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Physiotherapy as an immunoactive therapy? A pilot study.

Kamila Rasova1, David Dolezil, Hana Kalistova

  • 1Department of Rehabilitation, 3rd Faculty of Medicine, Charles University in Prague and Faculty Hospital Královské Vinohrady, Czech Republic. kamila.rasova@centrum.cz.

Neuro Endocrinology Letters
|April 3, 2012
PubMed
Summary
This summary is machine-generated.

Facilitation physiotherapy improved clinical and brain imaging in multiple sclerosis patients. It also altered immune markers, suggesting a link between physiotherapy, immune response, and neurological function.

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Area of Science:

  • Neuroscience
  • Immunology
  • Rehabilitation Medicine

Background:

  • Multiple sclerosis (MS) is a chronic neurological disease characterized by immune-mediated inflammation and neurodegeneration.
  • Physiotherapy plays a role in managing MS symptoms, but its impact on the immune system and brain microstructure is not fully understood.

Purpose of the Study:

  • To assess immunoregulatory and anti-inflammatory changes following two months of facilitation physiotherapy in MS patients.
  • To investigate correlations between immunological changes and dehydroepiandrosterone levels, brain microstructure, and clinical function in MS.

Main Methods:

  • A cohort of 12 MS patients underwent facilitation physiotherapy twice weekly for two months.
  • Clinical functions, immune parameters (humoral and cellular immunity), dehydroepiandrosterone, and diffusion tensor imaging (DTI) were assessed at baseline and after therapy.

Main Results:

  • Significant improvements were observed in clinical functions and DTI parameters (fractional anisotropy, mean diffusivity) post-therapy.
  • Notable changes in immune cell populations, including T cells (CD3+, CD3+CD8+), B cells (CD19+), Natural Killer cells, and IgG subclasses, were detected.
  • Correlations were found between clinical improvements and changes in IgG1, and between DTI changes and CD3+CD8+ cell counts.

Conclusions:

  • Facilitation physiotherapy may positively influence the psycho-neuro-endocrine-immune axis in multiple sclerosis.
  • The findings suggest physiotherapy can modulate immune responses and improve neurological outcomes in MS, warranting further investigation.