Monitoring of the Parameters of the Quality of Life in Patients with Multiple Sclerosis with Miofascial Pain Syndrome in Implementation of Physical Rehabilitation Program

Abstract

The Topicality of the Research. Multiple sclerosis is accompanied by significant deviations in the psycho-emotional, spiritual and social spheres. Cryotherapy is a new effective method that is used in programs for patients with myofascial pain syndrome. This publication presents the results of the study of the quality of life of patients with multiple sclerosis before and in different periods after local and complex cryotherapy, as well as a description of responses associated with quality of life after combined physical rehabilitation. The aIm of the Research: to substantiate the inclusion of cryotherapy in the basic programs of physical rehabilitation for patients with multiple sclerosis complicated by myofascial pain syndrome.The methods of the Research. The research included 105 patients at age 25–54 years with a verified diagnosis of multiple sclerosis complicated by myofascial pain syndrome. The general questionnaire SF-36 was used to assess the quality of life. Theresults of the Research. It was determined that the quality of life of patients with multiple sclerosis prior to implementation of physical rehabilitation program is significantly reduced by most scales of physical, mental and social functioning; the profile of quality of life of patients is characterized by compression and deformation. Carrying out of the cryotherapy with acupuncture is accompanied by a marked improvement in the quality of life of patients with multiple sclerosis. The answers are related to the quality of life, in the form of improvement or stabilization, recorded in most patients with complicated by myofascial pain syndrome after complex cryotherapy: in 96% of patients after combined physical rehabilitation and in 87 % of patients after local cryotherapy.The Conclusions. A profile of the quality of life of patients with multiple sclerosis indicates its compression and deformity, which is due to a significant decrease in the indicators that characterize the physical, mental and social scale of functioning. Monitoring of such patients in the long term after the implementation of the author’s program on physical rehabilitation indicates a stabilization of quality of life, which manifests itself as a marked improvement in the profile in 96% of patients after complex and in 87 % of patients after local procedures.