Rehabilitation treatment to improve motor disability in patients with multiple sclerosis
Keywords:
nervous system disease, postural balance, multiple sclerosis, gait.Abstract
Introduction: Multiple sclerosis is a complex, autoimmune, demyelinating disease. In the sick person there are symptoms that limit the functional state, 75 % present loss of balance and gait disorders that condition an increase in the number of falls with the consequent complications that this generates for the general state of health.
Objective: To evaluate the results of a physiotherapeutic intervention to improve motor disability in patients with multiple sclerosis.
Methods: Applied research was carried out, which had a descriptive design. The universe was made up of 21 patients with a confirmed diagnosis of multiple sclerosis. A physiotherapy intervention was applied over a period of 10 months that included balance and gait as variables. The Wilcoxon signed rank test was used to compare the results of the pretest and posttest in relation to balance, step length and amplitude; as well as Cohen's d test to determine the effect size.
Results: Average age of 43.56 years (standard deviation of 15.44), predominance of the female sex (52.38%) and duration of the disease between 3 and 6 years (57.14%). During the pretest, patients with deficient muscle strength predominated (47.62%) and the average step length was 51.7 cm and amplitude was 23.4 cm. During the posttest all indicators improved.
Conclusions: The physiotherapeutic intervention applied in patients with multiple sclerosis improved balance and gait-related elements.
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References
2. Bienzobas Asensio A. Beneficios del ejercicio físico en personas que padecen esclerosis múltiple: propuesta de un programa específico de 12 semanas. País Vasco. [Tesis de grado]. España: Universidad del del País Vasco; 2022. [acceso: 24/06/2023]. Disponible en: https://addi.ehu.es/handle/10810/60835
3. Iridoy Zulet M, Pulido Fontes L, Ayuso Blanco T, Lacruz Bescos F, Mendioroz Iriarte M. Modificaciones epigenéticas en neurología: alteraciones en la metilación del ADN en la esclerosis múltiple. Neurología. 2017 [acceso: 28/06/2023];32(7):463-8. Disponible en: https://www.sciencedirect.com/science/article/pii/S0213485315000638
4. Bermúdez Galindo B. La terapia acuática como tratamiento fisioterápico en la esclerosis múltiple. V N Punto. 2022 [acceso: 25/06/2023]; V(50):100-27. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=8484338
5. Moreno Verdú M, Ferreira Sánchez M R, Cano de la Cuerda R, Jiménez Antona C. Eficacia de la realidad virtual sobre el equilibrio y la marcha en esclerosis múltiple. Revisión sistemática de ensayos controlados aleatorizados. Revista de Neurología. 2019 [acceso: 27/06/2023]; 68(9):357-68. Disponible en: https://medes.com/publication/142639
6. Cárdenas Martínez M, Torres Parejo M, Mendoza Laiz N. Valoración del uso de las nuevas tecnologías en personas con esclerosis múltiple. Revista Española de Discapacidad. 2019 [acceso: 26/06/2023]; 6(II):149-71. Disponible en: http://riberdis.cedid.es/handle/11181/5586
7. Kim M, Kaneko F. Virtual reality-based gait rehabilitation intervention for stroke individuals: a scoping review Journal of Exercise Rehabilitation. 2023 [acceso: 27/06/2023]; 19(2):95-104. Disponible en: https://www.e-jer.org/journal/view.php?number=2013600983
8. Martínez JDV, Tuesca JJM, Clason ER. Bloqueo del canal de los aductores por vía suprapatelar ecoguiado, control de dolor y evaluación de la fuerza muscular en pacientes sometidos a cirugía de rodilla en una institución de la ciudad de Sincelejo en el primer semestre de 2022. Archivos de medicina. 2022 [acceso: 27/06/2023];18(6):5. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=8540254
9. Nackachima MA, Souza ML, Scheicher ME. Determinação de valores de referência para os testes Escala de Equilíbrio de Berg e Velocidade de Marcha em idosos institucionalizados. Revista Kairós-Gerontologia. 2022 [acceso: 24/06/2023];23(3):241-52. Disponible en: https://revistas.pucsp.br/kairos/article/view/52811
10. Guadamuz Delgado J, Miranda Saavedra M, Mora Miranda N. Actualización sobre neuroplasticidad cerebral. Revista Médica Sinergia. 2022 [acceso: 23/06/2023];7(6):e:829. Disponible en: https://www.medigraphic.com/pdfs/sinergia/rms-2022/rms226g.pdf
11. Nackachima MA, Souza ML, Scheicher ME. Determinação de valores de referência para os testes Escala de Equilíbrio de Berg e Velocidade de Marcha em idosos institucionalizados. Kairós-Gerontologia. 2020 [acceso: 22/06/2023];23(3):241-52. Disponible en: https://revistas.pucsp.br/index.php/kairos/article/view/52811
12. Luque-Moreno C, Garvey-Canivell G, Cano-Bravo F. Análisis y reeducación del equilibrio y la marcha en paciente con esclerosis múltiple. Revista Científica de la Sociedad Española de Enfermería Neurológica. 2018 [acceso: 25/06/2023];48:28-31. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S2013524618300138#preview-section-snippets
13. Muiño Souto N. Eficacia de la electroestimulación craneal no invasiva sobre la calidad de vida en relación con el equilibrio y la marcha en pacientes con esclerosis múltiple. [Tesis de posgrado]. Cordova: Universidad de Córdova; 2021. [acceso: 25/06/2023]. Disponible en: https://ruc.udc.es/dspace/bitstream/handle/2183/28885/Mui%c3%b1oSouto_-Natalia_TFG_2021.pdf?sequence=2&isAllowed=y
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