Здоров’я, спорт, реабілітація (Dec 2017)
Rehabilitation potential of patients with myofascial syndrome with peripheral forms of multiple sclerosis
Abstract
The aim of the study was to identify subjective-objective indicators for the distribution of patients with myofascial pain syndrome associated with multiple sclerosis into separate groups in terms of their rehabilitation potential. Material and methods. A total of 50 men and 55 women (together 105 patients) aged between 26 and 55 years who were diagnosed with multiple sclerosis in combination with myofascial pain syndrome who was verified by clinical and electromyographic examination were examined. The division into the levels of rehabilitation potential was carried out according to the VASH, Ashworth and Weiss scale, with the determination of muscle strength according to Khabirov and Potekhin, the number and periodicity of exacerbations, and electromyographic parameters: the amplitude of the M-response, the speed of the nerve impulse, the F-wave and H-reflex velocities. Results. The conducted study with registration of electrophysiological characteristics of severity and dynamics of neurological deficit development due to multiple sclerosis testify to the advisability of using rehabilitative monitoring in patients with myofascial pain syndrome in terms of their rehabilitation potential. The obtained results serve as a justification for the introduction of cryotherapy (with high potential) rehabilitation activities in practice and its combination with acupuncture stimulation (with an average potential) and complex application with stretching of the muscle antigravity group (with low potential) as an adequate method of rehabilitation of such patients. Conclusion. Recommended schemes for determining the level of rehabilitation potential with the appropriate appointment of individual or complex measures can reduce the neurological deficit in myofascial pain syndrome associated with multiple sclerosis.
Keywords
