Tag: Justyna Redlicka

Trening aerobowy poprawia funkcje poznawcze i funkcjonalne u pacjentów z depresją w stwardnieniu rozsianym. Badanie pilotażowe na podstawie studium przypadku

Marta Niwald, Justyna Redlicka, Elżbieta Miller

M. Niwald, J. Redlicka, E. Miller – Aerobic training enhances cognition and functional status in depressive multiple sclerosis patients. A case-control study-pilot study. Fizjoterapia Polska 2018; 18(2); 96-102

Abstract

Background: The objectives of this study were to assess the effects of aerobic training (AT) on depression, cognition and functional status in 2 groups of multiple sclerosis (MS) patients: with depression syndrome (MS-D) and without depression (MS).
Objectives: a sample of 31 individuals with MS and 28 MS-D performed 30 minutes of AT using lower-extremity ergometer 3×10 min each day, with a 60-minute break for 6 weeks. Both groups were matched for the age and sex.
Material and methods: all examined parameters were assessed before and after AT series with use of Montreal Cognitive Assessment (MoCA), the Beck Depression Inventory (BDI), Activities of Daily Living (ADL) scale and the Expanded Disability Status Scale (EDSS). We analyzed the drop-out rate as a measure of feasibility.
Results: In both groups, the AT session induced a significant improvement in reducing depression (BDI) and cognition impairment (MoCA). However, the changes observed in MS-D patients were significantly greater than those observed in MS patients, especially in BDI and MoCA. There were no statistically significant correlations of EDSS, MOCCA, BDI, ADL, age or gender.
Conclusions: AT appears to be an effective and simple tool for improving cognition and functional status in patients with MS. This study indicates that aerobic training is feasible and could be beneficial for patients with progressive MS.

Key words:
Aerobic training, Multiple Sclerosis (MS), cognition, depression

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Analysis of the effect of comprehensive rehabilitation with stabilometric platform on body balance in patients with multiple sclerosis and after stroke

Justyna Redlicka, Jan Niedzielski, Elzbieta Miller

J. Redlicka, J. Niedzielski, E. Miller – Analysis of the effect of comprehensive rehabilitation with stabilometric platform on body balance in patients with multiple sclerosis and after stroke. FP 2017; 17(4); 18-23

Abstract

Objective. The objective was to evaluate the effect of a comprehensive rehabilitation program on body balance in patients with multiple sclerosis (MS) and after cerebral stroke.
Materials and methods. Tests were performed at the NeurorehabilitationWard of Dr K.Jonscher Municipal Hospital no. 3 in Lodz on randomly selected patients with MS and after stroke. The group included 50 subjects – 30 men and 20 women, aged 32 to 76 years. All the patients were examined twice for body balance with the use of a computerized stabilometric platform. The following parameters were analyzed: the mean number of all sways, the mean number of sways forwards and backwards, as well as to the left and right. All the sway parameters were measured both with eyes closed and open. The results obtained after rehabilitation were compared to those from before the introduction of rehabilitation.
Results. A course of comprehensive rehabilitation of MS patients resulted in a significant reduction of sways with eyes closed (p < 0.001), however less significant with eyes open (p < 0.2). Similarly, a marked improvement was observed in post-stroke patients in the mean number of sways with eyes closed (p < 0.001), whereas with eyes open, the results were not statistically significant (p < 0.02).
Conclusions. Comprehensive rehabilitation has a significant effect on the body balance of patients with MS and after stroke. In the trial with the use of a stabilometric platform, better results after a course of rehabilitation were noted inpost-stroke patients.

Key words:
stabilometric platform, balance, stroke, multiple sclerosis

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