and length of passed distance for 3 times during the 10 day. Patients walked in the morning under quiet music, on the midday under quickened and on the evening under fast rythm music. The results were recorded while there were walking.

All patients were evaluated by the Parkinsonʼs Disease Questionnaire (PDQ-39) scale.

Results: According to the results of our 10-day observations.

In 1^st group the maximal positive result according to PDQ-39 was on “vital activity” and was 2.87 ± 1.36. Patients said that they had felt easiness while dressing, bathing, eating and serving to themselves. In normal people the average length of step is 40% of the height, in the first days of tempo-rythmal correction in all patients this index was 25 or 28% and 30 or 32% on the last day of correction.

In patients of 2^nd group according to PQD-39 the maximal positive outcome was on “vital activity” and is 2.23 ± 1.16. Patients of this group said that they felt more easiness on dressing and eating. The average length of steps in patients with Parkinsonʼs disease was 21 or 23% on the first day of the temporythmic correction, and 22,24% in the last days of the temporythmal correction.

Groups 3 and 4 received only medicamentous therapy, and correction was not conducted in group patients. The PDQ-39 consisted in 3^rd group - 1.9 ± 2.16 and 4^th group - 2.03 ± 1.37.

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