Avtor/Urednik		Zupanc, Z; Meh, D
Naslov		Vpliv fizioterapevtskih metod in tehnik na spastičnost in funkcijsko sposobnost preiskovanke z multiplo sklerozo
Prevedeni naslov		The influence of psychotherapeutic methods and techniques on spasticity and functional ability in patient with multiple sclerosis
Tip		članek
Vir		Fizioterapija
Vol. in št.		Letnik 13, št. 1
Leto izdaje		2005
Obseg		str. 21-5
Jezik		slo
Abstrakt		Objectives: To find out the effects of physiotherapeutic methods and techniques on the spasticity and functional ability in patients with multiple sclerosis in three week's program of renovating rehabilitation. Methods: In three week's treatment the spasticity and functional state were influented by physiotherapeutic methods and techniques in patient with multiple sclerosis. We tried to reduce the spasticity and improve the functional state. Antispastic positions, manual techniques to decrease spasticity and functional electrical stimulation were used. That was completed with proprioceptive neuromuscular facilitation. The effectiveness of the therapy was evaluated with functional independence measure, Ashworth spasticity scale, Expanded disability status scale and Motor assessment scale. Results: The reduction of muscle tone (improvement for one mark in assessment with Ashworth spasticity scale), improvement of motion (turning on the hip, sitting over the edge of the bed and sitting for one mark in assessment with expanded disability scale; the ability in standing up were invariable), better performance in eating (improvement for one mark in assessment with functional independence measure; other activities were invariable), slight reduction of ataxia and the increase of tolerance on verticalization were achieved. Conclusion: We believe that in order to achieve better success rehabilitation treatment should be longer. Help from the physiotherapist should be provided even when the patients are at home for keeping the already attained abilities.
Izvleček		Namen: Želeli smo ugotoviti, kako fizioterapevtske metode in tehnike učinkujejo na bolnike z multiplo sklerozo v petnajstdnevnem programu obnovitvene rehabilitacije. Metode dela: Pri preiskovanki z multiplo sklerozo smo 15 dni poskušali vplivati na zmanjšanje spastičnosti in izboljšanje funkcijskega stanja. Za zmanjševanje spastičnosti smo uporabili protispastične položaje, ročne tehnike za zmanjševanje spastičnosti in funkcionalno električno stimulacijo, dopolnili pa smo jih s proprioceptivno nevromuskularno facilitacijo. Uspešnost terapije smo vrednotili z merjenjem funkcijske samostojnosti (angl. functional independence measure), Ashwortovo lestvico, razširjeno lestvico stopnje prizadetosti po Kurtzkeju (angl. Expanded disability status scale) in z lestvico motoričnega ocenjevanja (angl. motor assessment scale). Rezultati: Pri preiskovanki smo dosegli zmanjšanje mišičnega tonusa in s tem lažje gibanje, rahlo zmanjšanje ataksije ter povečanje tolerance na vertikalizacijo. Pri ocenjevanju preiskovankinega funkcijskega stanja z Iestvico stopnje prizadetosti po Kurtzkeju je bolničino funkcijsko stanje ostalo nespremenjeno, pri ocenjevanju z lestvico motoričnega ocenjevanja se je izboljšalo obračanje na bok, sedanje preko roba postelje in sedenje za eno oceno, zmožnost vstajanja pa je ostala nespremenjena. Pri ocenjevanju z lestvico funkcijske neodvisnosti je preiskovanka potrebovala manj pomoči pri hranjenju (izboljšanje za eno oceno), zmožnosti opravljanja drugih aktivnosti pa so ostale nespremenjene. Sklep: Menimo, da bi za boljši uspeh morala biti rehabilitacijska obravnava daljša in da bi za ohranjanje bolničinih pridobljenih sposobnosti bila potrebna pomoč fizioterapevta tudi na domu.
Deskriptorji		MULTIPLE SCLEROSIS MUSCLE SPASTICITY PHYSICAL THERAPY