What role has the intensity of physiotherapy in influencing the balance in cerebrospinal multiple sclerosis? Are there a difference betweenfacilitation effect and the effect of therapy focused on task?

Abstract

Background: To compare the effect of two physiotherapy approaches and programmes on improving balance in patient with impairment of stability due to multiple sclerosis. Patients and Methods: Studies participated sample of 172 patients with clinically stable diagnosed with multiple sclerosis.

Patients completed two programs of different intensity - inpatients (65 patients had a shorter but more intensive program) and outpatients (107 patients completed the longer but less intensive program). Furthermore, they attended two different physiotherapy approaches: facilitation approach (Czech group) and task-oriented approach (Italian group).

The balance was examined using a variety of Berg Balance Scale and Time Up and Go test. Results: Differences between two approaches were not shown in Berg Balance Scale (p = 0,5136) and Time Up and Go (p = 0,1486).

Also there was not a significant differences between the type of used programme (inpatient/outpatient) in Time Up and Go (p = 0,8198). The intensity of therapy was significant better on balance in inpatient - Berg Balance Scale (p = 0,0063).

Consclusions: Intensity of therapy appeared to be significant in improvement of balance skills. Both a task-oriented and facilitation approach were associated with improved mobility without differences.