Physical therapy in multiple sclerosis: A new strategy of treatment
Sebastião David Santos-Filho
In this study the objective is to present new strategies of physical therapy in multiple sclerosis based on the latest developments in the field of physiotherapy. The publications on the problem, in the last 5 years, discuss a wide range of methods of physiotherapy that can be used to reduce the degree of disability and alleviate the symptoms associated with the disease. The complexity of the disease, the difficulty in determining the appropriate treatment and a wide range of symptoms require a comprehensive approach to the patient, which would include both pharmacology and neurorehabilitation. Physical therapy, which includes psychotherapy and symptomatic therapy, is regarded nowadays as the best form of treatment for this disease. The kinesiotherapy program in multiple sclerosis is based on a gradation of physiotherapy which assumes a gradual transition from basic movements to more complex ones till global functions are obtained and this is combined with physical procedures. Recent reports indicate the need for aerobic training to be included in the rehabilitation program. The introduction of physical activities, regardless of the severity of the disease, will reduce the negative effects of akinesia, and thus increase the functional capabilities of all body systems.