Multiple Sclerosis: Methods of Treatment and Rehabilitation
DOI:
https://doi.org/10.29038/2220-7481-2017-02-157-163Keywords:
multiple sclerosis, treatment and rehabilitationAbstract
The specificity of multiple sclerosis (MS) is a young age patients with a variety of symptoms, the unpredictability of the disease. All these factors are the reason that the rehabilitation of patients with MS is one of the most difficult tasks of neurological rehabilitation. A wide range of symptoms in MS, the obvious way of complexity associated with his patient, and it is a disease with which we must contend daily. MS is a chronic disease of the CNS, diseases which frequency is 30–100 per 100 000 persons. However, knowledge about MS and its treatment may reduce symptoms intensity and improve the lot of their options. In recent years it is seen the increase in the number of scientific publications on effective rehabilitation of patients with MS. Rehabilitation in MS is symptomatic in nature and includes all motor dysfunction – of autonomic disorders to motor deficits. Well–conducted rehabilitation significantly reduces the effects of disease, thus increases the effects of pharmacotherapy. Regardless of the form of the disease, the result of PC is disability and reduced quality of life, making it difficult to self-service and independent functioning. Doctor’s detection of functional deficit targets and determining the therapeutic process, allows to reduce the intensity of symptoms of the disease. The work represents the chosen form of exercise methods of physiotherapy and some principles of rehabilitation strategies in the rehabilitation of patients with MS.
References
Haselkorn, J. K., Balsdon, Richer C. & Fry Welch, D. (2005). Multiple Sclerosis Council for Clinical Practice Guidelines: Overview of spasticity management in multiple sclerosis. Evidence-based management strategies for spasticity treatment in multiple sclerosis. J. Spinal Cord Med., 28, 167-199.
Petajan, J. H. & White, A. T. (1999). Recommendations for physical activity in patients with multiple sclerosis. Sports Med., 27, 179-191.
Cella, D. F., Dineen, K., Arnason, B. & etc. (1996). Validation of the functional assessment of multiple sclerosis quality of life instrument. Neurology, 47, 129-139.
Barnes, M. P., Kent, R. M., Semlyen, J. K. & McMullen, K. M. (2003). Spasticity in multiple sclerosis. Neurorehabil. Neural Repair., 17, 66-70.
Opara, J. (1998). Kompleksowa rehabilitacja chorych ze stwardnieniemrozsianym. Neurol. Neurochir. Pol., 32, 623-632.
Kwolek, A. (2003). Rehabilitacja w stwardnieniu rozsianym. W: Kwolek A. (red.): Rehabilitacja medyczna. Wydawnictwo Urban & Partner, Wrocław, 54-61.
Kwolek, A., Wieliczko, E., Szydełko, M. & etc. (2004). Zasady rehabilitacji w stwardnieniu rozsianym. Postępy Rehabil., 18, 19-21.
Dworzańska, E., Mitosek-Szewczyk, K. & Stelmasiak, Z. (2009). Zespół zmęczenia w stwardnieniu rozsianym. Neurol. Neurochir. Pol., 43, 71-76.
Heesen, C. (2007). Exercise and MS fatigue. Mult. Scler.,13 supl., 270-273.
Krawczyk, M. & Plażuk, I. (2005).Wybrane problemy w fizjoterapii chorych w przebiegu stwardnienia rozsianego. Farmakoter. Psych. Neurol. 21, 253-257.
Mauritz, K. H. (2005). Nowe elementy w rehabilitacji chorych na stwardnienie rozsiane. Farmakoter. Psych. Neurol., 21, 249-251.
Brown, T. R. & Kraft, G. H. (2005). Exercise and rehabilitation for individuals with multiple sclerosis. Phys. Med. Rehabil. Clin. N. Am., 16, 513-555.
Kowalczyk, A., Witkoś, J., Szymańska, J. & etc. (2007). Jakość życia chorych na stwardnienie rozsiane poddanych kompleksowej rehabilitacji. Ann. Acad. Med. Silesien., 61, 298-304.
Romberg, A., Virtanen, A. & Ruutiainen, J. (2005). Long-term exercise improves functional impairment but not quality of life in multiple sclerosis. J. Neurol., 252, 839-845.
