Physiotherapeutic treatment for multiple sclerosis: an integrative review
DOI:
https://doi.org/10.34024/rnc.2025.v33.19373Keywords:
Multiple Sclerosis, Treatment, Physical therapyAbstract
Introduction. Physiotherapeutic intervention aims to reduce the symptoms of Multiple Sclerosis, minimizing the limitations of patients, maximizing their functional capacity and ensuring the maintenance of quality of life. Objectives. To evaluate the role of physiotherapy in the treatment of MS, analyzing the main techniques applied and their effectiveness, in addition to verifying the main evaluation measures used in the studies. Method. This is an integrative literature review, through the SciELO, PEDro, LILACS, Latindex and Medline databases, in Portuguese and English, with the following descriptors: “Multiple Sclerosis” AND “Physical Therapy” AND “Treatment” in portuguese and in english. Results. Practical exercises, kinesiotherapy, kinesiotherapy, circuits, ramps, stairs, isometrics, favorable exercises, pelvic training exercises, such as pelvic training contractions and Pilates were some of the factors for the treatment of Multiple Sclerosis. Conclusion. Physiotherapy is essential for the maintenance of vital function, quality of life, preservation of muscle strength and improvement of cognitive functions.
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References
Almeida SRM, Bensuaski K, Cacho EWA, Oberg TD. Eficiência do treino de equilíbrio na esclerose múltipla. Fisioter Mov 2007;20:41-8. https://periodicos.pucpr.br/fisio/article/view/18867
Silva LGO, Neto IVS, Barboza EC, Melo TKM, Godoi VMS, Durigan JLQ, et al. Identificação de fatores de risco para quedas em indivíduos com esclerose múltipla: uma revisão sistemática de estudos prospectivos. Fisioter Pesqui 2019;26:439-49. https://doi.org/10.1590/1809-2950/18029426042019
Ribas MLV, Ribeiro NMS. Análise da fadiga em pacientes com esclerose múltipla: um estudo preliminar. CPGDD 2017;17:77-86. https://doi.org/10.5935/cadernosdisturbios.v17n1p77-86
Sokhangu MK, Rahnama N, Etemadifar M, Rafeii M, Saberi A. Effect of Neuromuscular Exercises on Strength, Proprioceptive Receptors, and Balance in Females with Multiple Sclerosis. Int J Prev Med 2021;12:5. https://doi.org/10.4103/ijpvm.IJPVM_525_18
Pereira AG. Evolução das funções cognitivas psíquicas e motoras dos pacientes portadores de esclerose múltipla (Tese). Porto Alegre: PUCRS; 2013. https://tede2.pucrs.br/tede2/handle/tede/1720
Rodrigues IF, Nielson MBP, Marinho AR. Avaliação da fisioterapia sobre o equilíbrio e a qualidade de vida em pacientes com esclerose múltipla. Psychol Neuroc 2008;16:269-74. https://doi.org/10.34024/rnc.2008.v16.8620
Garcia T, Mederdrut EM, Fontes SV. Efeitos da fisioterapia com trampolim na esclerose múltipla: estudo de caso. RBCS 2008;17. https://doi.org/10.13037/rbcs.vol6n17.355
Lúcio AC, Campos RM, Perissinotto MC, Miyaoka R, Damasceno BP, D’ancona CAL. Pelvic Floor Muscle Training in the Treatment of Lower Urinary Tract Disfunction in Women with Multiple Sclerosis. Neurourol Urodyn 2010;29:1410-3. https://doi.org/10.1002/nau.20941
Küçük F, Kara B, Poyraz EÇ, Ídiman E. Improvements in Cognition, Quality of Life, and Physical Performance with Clinical Pilates in Multiple Sclerosis: A Randomized Controlled Trial. J Phys Ther Sci Turkey 2016;28:761-8. https://doi.org/10.1589/jpts.28.761
Ferreira APS. Impact of a Pelvic Floor Training Program Among Women with Multiple Sclerosis: A Controlled Clinical Trial. Am J Phys Med Rehabil 2016;95:1-8. https://doi.org/10.1097/PHM.0000000000000302
Nielsen MBP, Ferreira GJ, Marotto L, Ferreira NIVS. Equilíbrio em pacientes com esclerose múltipla (EM). J Health Sci 2017;3:38-44. https://doi.org/10.5935/2447-7826.20170003
Tramonti C, Martino S, Foglia A, Chisari C. Perceived fatigue, lower climb muscle and performance fatigability after a rehabilitation program in Multiple Sclerosis. Eur J Transl Myol 2020;30:9353. https://doi.org/10.4081/ejtm.2020.9353
Pedro L, Pais-Ribeiro J, Pinheiro JP. Well-being and disease severity of multiple sclerosis patients following a physical activity program. Fisioter Mov 2021;34:e34104. https://doi.org/10.1590/fm.2021.34104
Pereira GC, Vasconcellos THF, Ferreira CMR, Teixeira DG. Combinações de Técnicas de Fisioterapia no Tratamento de Pacientes com Esclerose Múltipla: Série de casos. Psychol Neuroc 2012;20:494-504. https://doi.org/10.4181/RNC.2012.20.709.11p
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Accepted 2025-04-22
Published 2025-04-28
