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Latest Supportive Therapies for Treatment and Rehabilitation Multiple Sclerosis Patients

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A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Neurology".

Deadline for manuscript submissions: closed (1 October 2021) | Viewed by 8415

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Special Issue Information

Dear Colleagues,

Present treatment in MS is focused mainly on early stage of multiple sclerosis (MS) and many new more effective drugs appeared. However, there is still the need of search for novel supportive therapeutic strategies that can improve quality of life and have some neuroprotective issues. According to current knowledge, it is considered that rehabilitation strategies could constitute a valuable element supporting the traditionally used treatment. Current Special Issue intends to introduce new manuscripts focused on supportive, additional therapies for treatment multiple sclerosis patients including physical medicine, rehabilitation modalites, supplemetary drugs, diets elements as well as cognitive and psychological methods. Advances in pharmacological and non-pharmalogical starategies is developing rapidly. The papers should present effectivness or perspetives and possible benefit of using this therapy or medicine. This Special Issue is the attempt to create the guidance of different suportive therapies that can help patients with multiple sclerosis in their multidisciplinary problems. Moreover, we invite scientists to contribute original as well as review articles that will present novel neuroprotective therapies or describe the potential challenges around Latest Supportive Therapies for Treatment and Rehabilitation Multiple Sclerosis Patients.

Dr. Elzbieta Miller
Guest Editor

Manuscript Submission Information

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Keywords

Multiple sclerosis
rehabilitation
therapies
supplements
treatment
cognition impairment
fatigue
spasticity
depression
disability

Published Papers (2 papers)

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Research

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10 pages, 308 KiB

Open AccessArticle

The Relationship between Cognitive Dysfunction and Postural Stability in Multiple Sclerosis

by Justyna Redlicka, Ewa Zielińska-Nowak, Anna Lipert and Elżbieta Miller

Medicina 2022, 58(1), 6; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina58010006 - 21 Dec 2021

Cited by 2 | Viewed by 2802

Abstract

Background and Objectives: Multiple Sclerosis (MS) is a demyelinating disease of the central nervous system (CNS), most commonly characterized by balance dysfunction, fatigue syndrome and cognitive impairment. The goal of our study was to determine the association between cognitive functions and static posture control. Materials and Methods: The research group consisted of 76 randomized MS patients (ICDG 35.0) hospitalized at the Neurological Rehabilitation Clinic of the Medical University of Lodz. This group was divided into three subgroups according to the cognitive assessment based on the Mini Mental State Examination (MMSE) for patients over 65 years of age and the Montreal Cognitive Assessment (MoCA) under the age of 65. Fatigue syndrome was assessed using the Fatigue Severity Scale (FSS), and postural stability using a stabilometric platform. Results: The men demonstrated poorer stabilometric platform measurements than the women. Statistically significant differences were observed between patients without dysfunction and severe cognitive impairment. The results of the stabilometric platform were found to correlate with body mass index in all three groups of patients (Spearman’s test). Conclusions: Body mass index and cognition have impact on postural stability in MS patients with moderate disability and fatigue syndrome. Full article

(This article belongs to the Special Issue Latest Supportive Therapies for Treatment and Rehabilitation Multiple Sclerosis Patients)

Review

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26 pages, 1410 KiB

Open AccessReview

Modern Technologies in the Rehabilitation of Patients with Multiple Sclerosis and Their Potential Application in Times of COVID-19

by Ewa Zasadzka, Tomasz Trzmiel, Anna Pieczyńska and Katarzyna Hojan

Medicina 2021, 57(6), 549; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina57060549 - 30 May 2021

Cited by 21 | Viewed by 4885

Abstract

Background and Objectives: The COVID-19 pandemic required the adoption of new technologies to improve access to healthcare at an unprecedented speed, as social distancing became mandatory. The aim of this systematic review was to analyze the effectiveness of using new technologies in the rehabilitation of multiple sclerosis (MS) patients and discuss their potential role during the COVID-19 pandemic. Material and Methods: The studies were identified by searching two online databases—PUBMED and Web of Science. Combinations of the key words “Multiple sclerosis” and “e-health”; “Multiple sclerosis” and “virtual reality”; “Multiple sclerosis” and “telerehabilitation”; “Multiple sclerosis” and “new technologies”; “Multiple sclerosis” and “tele-exercise” were used to find suitable publications. Results: A total of 17 studies were included. Although the overall number of participants in all the studies was 904, two of the studies were conducted on the same group. Thus, a total of 854 participants were involved in the studies included. All participants were diagnosed with MS. In 10 studies, participants had to be diagnosed according to the McDonald criteria. Of the included studies: five involved intervention at participants’ home, six were conducted using Xbox Kinect, and seven studies reported no adverse outcomes. Conclusion: The review proves telerehabilitation to be an effective motivational tool to restore and maintain both physical and cognitive function in patients with MS. Remote communication technologies seem to be measures of high effectiveness in rehabilitating and supporting MS patients especially during the COVID-19 pandemic, as the traditional rehabilitation option is less accessible or in some cases inaccessible for these patients. Full article

(This article belongs to the Special Issue Latest Supportive Therapies for Treatment and Rehabilitation Multiple Sclerosis Patients)

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