Lysenko Y. Rehabilitation of patients with multiple sclerosis complicated by myofascial pain.

The dissertation work is devoted to theoretical substantiation, development and check of efficiency of the complex program of rehabilitation of patients with the multiple sclerosis complicated by a myofascial pain syndrome. To test the effectiveness of the author's physiotherapy program, a rehabilitation 10 process was organized with 120 male patients aged 24 to 56 years (mean age - 38.51 ± 1.36 years) with a mean age of onset of the disease 30.58 ± 1.30 years, with the average duration of the disease is 6.26 ± 0.92 years), who were on outpatient treatment at the place of residence (Republic of Poland) with a diagnosis of multiple sclerosis according to the criteria of McDonald (2010), complicated by myofascial pain syndrome of the lumbar spine. On the recommendation of the attending physician, patients were referred to the Lublin Center of Rehabilitation "Vikotria", Department of Neurological Rehabilitation, Slava (Republic of Poland), where the size of the rehabilitation potential of patients was divided into three groups: with high rehabilitation potential (group I), medium ) and low (group III). The severity of multiple sclerosis was determined according to the disability scale according to J. Kurtzke (EDSS). In turn, MG patients, depending on the rehabilitation potential, were divided into three subgroups: MG1- 35 people, used cryotherapy and stretching); MG2 -35 patients, cryotherapy, acupuncture and muscle stretching; in MG3 - 35 people, acupuncture and muscle stretching. The following methods were used in the study: observation, palpation, examination of muscle tone by the method of O.M. Kogan., V.L. Naidin (1988), examination of the amplitude of movements according to the method of V.P. Epifanova (2004), the degree of muscle spasticity on the Ashford scale, the degree of tension when trying to move on the Weiss scale (1986), the degree of muscle strength on the L.D. Potekhinim (2012), the index of muscular syndrome according to F.A. Khabirov (1995), pain scale (VAS, McGill questionnaire), testing of the autonomic nervous system by A.M. Wayne (1991), rating of psychological state (Feeling-activity-mood test) and quality of life (SF-36).