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

Autor:	Abdelhakiem NM; Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Deraya University, Minya, Egypt., Mahmoud TH; Department of Physical Therapy for Internal Medicine, Chest and Cardiology, Faculty of Physical Therapy, Deraya University, Minya, Egypt., Saleh HM; Department of Physical Therapy for Basic Science, Faculty of Physical Therapy, Deraya University, Minya, Egypt., Alsaid HM; Department of Physical Therapy for Neurology and Neurosurgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt., Salem S; Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Sphinx University, Assuit, Egypt., El Semary MM; Department of Physical Therapy for Neurology and Neurosurgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.
Jazyk:	angličtina
Zdroj:	NeuroRehabilitation [NeuroRehabilitation] 2024; Vol. 54 (4), pp. 653-661.
DOI:	10.3233/NRE-240006
Abstrakt:	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.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu