Tag: stwardnienie rozsiane

智能手机应用程序辅助护理干预对产后多发性硬化症女性母乳喂养自我效能的影响

Amera Bekhatroh Rashed, Seham Shehata Mostafa, Nevin Adel Amer Amer, Shimaa AbdElhady Badawy, Afaf Abdelmalek Hussein, Hanan E. Nada

Amera Bekhatroh Rashed, Seham Shehata Mostafa, Nevin Adel Amer Amer, Shimaa AbdElhady Badawy, Afaf Abdelmalek Hussein, Hanan E. Nada – Effect of smartphone application-assisted nursing intervention on breastfeeding self-efficacy of postpartum women with multiple sclerosis. Fizjoterapia Polska 2023; 23(5); 57-68

DOI: https://doi.org/10.56984/8ZG20B3C3

摘要
目的。本研究旨在研究移动应用程序辅助护理干预对产后多发性硬化症女性独家母乳喂养自我效能的影响。材料与方法：研究者采用准实验研究设计（对照案例）。该研究在埃及梅努菲亚省Shebin El-Kom的妇幼保健中心（MCH）进行。目标群体为50名产后多发性硬化症女性的有目的样本。为数据收集使用了三种工具。一份结构化访谈问卷，母乳喂养自我效能量表和母乳喂养与产后多发性硬化症复发关系问卷。结果与讨论：两组在产后期间的自我管理方面存在统计学显著差异。改进与母亲与其卫生保健提供者的关系以及在这一过渡期间关于多发性硬化症的知识和信息有关，这表明护理干预对产后患有多发性硬化症的女性产生了积极效果。结论：经过手机应用程序辅助的护理干预后，患有多发性硬化症的产后女性具有满意的母乳喂养自我效能水平。因此，实施一项多学科程序来监测和支持患有MS的母亲可以改善产后期间的自我管理。
关键词
智能手机应用程序，护理干预，母乳喂养自我效能，产后期，多发性硬化症
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Torso based balance weighting versus tailored physical therapy program in postural control in patients with multiple sclerosis

Fatma Ibrahim, Gehan M Ahmed, Waleed T Mansour, Ahmed H Elsheshiny, Khaled H. Yousef, Hosam M Alsaid, Mohamed H Aboueleni, Abdelaziz Abdelaziz Elsherif


Fatma Ibrahim, Gehan M Ahmed, Waleed T Mansour, Ahmed H Elsheshiny, Khaled H. Yousef, Hosam M Alsaid, Mohamed H Aboueleni, Abdelaziz Abdelaziz Elsherif – Torso based balance weighting versus tailored physical therapy program in postural control in patients with multiple sclerosis. Fizjoterapia Polska 2022; 22(4); 142-147

DOI: https://doi.org/10.56984/8ZG1A66hK

Abstract
Purpose. To compare between the effect of torso based balance weighting and tailored physical therapy program on balance and postural control in ataxic MS patients. Methods. Ninety patients diagnosed as ataxic multiple sclerosis with impaired balance and postural control were selected from outpatient clinic of two hospitals. The patients randomly assigned into two groups, group (A: n = 30) received torso-based balance weighting and selected physical therapy program and group (B; n = 60) received tailored physiotherapy program and the same selected physical therapy program. Treatment lasted eight weeks, three times per week. Pre- and post-treatment assessment using berg balance scale and overall stability index were done for all patients. Results. Post-treatment comparisons between the two groups showed a statistically significant improvement in Berg balance (p < 0.05) in favor of group (B) and both groups showed clinical improvement. Conclusion. The tailored physical therapy program was more statistically effective in improving balance disorders than torso based balance weighting in ataxic MS patients, and there was clinical effect on improving postural control of both groups.

Keywords
multiple sclerosis, postural control, torso based balance weighting, tailored physical therapy

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Magnetic field stimulation and the quality of life in MS patients

Wojciech Fibiger, Anna Starowicz, Magdalena Wilk

Wojciech Fibiger, Anna Starowicz, Magdalena Wilk – Magnetic field stimulation and the quality of life in MS patients. Fizjoterapia Polska 2010; 10(3); 202-210

Abstract
Background. The aim of our study was to evaluate the effectiveness of magnetic field stimulation and exercise on the quality of life in multiple sclerosis patients undergoing home-based rehabilitation. Material and methods. The study involved a group of 87 patients with advanced multiple sclerosis (minimum grade 6 in the Expanded Disability Status Scale). Patients were divided into two groups. In Group I magnetic field was applied from a Viofor JPS apparatus once daily for 20 days. Group II (controls) did not receive magnetic field therapy. Patients from both groups carried out exercises at home. The clinical status was evaluated using Cendrowski’s numerical scale and the Expanded Disability Status Scale. Quality of life was examined by using an extended Testa and Simonson questionnaire. Patients were evaluated twice: before and after 20 days of rehabilitation at home. Results. An improvement was obtained in Group I, where magnetic field stimulation was applied, with regard to everyday functioning and such activities as personal hygiene, getting dressed, eating meals, or locomotion. There was a statistically significant improvement in muscle strength, sphincter control, a decrease in muscle tone, fatiguability, sensory disturbances and balance dis&shy;tur&shy;bances. There was also a significant improvement in the patients’ mental state and emotional function, less depression and fear and increased satisfaction with life.Conclusions. Magnetic field stimulation had a significant impact on the quality of life in multiple sclerosis patients. Exercise and magnetic field therapy in patients with advanced disability improved not only their motor ability but also mental state. Magnetic field stimulation supported and facilitated rehabilitation exercises performed at home by the MS patients.
Key words:
magnetic field stimulation, rehabilitation, multiple sclerosis, quality of life
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Objective quality of life and level of life satisfaction in people suffering from multiple sclerosis

