Inna Mincheva Ivanova
Medical University of Sofia, Bulgaria
Keynote: Physiother Rehabil
Introduction: Multiple Sclerosis (MS) is a relapsing or progressive neurological disease with an unknown etiology. MS
has a negative impact on both physical and psychological well-being. One of the most common symptoms, reported by
patients, it the disturbance of the ability to obtain balance.
Aim: The purpose of the study was to test a group of men with MS with new combination of physiotherapeutic methods
and to observe how the potential to keep balance will be affected.
Methods: The study took place in Sofia, Bulgaria with 18 men, diagnosed with relapsing-remitting multiple sclerosis,
duration over five years-with more than four crises. We used the BBS-The Berg balance scale to measure the changes in
their ability to obtain balance. The whole program included 16 classes of hippotherapy and 20 classes of physiotherapy. The
physiotherapy included exercises with big swiss-ball (fit-ball), modified exercise from PNF (proprioceptive neuromuscular
facilitation), myofascial massage and autogenic training.
Results: At the end of the study our male patients showed statistically significant increase of the results for BBS. Each one
of them started to feel much more confident in the performance of the test’s components. We think that it is due to the
effect of the selected exercises and methods both strengthening and relaxing at the same time. Each one of the exercises
required the possibility of minor motor control of the body so that by repetition to strengthen muscularity properly.
Conclusion: Long term programs help the patients with MS to achieve and keep the positive results for a long period of
time and hopefully to make them permanent.
Inna Mincheva Ivanova has completed her Graduation and her PhD in 2016 at National Sports Academy “Vasil Levski”. She has been working as an Assistant Professor at the Medical University of Sofia since 2016. She is simultaneously teaching at the Sofia University. She has several publications in national and international journals.
E-mail: inna_mincheva@hotmail.com