Abstract
Multiple sclerosis (MS) is a chronic inflammatory disorder of central nervous system (CNS), characterized by the presence of multifocal demyelination plaques with characteristic symptoms as fatigue, balance disorder, reduced endurance in gait and decrease in quality of life. The study supposed that the motor treatment through dance could represent useful therapeutic option, together with other treatments already in use such as the pharmacological and physiotherapy one. We included 9 person (6 male and 3 female) affected by relapsing-remitting multiple sclerosis (RRMS) with an expanded disability status scale (EDSS) score less than 3, underwent rehabilitation treatment with Argentine Tango (Riabilitango®method). The study lasted twenty months, considering a sixty-minute session a week. The aim of the study was to verify the real improvement of quality of life, fatigue, balance disorder and gait endurance due to the dance treatment. We collected outcomes data of Short Form 36 (SF-36) in physical function (PF) (45.56 ± 21.42 vs. 69.44 ± 23.64), vitality (VT) (45.00 ± 7.90 vs. 67.77 ± 6.18), social function (SF) (54.00 ± 13.86 vs. 75.11 ± 6.25), general health (GH) (32.22 ± 5.06 vs. 54.11 ± 5.20); Modified fatigue impact test scales (MFSI) (3.56 ± 3.72 vs. 37.22 ± 3.88); Berg balance scale (BBS-it) (33.89 ± 4.12 vs. 45.11 ± 3.51); Six Minute Walk Test (6mWT), in distance (m) (352.89 ± 174.56 vs. 397.22 ± 174.83), oxygen saturation in arterial blood (%SpO2) (87.67 ± 3.35 vs. 91.78 ± 5.92) and beast per minute (bpm) (82.67 ± 13.08 vs. 72.67 ± 10.52). We found statistically significant (p In conclusion, despite the small sample size included, the results confirm that Riabilitango®significantly leads to better functional performances in person affected by RRMS with EDSS less then 3, finding benefits in terms of quality of life. Data suggest that integration between dance treatment method and the pharmacological, could represent the useful approach.
Highlights
Multiple sclerosis (MS) is a chronic inflammatory disorder of central nervous system (CNS), characterized by the presence of multifocal demyelination plaques that affects in the world around 1,000,000 people aged between 17 and 65 years, with a major prevalence in female [1] [2]
There are different types of MS, we have considered into consideration the relapsing remitting one (RRMS) with an Expanded Disability Status Scale (EDSS) score less 3 [4], due to their peculiar symptoms as far as the abnormal gait pattern characterized by the co-contraction of agonist-antagonist muscles and by the complex pattern of spasticity and ataxia, resulting in reduced physical exercise and increased fatigue that leading to a worst disability [5] [6]
The group in exam shows a better quality of life in Short Form 36 (SF-36) scale, in particular in physical function (PF), VT, general health (GH), social function (SF) items, benchmarks for activity and participation in daily life and work; a decrease in fatigue at MFSI scale, underestimated symptom, hard to objectify in absence of other neurological symptoms, but referred since the early stage of the disease
Summary
Multiple sclerosis (MS) is a chronic inflammatory disorder of central nervous system (CNS), characterized by the presence of multifocal demyelination plaques that affects in the world around 1,000,000 people aged between 17 and 65 years, with a major prevalence in female [1] [2]. There are different types of MS, we have considered into consideration the relapsing remitting one (RRMS) with an Expanded Disability Status Scale (EDSS) score less 3 [4], due to their peculiar symptoms as far as the abnormal gait pattern characterized by the co-contraction of agonist-antagonist muscles and by the complex pattern of spasticity and ataxia, resulting in reduced physical exercise and increased fatigue that leading to a worst disability [5] [6]. There are several studies in literature concerning Argentine tango approach efficacy in Parkinson disease (PD) in improving balance and functional mobility. These studies were limited by a reduced sample size and did not verified long term effects of the approach [8] [9]. Considering Argentin tango positive effects in improving balance and functional mobility, we decided to apply this approach on MS
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