Objectives: The aim of the study was to evaluate the efficacy of an "embodied" rehabilitation treatment that integrates exercises respect to body awareness and self-correction of postural spine assessment to improve balance and motor performance in multiple sclerosis patients.
Design: The research was designed as a single-blind, randomized, controlled trial. The inclusion criteria were: age between 18 and 60 years, clinically definite MS-RR diagnosis, EDSS scores between 0 and 2,5, body mass index (BMI) < 30. Sixty-three (N=63) patients were enrolled and randomized into two groups : Group Embodied (TG) (N = 31) and Waiting List (WL) (N = 32). The Tinetti Mobility Test and Stabilometry test for balance, the Short Form Health Survey ( SF-12) for quality of life, the Trunk Appearance Perception Scale (TAPS) and the Multidimensional Assessment of Interoceptive Awareness ( MAIA) was performed at the three evaluation times ( T0= baseline), at the end of 2 months of treatment , after 2 months follow up (T2-fup).
Results: . For Tinetti Scale in the TG a statistically significant improvement was highlighted after rehabilitative treatment with good follow-up ( at T0= 24,3 ± 3,17; at T1= 26,7 ± 2,1; at T2= 26,23 ± 2,4, p < 0,001) instead in the waiting list there was a worsening. The MAIA scale showed, in the treatment group, a statistically significant improvement for the total value (MAIA TOT) and in 5 of the 8 sub-scales (Noticing, NotWorring, Emotional Awareness, Self Regulation, Body Listening) , while there were no significant variations in the WL.
Conclusions: Enhancing interoceptive awareness, patients could improve residual capacities, motor and psychic performance. Thanks to a specific embodied physiotherapy, patients could find the balance between body and mind, a safe body able to express their emotions and free their mind.
Teresa Paolucci– Researcher, G. D'Annunzio University of Chieti-Pescara
Andrea Bernetti– Researcher, Sapienza University of Rome
Marco paoloni– Professor, Sapienza University of Rome
Marta Altieri– Neurology, Sapienza University of Rome
Angela Salomè– Physical Medicine and Rehabilitation, Sapienza University of Rome
Chiara Larussa– Physical Medicine and Rehabilitation, Sapienza University of Rome
Silvia Sbardella– Physical Medicine and Rehabilitation, Sapienza University of Rome
Vittorio Di Piero– Neurology, Sapienza University of Rome
Valter Santilli– Professor-Physical Medicine and Rehabilitation, Sapienza University of Rome
Francesco Agostini– Physical Medicine and Rehabilitation, Sapienza University of Rome
Massimiliano Mangone– Prof-bioengineer, Sapienza University of Rome