Tomasz Tasiemski, Magdalena Koper, Monika Miler

Tomasz Tasiemski, Magdalena Koper, Monika Miler – Objective quality of life and level of life satisfaction in people suffering from multiple sclerosis. Fizjoterapia Polska 2011; 11(3); 199-212

Abstract
The chronic nature of the disease, accompanying numerous ailments and unpredictable pace of dete­rioration in the patient’s condition adversely affect the quality of life in patients with multiple sclerosis (MS). To make a full and reliable assessment of the quality of life of patients with MS, both the objective and subjective measurements should be taken into account.The study included 30 people with MS and 60 healthy individuals (OZ). Objective quality of life was analyzed on the basis of four indicators: education, employment, income, leisure activities. To assess the subjective quality of life the Life Satisfaction Questionnaire was used. In case of objective determinants of quality of life significant differences between groups were reported in terms of employment, income and certain leisure activities (reading books, travelling). People with MS assessed their overall life situation similarly to healthy controls (HC), i.e. as rather satisfactory. For people with MS the most satisfying were relationships with their partners and family life, and for HCs – self care ability. Both MS patients and HCs were the least satisfied with financial and occupational status. MS patients are rather satisfied with life as a whole, probably due to the satisfaction with leisure activities. In addition, they declare significantly lower employment rate and income as compared to HCs, which confirms a very difficult financial situation of MS patients in Poland.
Key words:
Multiple Sclerosis, objective quality of life, life satisfaction
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Influence of Vestibular Rehabilitation on Balance and Dual-Task Cost of Walking in Patients with Multiple Sclerosis: A Randomized Controlled Trial

Bassam A. El-Nassag, Amina Awad

Bassam A. El-Nassag, Amina Awad – Influence of Vestibular Rehabilitation on Balance and Dual-Task Cost of Walking in Patients with Multiple Sclerosis: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(3); 84-89

DOI: https://doi.org/10.56984/8ZG1406E7

Abstract
Background. Balance dysfunction and high dual-task costs are eminent features in multiple sclerosis (MS). Vestibular rehabilitation therapy (VRT) proved to promote functional outcomes; yet, its influence on dynamic balance and dual-task cost of walking (DTCW) in MS needs further research.
Objective. To investigate the effect of adding VRT to aerobic training on dynamic balance and DTCW in people with MS.
Design. Single blinded, parallel randomized controlled trial.
Settings. Out-Patient Clinic at Faculty of Physical Therapy and Kasr Al-Ainy Multiple Sclerosis Unit, Cairo University, Egypt.
Participants. 40 patients with remitting-relapsing multiple sclerosis.
Intervention. Patients were randomized to a control (n = 20) and intervention (n = 20) groups. Over four successive weeks, all patients received stationary bicycle aerobic training. Intervention group received an additional VRT program.
Outcomes measures. Berg Balance Scale (BBS), walking speed tested by the 10 meters timed walk test (10 m-TWT), (DTCW), and overall stability index (SI).
Results. Intervention group showed a remarkable improvement in BBS (p = 0.02), SI at levels four (p = 0.002) and seven (p = 0.03), and DTCW (p = 0.03) compared with control group. Walking speed did not show significant changes post-treatment within or between groups comparison (P > 0.05).
Conclusion. Adding VRT to aerobic training has a positive effect on dynamic balance and dual-task cost of walking in MS.
Key words:
Multiple sclerosis, vestibular rehabilitation, dynamic balance, dual task cost of walking
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以柔道作为多发性硬化的选择性康复疗法 – 试点研究

Katarzyna Wiszniewska, Feliks Jaroszyk, Krystyna Opalko, Małgorzata Wiszniewska

K. Wiszniewska, F. Jaroszyk, K. Opalko, M. Wiszniewska – Judo as an alternative rehabilitation method in multiple sclerosis. Fizjoterapia Polska 2019; 19(1); 30-36

摘要
研究目的：将柔道练习用在多发性硬化患者物理治疗方案中的有效性评估。
材料及方法。共4名年龄在32-49岁间患复发缓解型多发性硬化的女性参与为期8周的方案，患者状态评估分二阶段进行（接受治疗前及之后）。期间进行两份问卷调查：原始及MSIS-29标准化。功能性状态检查包括：功能範圍測試、10米TW（時間走路）及洛维特测试（用于下列肌肉：股直肌、股二头肌、腹直肌、三角肌等）。
结果。治疗后确认对最不适患者的症状有显著减轻作用，功能性测试取得较佳结果，患者精神状况更佳。
结论。在受试组中采用柔道练习使患者的功能性及心理状态均获改善，柔道计划被证实为多发性硬化患者的选择性治疗形式。

关键词：
多发性硬化、理疗、柔道、体力活动

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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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