Department of Physiotherapy, University School of Physical Education, Wrocław, Poland.
Department of Psychiatry, Wroclaw Medical University, Poland.
Adv Clin Exp Med. 2019 Nov;28(11):1477-1483. doi: 10.17219/acem/104529.
Due to the chronic character of multiple sclerosis (MS), non-pharmacological treatment can be applied. These therapies can be a good complementation to standard pharmacological treatment.
The aim of the study was to evaluate the effectiveness of whole-body cryotherapy (WBC) and physical exercise training on the psychological and general well-being of patients with MS.
The study was carried out on 60 patients, who were divided into 3 groups: cryotherapy (Cryo), physical exercise training (Gym) and cryotherapy with physical exercise training (CryoGym). The Psychological General Well-Being Index, the Hospital Anxiety and Depression Scale and the Rivermead Mobility Index were used at 2 points in time: T1 - before the first therapy session and T2 - after 14 days of therapy.
Statistically significant differences in the psychosocial well-being were found in the Gym and CryoGym group. Reduction of depressive symptoms and improved functional status was noted in Cryo group. The most significant improvement was observed in the group using WBC with exercise training (CryoGym).
Whole-body cryotherapy with physical exercise training was an effective therapy for patients with MS. The introduction of WBC into the standard physiotherapy protocol for patients with MS is fully justified.
由于多发性硬化症（MS）的慢性特征，可以应用非药物治疗。这些疗法可以很好地补充标准的药物治疗。
本研究旨在评估全身冷冻疗法（WBC）和体育锻炼训练对 MS 患者心理和整体健康的影响。
该研究在 60 名患者中进行，他们被分为 3 组：冷冻疗法（Cryo）、体育锻炼训练（Gym）和冷冻疗法加体育锻炼训练（CryoGym）。使用心理综合健康指数、医院焦虑和抑郁量表以及 Rivermead 移动指数在 2 个时间点进行评估：T1-第一次治疗前，T2-治疗 14 天后。
在 Gym 和 CryoGym 组中发现了心理社会健康的统计学显著差异。Cryo 组的抑郁症状减轻，功能状态改善。在使用 WBC 加运动训练的组（CryoGym）中观察到最显著的改善。
全身冷冻疗法加体育锻炼训练是 MS 患者的有效治疗方法。将 WBC 引入 MS 患者的标准物理治疗方案是完全合理的。
