Abstract
Introduction: Multiple Sclerosis (MS) affects approximately 110,000 people in Italy and MS is a leading cause of disability in young adults. Rehabilitation interventions are frequently used as clinical strategies for improving or maintaining functional state. Methods: We assessed 9 patients with secondary progressive multiple sclerosis (SP-MS): Four female and five male with a mean age of 47.3 years. The mean score EDSS was 7 (values from 3.5 to 8.5). All patients were hospitalized from eight to ten weeks; MSIS-29, EBN, Hamilton, FIM, Barthel, Tinetti and FSS tests were administered. All patients received one weekly spine manipulation in accordance with Palmer, Sutherland, Makenzie procedures both in supine and upright position. Three times a week the patients received also a draining massage of head and lower limbs by Muscular Acoustic Modulator (MAM) device. Eighty minutes a day, for 6 days a week, all patients had neuro-motor rehabilitation. Results: Only some data from clinical tests showed statistically significant differences, before and after treatments. These data are: FSS scale: p<0.01 (H Kruskal-Wallis=6.7996 with degree of freedom=1); Memory test with deferred Prose: p<0.05 (H Kruskal-Wallis=4.7193 with degree of freedom=1); Memory test with immediate Prose: p=0.0920 Trend (H Kruskal-Wallis=2.8382 with degree of freedom=1). Conclusion: In our study FIM, Bartel, Tinetti tests showed reductions in clinical disability without statistical significance. We had statistically significant differences, after 6 weeks by this innovative rehabilitation treatment both on the chronic fatigue on the cognitive status in inpatients with SP-MS. These preliminary positive results encourage us to continue research on a larger sample of patients.
Highlights
Multiple Sclerosis (MS) affects approximately 110,000 people in Italy and MS is a leading cause of disability in young adults
In MS patients the brain and spinal cord eliminate drain deoxygenated blood and toxins with great difficulty [1]. This failure is due to reduced drain for narrowing of the cerebral veins and blocks that are found in the venous segments located outside the skull, especially in the neck, chest and abdomen
In 2011 we find the compression syndromes of the jugular and the vertebral veins and are given the indication for specific cervical adjustments of the first vertebrae with positive clinical results [7]
Summary
Multiple Sclerosis (MS) affects approximately 110,000 people in Italy and MS is a leading cause of disability in young adults. Rehabilitation interventions are frequently used as clinical strategies for improving or maintaining functional state. Rehabilitation interventions are frequently used clinical strategies for improving or maintaining functional status. In MS patients the brain and spinal cord eliminate drain deoxygenated blood and toxins with great difficulty [1]. This failure is due to reduced drain for narrowing of the cerebral veins and blocks that are found in the venous segments located outside the skull, especially in the neck, chest and abdomen. The reduced venous drainage has direct effects on the drainage of Cerebrospinal Fluid (CSF) surrounding the brain and spinal cord whose action is to protect them from trauma, feed them and drain toxic substances
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