Effect of cryotherapy in controlling spasticity of calf muscles in patients with multiple sclerosis.

IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY NeuroRehabilitation Pub Date : 2024-01-01 DOI:10.3233/NRE-240006
Nadia Mohamed Abdelhakiem, Tarek H Mahmoud, Haitham M Saleh, Hossam Mohammed Alsaid, Shymaa Salem, Moataz Mohamed El Semary
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Abstract

Background: Spasticity is a common symptom of multiple sclerosis (MS), affecting 80% of patients. Many studies have aimed to detect methods to reduce spasticity under these conditions and found that spasticity can be efficiently reduced using cryotherapy.

Objective: To examine the impact of cryotherapy on spasticity among patients with MS.

Methods: Thirty-two participants were randomized into two groups. The study group was given airflow cryotherapy and a selected physical therapy program, whereas the control group was only given a selected physical therapy program. The treatment was administered three times each week for a total of twelve consecutive sessions. The outcome measures were the modified Ashworth scale and the H/M ratio.

Results: The study group showed significant decrease in calf muscle spasticity, indicated by a reduction in spasticity grade (p = 0.001) and a decrease in the H/M ratio of 33.81% (p = 0.001). The control group also showed significant reduction in calf muscle spasticity, as indicated by a reduction in spasticity grade (p = 0.001) and a reduction in the H/M ratio of 19.58% (p = 0.001). There was a significant decrease in the spasticity grade and H/M ratio of the study group posttreatment compared with those of the control group (p = 0.02 and p = 0.001).

Conclusion: The combined effect of cryotherapy and a selected physical therapy program are more effective in controlling the spasticity of calf muscles in patients with MS than a selected physical therapy program alone.

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冷冻疗法对控制多发性硬化症患者小腿肌肉痉挛的效果。
背景:痉挛是多发性硬化症(MS)的常见症状,80%的患者都会出现这种症状。许多研究旨在发现在这种情况下减轻痉挛的方法,并发现使用冷冻疗法可以有效减轻痉挛:目的:研究冷冻疗法对多发性硬化症患者痉挛的影响:将 32 名参与者随机分为两组。研究组接受气流冷冻疗法和选定的物理治疗方案,而对照组只接受选定的物理治疗方案。治疗每周进行三次,共连续进行十二次。结果以改良阿什沃斯量表和 H/M 比值为衡量标准:研究组小腿肌肉痉挛程度明显减轻,表现为痉挛等级降低(P = 0.001),H/M 比率降低 33.81%(P = 0.001)。对照组的小腿肌肉痉挛也明显减轻,表现为痉挛等级降低(p = 0.001),H/M 比率降低了 19.58% (p = 0.001)。与对照组相比,研究组治疗后的痉挛等级和H/M比率明显降低(p = 0.02 和 p = 0.001):结论:在控制多发性硬化症患者小腿肌肉痉挛方面,冷冻疗法和精选理疗方案的联合效果比单独使用精选理疗方案更有效。
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来源期刊
NeuroRehabilitation
NeuroRehabilitation CLINICAL NEUROLOGY-REHABILITATION
CiteScore
3.20
自引率
0.00%
发文量
178
审稿时长
6-12 weeks
期刊介绍: NeuroRehabilitation, an international, interdisciplinary, peer-reviewed journal, publishes manuscripts focused on scientifically based, practical information relevant to all aspects of neurologic rehabilitation. We publish unsolicited papers detailing original work/research that covers the full life span and range of neurological disabilities including stroke, spinal cord injury, traumatic brain injury, neuromuscular disease and other neurological disorders. We also publish thematically organized issues that focus on specific clinical disorders, types of therapy and age groups. Proposals for thematic issues and suggestions for issue editors are welcomed.
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