Effect of physiotherapy facilitation techniques to upper limb function on patients with multiple sclerosis

Abstract

Background: Facilitation procedures are not clearly defined methods using neurophysiological knowledge to make the movement that the patient can not perform for nervous system disorders easier. The aim of this study is to demonstrate the positive influence of facilitation therapy on upper limb function.

Setting and methods: The trial involved 14 people with MS who had upper limb dysfunction. Descriptive measures were collected and clinical tests for upper limb function (Pinch strength, Hand grip strength, plate tapping test, Trunk Impairment Scale modified Norwegian version, Nine Hole Peg Test, Box and Block Test, Coin rotation task Action Research Arm test, Visual analog scale, Manual Ability Measurement, ABILHAND, Performance Scale hand function, Upper Extremity Motor Activity, Euroqol 5 dimensions 5 levels, MS Impact Scale 29).

Patients had 15 therapy sessions over 9. Results: Significant results were demonstrated in trunk disability (p = 0.05), MS impact questionnaire (p = 0.018), questionnaire on manual dexterity Abilhand (p = 0.011), action reach arm test (right hand p = 0.03), plate tapping test evaluating fast movements and coordinating R / L hand (p = 0.010 / p = 0.018).

Other tests did not show statistical significance. Conclusion: Facilitation therapy can effectively influenced stabilization of trunk, manual dexterity, coordination and rapid movement of the upper limbs, and quality of life.