29/04/2023
Really good , thanks for your research Filio Reziti !!!
An Individualized Intervention, Based on the Feldenkrais Method, for Multiple Sclerosis Symptoms: The Neuro- plasticity Scale Assessment
Objective: Although numerous multiple sclerosis (MS) patients display de- creased motor performance and cognitive deficits, little is known about rehabil- itative m**hods and assessment strategies that are based on the brain’s ability to learn through motor-cognitive patterns. Commonly used m**hods, such as the Expanded Disability Status Scale (EDSS) and the Berg Balance Scale (BBS), can only unravel limited new information on individual motor-cognitive experienc- ing and the capacity to change this through brain learning. Therefore, we set out to design a new tool for the simultaneous assessment of multiple parameters in MS patients: the Neuroplasticity Scale (NS) – an inductive rehabilitation m**h- odology, based on Feldenkrais Method (FM) movement protocols.
Methodology: In this proof-of-concept study we performed our procedure on a single subject, an MS patient with severe instability and spasticity, who was carefully selected. Our m**hodology included a baseline evaluation (Week 0), fol- lowed by six weeks of intervention (Intervention Weeks 1- 6). NS assessment was performed both before and after the intervention. All throughout the procedure, the subject carried out home training, which was guided by auditory cues for per- ception, movement patterns, spatial orientation, movement timing, changes of at- tention and daily life functionality, and was used to establish subsequent practice.
Results: Based on the subject’s significant balance improvement and spas- ticity reduction, the NS appears to be useful, easy to use and effective; in addi- tion, it improves functional organization in specific motor patterns through brain learning.
Conclusion: The NS enables both practitioners and patients to assess chang- es in sensory-motor and cognitive processes during action; it is useful for qual- itatively evaluating multiple parameters that define the current clinical image of an MS patient. Therefore, upon further refinement and wider application to additional patients, it may be used for the establishment of structured rehabilita- tive interventions and home training repetitive programmes, as well as improved questionnaires, based on an individual’s specific functional needs.