Abstract
Multiple sclerosis (MS) physiotherapy is a process aimed at improving functional independence, preventing complications and improving overall quality of life of the patient. Adequate physical activity (PA) represents an important part of life-long comprehensive physiotherapy of the patients.
Methods: The aim of this paper is to describe a case study of 42 years old female patient suffering from MS, who uses manual wheelchair and participates in top level wheelchair tennis tournaments. The patient underwent 8 week compensation exercise programme (3 times a week for 30-45 minutes), aimed individually at muscle imbalance of trunk and upper limbs.
The impact was verified by muscle function testing according to Janda. Also, the method of observation during training, and subjective evaluation of postural stability while playing tennis was applied.
Results/discussion: After the exercise programme, the patient reported improved function of specific phasic and postural muscles. Observation during training showed improved balance and movement of the player on the tennis court.
The patient also reported subjective game improvement in terms of speed, strength and agility. During the monitored period, the patient performance in the tennis ranking also improved.
Conclusion: Compensation techniques accompanied by relaxation practice allowed the patient to experience both physical and mental relief. Correctly selected sports activity and adequate compensation can help to stabilise postural function and to improve the feeling of contentment arising from playing tennis.
When included in comprehensive physiotherapy, it can increase mental stabilisation and improve the overall quality of life