Trajkova, Marija and Vasileva, Dance (2017) Neurorehabilitation of multiple sclerosis. In: 3rd Congress of the Bulgarian Society of Neurosonology and Cerebral Hemodynamics and Regional Teaching Course of the EAN, 5-8 Oct 2017, Sofia, Bulgaria.
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Abstract
Multiple sclerosis is a chronic and progressive neurological illness which is characterized with demyelization in the white mass of the brain, and with vide and variable spectrum of the neurologic signs.
The goal of the study is to follow trough the influence of the applied neurorehabilitation on a patient with chronic-progressive form of multiple sclerosis.
Sources and methods
The study is conducted on a 42 years old female patient with a chronic – progressive form of multiple sclerosis in a timeline of one month in domestic conditions. The medicament therapy prescribed by a neurologist includes corticosteroids- Methylprednisolone and Interferon beta 1a- Avaxone has been used successfully for reduction of the frequency and the weight of the relapses. Kinesitherapy is performed 3 times a week, one hour each time, moderate intensiveness of the stress, more breaks between the exercises, without getting the level of exhaustion. It is used a correct positioning in the bed and in sitting position, passive – active exercises, analytical exercises for upper and lower extremities, breathing exercises, balance and coordination exercises to sitting and standing, massage treatments. To see the effect from the therapy we use Berg balance scale and tests for transfer (changing over from occipital laying position to left/right laying position, from occipital laying position to standing position). The test” Five Times Sit -To- Stand (FTSST) is used, which is suitable for evaluating the abilities of transfer. The changes in the motor activity are monitored twice after discharging from hospital in domestic rehabilitation conditions.
Results and discussion
With the transfer tests (changing over from occipital laying position to left/right laying position, from occipital laying position to standing position) it can be seen an improvement of the speed in the reaction and the muscle force of the patient, which is due to the systematically conveyed procedures in kinesitherapy and the included exercises for getting force of the lower extremities and the abdominal muscles. The result from the test Five Times Sit -To- Stand (FTSST) is significantly improved, thanks to the improved power of the lower extremities and it is a great step towards the self sufficiency of the patient. The correct position of the thorax and the velocity of the movement are of crucial importance. With this test the coordination and consecutiveness of the movements between the thorax and the lower extremities are evaluated. The improvement of this parameter is due to the described means of kinesitherapy.
Conclusion
The neurorehabilitation is shown as an effective way to the decreasing of these symptoms through the improvement of the functional performances and the independence of the patient.
Until now there hasn`t been a suitable therapy which would stop the process of demyelization, which has brought to invalidity of patients in the years of their highest activity and productiveness. The drugs and multi-disciplinary kinesitherapy it has shown as an effective combination in decreasing the relapses, decreasing the functional disability which contributes to the improvement of the quality of life.
Keywords: exercises, kinesitherapy, medicament therapy, multiple sclerosis, neuro-rehabilitation.
| Item Type: | Conference or Workshop Item (Poster) |
|---|---|
| Uncontrolled Keywords: | exercises, kinesitherapy, medicament therapy, multiple sclerosis, neuro-rehabilitation. |
| Subjects: | Medical and Health Sciences > Clinical medicine Medical and Health Sciences > Health sciences Medical and Health Sciences > Other medical sciences |
| Divisions: | Faculty of Medical Science |
| Depositing User: | Dance Vasileva |
| Date Deposited: | 01 Nov 2017 13:21 |
| Last Modified: | 01 Nov 2017 13:21 |
| URI: | https://eprints.ugd.edu.mk/id/eprint/18334 |
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