Article

OBJECTIVE: To assess the efficacy of physiotherapy interventions, including
exercise therapy, for the rehabilitation of people with progressive multiple
sclerosis. DATA SOURCES:
Five databases (Cochrane Library, Physiotherapy Evidence
Database [PEDro], Web of Science Core Collections, MEDLINE, Embase) and reference
lists of relevant articles were searched. STUDY SELECTION: Randomized
experimental trials, including participants with progressive multiple sclerosis
and investigating a physiotherapy intervention or an intervention containing a
physiotherapy element, were included. DATA EXTRACTION: Data were independently
extracted using a standardized form, and methodologic quality was assessed using
the PEDro scale. DATA SYNTHESIS: Thirteen studies (described by 15 articles) were
identified and scored between 5 and 9 out of 10 on the PEDro scale. Eight
interventions were assessed: exercise therapy, multidisciplinary rehabilitation,
functional electrical stimulation, botulinum toxin type A injections and manual
stretches, inspiratory muscle training, therapeutic standing, acupuncture, and
body weight-supported treadmill training. All studies, apart from 1, produced
positive results in at least 1 outcome measure; however, only 1 article used a
power calculation to determine the sample size and because of dropouts the
results were subsequently underpowered. CONCLUSIONS: This review suggests that
physiotherapy may be effective for the rehabilitation of people with progressive
multiple sclerosis. However, further appropriately powered studies are required.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS