Evaluation Of The Physical Therapy On The Balance And On The Quality Of Life In Multiple Sclerosis Patients [avaliação Da Fisioterapia Sobre O Equilíbrio E A Qualidade De Vida Em Pacientes Com Esclerose Múltipla]

Introduction. Multiple Sclerosis (MS) is a CNS demyielin disease. The main disturbs are intense fatigue, balance disturb and ataxy. Objectives. To evaluate the physical therapy effects on the balance and quality of life of MS patients. Methods. This study was analytic and interventional, the patients were randomized in two groups: Group 1: submitted in a fifteen sessions of physical therapy program, three times per week; and Group 2: participated in a conventional physical therapy program once a week. The data descriptive analyze was made through tables with mean and standard deviation. The comparison before and after physical therapy program and between groups was made by Student t test. Results. Twenty subjects was evaluated, 85% (17) were female and 17% (3) were male, with mean age 40±12 years old, ranging from 18 to 63 years old. There was significant improvement in balance (p=0.011) and quality of life (p=0.006) after specific physical therapy program in Group 1. There was no significant improvement in the control group. Conclusion. The balance and quality of life improved significantly after a specific physical therapy program to patients with MS.164269274Frankel D. Esclerose Múltipla. In: Umpred DA. Reabilitação neurológica. São Paulo: Manole, 2004, 627-47Desouza L, Bates D, Moran G. Esclerose Múltipla. In: Cash MS. Neurologia para fisioterapeutas. São Paulo: Premier, 2000, 149-65Callegaro D. Esclerose Múltipla. In: Nitrini R, Bacheschi LA. A neurologia que todo médico deve saber. São Paulo: Atheneu, 2003, 335-40Thompson, A., Skinner, A., Piercy, J., Doenças do cérebro e da medula espinal (2002) Fisioterapia de Tidy, pp. 331-333. , São Paulo: SantosOliveira, E.M.L., Annes, M., Oliveira, A.S.B., Gabbai, A.A., Estudo clínico de 50 pacientes acompanhados no ambulatório de neurol ogia UNI-FESP-EPM. (1999) Arq Neuropsiquiatr, 57 (1), pp. 55-57Grzesiuk, A.K., Características clínicas e epidemiológicas de 20 pacientes portadores de esclerose múltipla acompanhados em Cuiabá - Mato Grosso (2006) Arq Neuropsiquiatr, 64 (3 A), pp. 635-638O'Sullivan SB. Esclerose Múltipla. In: O'Sullivan SB, Schmitz TS. Fisioterapia avaliação e tratamento. 2a ed. São Paulo: Manole, 1993, 527-48Nogueira, T.M., Santos-Filho, S.D., Proposta de fisioterapia comunitária em pacientes portadores de esclerose múltipla. (2002) Rev Reab, 14, pp. 20-25Fisk, J.D., Ritvo, P.G., Ross, L., Haase, D.A., Marrie, T.J., Schlech, W.F., Measuring the functional inpact of fatigue: Initial validation of the impact scale (1994) Clin Inf Dis, 18 (1), pp. 12-22Edwards, S., Tratamento a longo prazo para pacientes com incapacidade residual ou progressiva (1999) Fisioterapia neurológica - uma abordagem centrada na revolução de problemas, pp. 207-211. , Porto Alegre: ArtmedSilva JA, Cohen BA. Esclerose múltipla. In: Delisa JA, Gans BM. Tratado de medicina de reabilitação - princípios e práticas. 3. ed. 2. São Paulo: Manole, 2002, 1308-12Tabosa, A., Yamamura, Y., Fadigas como fator etiopatogênico energético. (2000) Rev Paul Acup, 6 (2), pp. 101-104Vargas, A.L., Morais, R.C.A., Cunha, M.C.B., Exercícios terapêuticos para portadores de esclerose múltipla com déficitde coordenação motora e equilíbrio (2000) Fisioter Bras RJ, 3 (3), pp. 151-156Vecino MC, Haussen SR. Esclerose Múltipla. Rev Med Santa Casa 1999;10(17):1820:35Miller JR. Esclerose Múltipla. In: Rowland LP, Merrit MD. Tratado de neurologia. 10.ed. São Paulo: Guanabara e Koogan, 2002, 670-86Mendes, M.F., Tilbery, C.P., Felipe, E., Fadiga e esclerose múltipla - estudo preliminar de 15 casos através de escalas de auto-avaliação. (2000) Arq Neuropsiquiatr, 58 (2), pp. 467-470Melaragno RF. Causas da EM - aspectos imunológicos. In: Esclerose Múltipla - manual para pacientes e suas famílias. São Paulo: Abem, 1992, 41-52Heesen, C., Romberg, A., Gold, A., Schulz, K.H., Physical exercise in multiple sclerosis: Supportive care or a putative disease- modifying treatment (2006) Exp Rev Neurother, 6 (3), pp. 347-355Motl, R.W., Morris, K.S., Hu, L., Doerksen, S.E., Elavsky, S., Konopack, J.F., Enhancing physical activity adherence and well-being in multiple sclerosis: A randomised controlled trial (2007) Rev Citeulike Mult scler, 13 (5), pp. 652-659Kurtzke, J.F., Rating neurologic impairment in mutiple sclerosis: An expanded disability status scale (EDSS) (1983) Ann NY Acad Sci Neurology, 33 (11), pp. 1444-1452Myamoto, S.T., Lombardi Junior, I., Berg, K.O., Ramos, L.R., Natour, J., Brazilian version of the Berg balance scale (2004) Braz J Med Biol Res, 37 (9), pp. 1411-1421Berg, K.O., Wood-Dauphnée, S., Willians, J.I., The balance scale: Reability assessment with elderly residents and patients with an acute stroke (1995) Scand J Rehab Med, 10 (4), pp. 27-3