Brain activity changes following neuroproprioceptive "facilitation, inhibition" physiotherapy in multiple sclerosis: a parallel group randomized comparison of two approaches

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F21%3A00081490" target="_blank" >RIV/00023001:_____/21:00081490 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11120/21:43920570 RIV/00216208:11110/21:10415048 RIV/00064203:_____/21:10415048 RIV/00216208:11130/21:10415048

Result on the web

<a href="https://www.minervamedica.it/en/getfreepdf/dERhSllsOU5FQWFPMVRzWC9VTFBlYks3djJ6bGNTdVRwYUR1QlFKWGJpS084anJuek9lTXRXRXB4aC91MUVkRw%253D%253D/R33Y2021N03A0356.pdf" target="_blank" >https://www.minervamedica.it/en/getfreepdf/dERhSllsOU5FQWFPMVRzWC9VTFBlYks3djJ6bGNTdVRwYUR1QlFKWGJpS084anJuek9lTXRXRXB4aC91MUVkRw%253D%253D/R33Y2021N03A0356.pdf</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.23736/S1973-9087.20.06336-4" target="_blank" >10.23736/S1973-9087.20.06336-4</a>

Result language

angličtina

Original language name

Brain activity changes following neuroproprioceptive "facilitation, inhibition" physiotherapy in multiple sclerosis: a parallel group randomized comparison of two approaches

Original language description

BACKGROUND: Imaging methods bring new possibilities for describing the brain plasticity processes that underly the improvement of clinical function after physiotherapy in people with multiple sclerosis (pwMS). Although these processes have been described mainly in connection with task-oriented physiotherapy and aerobic training, they have not been properly verified in neuroproprioceptive &quot;facilitation, inhibition&quot; (facilitation) approaches. AIM: The study determined whether facilitation physiotherapy could enhance brain plasticity, compared two facilitation methods and looked for any relation to clinical improvement in pwMS. DESIGN: The study was designed as parallel group randomized comparison of two kinds of physiotherapeutic interventions referred to healthy controls. SETTING: Thirty-eight outpatients were involved in the study. POPULATION : The study had 80 participants (38 pwMS and 42 healthy controls). METHODS: PwMS were divided into two groups and underwent a two-month physiotherapy program: Vojta reflex locomotion (VRL) or Motor program activating therapy (MPAT), (1 hour, twice a week). Functional magnetic resonance imaging (fMRI) and clinical examination was performed before and after therapy. Healthy controls underwent one fMRI examination. RESULTS: Physiotherapy in pwMS leads to extension of brain activity in specific brain areas (cerebellum, supplementary motor areas and premotor areas) in connection with the improvement of the clinical status of individual patients after therapy (P=0.05). Greater changes (P=0.001) were registered after MPAT than after VRL. The extension of activation was a shift to the examined activation of healthy controls, whose activation was higher in the cerebellum and secondary visual area (P=0.01). CONCLUSIONS: Neuroproprioceptive &quot;facilitation, inhibition&quot; physiotherapy may enhance brain activity and could involve processes connected with the processing of motion activation. CLINICAL REHABILITATION IMPACT: The study showed that facilitation approach can modulate brain activity. This could be useful for developing of effective physiotherapeutic treatment in MS.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30224 - Radiology, nuclear medicine and medical imaging

Project

—

Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2021

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

European journal of physical and rehabilitation medicine

ISSN

1973-9087

e-ISSN

—

Volume of the periodical

57

Issue of the periodical within the volume

3

Country of publishing house

IT - ITALY

Number of pages

10

Pages from-to

356-365

UT code for WoS article

000675699800006

EID of the result in the Scopus database

2-s2.0-85107836224