Multiple sclerosis is the most frequent cause of persistent disability associated with diseases of the national Assembly. It is autoimmune in nature and, obviously, associated with a disorder of the formation of myelin in the brain and spinal cord, carrying a protective and nutritive functions in relation to the nerve fibers. Peripheral nerves in this disease are not affected. This immune response causes an inflammatory process that destroys the cells of the brain and spinal cord that produce myelin. Formed foci of demyelination. Nerve fibers lose their vinyl shell. Disturbed by the passage of pulses through him. Eventually the nerve fibers die and generate scarring. Primarily affects the brain stem, optic nerves and spinal cord.
Destruction of the nerve fibers begins relatively acute phase of inflammation. This initial phase can often be suppressed by corticosteroids, but continues to operate the second destructive factor is the loss of the myelin sheath. Recently, however, the idea of multiple sclerosis as an autoimmune disease have been reviewed. Now regarded as a disease of unclear nature.
In most cases, exacerbation of multiple sclerosis alternating with remissions. Sometimes it progresses steadily, but slowly. In some cases, the lesion of the nervous system is growing rapidly and leads to early death. Before puberty or after the age of 60, the disease begins rare. Among patients is dominated by women. Drug treatment of multiple sclerosis is still based on the use of p-interferon and other immune modulators, but its effectiveness is debatable.
The formation of foci of demyelinization causes for few days and weeks of new symptoms, which may disappear within a few weeks or months. The rate of progression of the disease. Sometimes episodes of deterioration, the severity of which ranges from mild visual impairments or other kinds of sensitivity to paralysis, share years and even decades. Severe dementia usually occurs only at a late stage of the disease.
The most common clinical manifestations of multiple sclerosis
Fatigue and depression (symptoms frequent, but amenable to drug therapy).
Disorders of sensation: numbness or paresthesias.
Paroxysmal or dysesthesias pain.
Frequent urination, urgent need to urinate, incontinence.
Disorders of swallowing.
Visually impaired: neuritis of the optic nerves, diplopia, nystagmus.
Cerebellar disorders: ataxia, intentsionnogo tremor.
Cognitive disorders: amnesia, euphoria, dementia.
Exacerbations are treated in hospitals with high doses of corticosteroids and immunosuppressants. Part of the physiotherapist and trainer along with other specialists may be required for persistent disabling consequences of deterioration, when the physical exercises complement towards their correction drug therapy.
Exercise on the Pilates system is possible with prolonged remission with minimal function disorders or in steady improvement going into remission. Regular exercises help to restore muscle strength and improve health.
Rational application of the system of Pilates
- development of flexible, relevant physical features of the patient in this phase of the disease program;
- maintaining the strength of muscle groups, which is important for self-care and daily locomotor activity;
personal, comfortable for the patient pace of the exercise;
- the belief that muscles provide security to movements in the intervertebral joints;
- avoiding excessive physical strain and fatigue;
Read also: Multiple sclerosis
- use of support devices and special fixtures to increase the efficiency of the exercise and prevent imbalances in the process of their implementation.