Opara, J.: (2005). Klinimetria w stwardnieniu rozsianym. Farmakoter. Psych. Neurol., 21, 219-226.
Opara, J., Jaracz, K. & Brola, W. (2006). Aktualne możliwości ocenyjakości życia w stwardnieniu rozsianym. Neurol. Neurochir. Pol., 40, 336-341.
Cendrowski, W. (1966). Stwardnienie rozsiane. PZWL, Warszawa, 60-68.
Solaro, C., Brichetto, G. & Amato, M. (2004). The prevalence of pain in multiple sclerosis: A multicentre cross-sectional study. Neurology, 63, 919-921.
Huijbregts, S., Kalkers, N. & de Sonneville, S. (2004). Differences in cognitive impairment of relapsing remitting, secondary, and primary progressive MS. Neurology, 63, 335-339.
Woyciechowska, J. & Pater-Kwiatkowska, B. (1999). Stwardnienie rozsiane i jegoleczenie. Farm. Pol., 55, 17,788-793.
Krawczyk, M. & Plażuk, I. (2005). Wybrane problemy w fizjoterapii chorych w przebiegustwardnienia rozsianego. Z: II Sympozjum Polskiego Towarzystwa Rehabilitacji Neurologicznej. Kompleksowa rehabilitacja w stwardnieniu rozsianym, tom 21, zeszyt 3.
Sue Raine, Linzi Meadows, Mary Lynch-Ellerington, John Wiley & Sons. JohnWiley & Sons Bobath Concept: Theory and Clinical Practice in Neurological Rehabilitation, 232.
Janet, Carr, & Roberta Shepherd (2003). Stroke Rehabilitation: Guidelines forExercise and Training to Optimize Motor Skill. Butterworth-Heinemann, 301.
Mosman, P. L. (1976). A Problem oriented Approach to stroke Rehabilitation. Springfield, dl., Charles С Thomas, 230.
P. Shanmuga, Raju (2012). Handbook of Neurological Physical Therapy: Evidencebased Practice / P. Shanmuga Raju. JP Medical Ltd, 143.
Zavalishyn, I. A. & Barkhatova, V. P. (1997). Spastichnost [Spasticity]. Zhurnal nevropatolohi i psikhiatrii, № 3, 68-70.
Karrero, Lorentso (2013). Insult [Apoplectic attack]. Prohramma reabylytatii,M.,Meditsinskaia literatura, 160.
Reiss, A., Wolf, S., Hammel, E., McLeod, E. & Williams, E. (2012). Constraint-Induced Movement Therapy (CIMT): Current Perspectives and Future Directions. Stroke research and treatment, 159391.
Motkov, V. N. (1982). Lechebnaia fizicheskaia kultura v klinike nervnykh boleznei (1982) [Therapeuticn physical education in the clinic of nervous diseases]. 3-e izd. M: Meditsina, 224.
Opara, J. (1998). Kompleksowa rehabilitacja chorych ze stwardnieniem rozsianym. Neurol. Neurochir. Pol., 32, 623-632.
Krawczyk, M. & Plażuk, I. (2005).Wybrane problemy w fizjoterapii chorych w przebiegu stwardnienia rozsianego. Farmakoter. Psych. Neurol., 21, 253-257.
Brown, T. R. & Kraft, G. H. (2005). Exercise and rehabilitation for individuals with multiple sclerosis. Phys. Med. Rehabil. Clin. N. Am., 16, 513-555.
Opara, J. (1998). Kompleksowa rehabilitacja chorych ze stwardnieniem rozsianym. Neurol. Neurochir. Pol., 32, 623-632.
Kuczma, W., Srokowska, A., Owczarzak, M. & etc. (2007). Zastosowanie w rehabilitacji neurologicznej biologicznego sprzężenia zwrotnego podczas ćwiczeń w urządzeniu „Balance Trainer”. Balneologia Polska, 49, 79-85.
Pasek, J., Opara, J., Pasek, T. & etc. (2007). Znaczenie badań nad jakością życia w rehabilitacji. Fizjoterapia, 15, 3-8.
1.jpg)
