Non-medicinal Correction of Motor Disorders of the Valley of the Foot in Multiple Sclerosis

Abstract

Introduction: Analysis of motor disorders peculiarities in multiple sclerosis and assessment of non-drug correction and rehabilitation procedures impact on them will help to form new approaches in studying the motor disorders mechanisms, expand diagnostic capabilities and optimize physical therapy programs, which determines the relevance of our study.\nAim: To analyze gait disorders in patients with multiple sclerosis associated with increased skeletal muscle tone, which form the anterior and posterior myofascial kinematic leg chain and to carry out their non-drug correction.\nMaterial and Methods: Gait pecularities analysis was performed in 95 patients with multiple sclerosis using the method of computer podography on the instrumental complex “DIERS FAMUS” (Germany). The study performed visual diagnosis of optimal statics, manual testing and bilateral stabilography. Anthropometric examination was supplemented by electroneuromyographic examination using the device “Neuro-EMG-Micro”. (Russia) Muscles involved in myofascial kinematic tibia chains were studied. A group of patients with increased muscle tone in the myofascial kinematic tibia chains received a cryotherapy course and muscle relaxation exercises.\nResults: After physical therapy, there was a probable reduction of whole foot contact time, as well as in almost all anatomical foot areas, which led to body weight transfer speed increasing. At the same time there was observed a reduction of the maximum force and the integral “force-time” under the foot ; integrals “pressure-time” and “force-time” under the second and lateral surfaces of fingers; integral “pressure-time” under the heel, which can be explained by contact time decrease between the foot and the surface of the toes while walking.\nConclusions: Local cryotherapy use and relaxation exercises for patients with multiple sclerosis provides muscle tone decrease and, as a result, walking speed increase.