Manual Therapy, Posturology & Rehabilitation Journal
Manual Therapy, Posturology & Rehabilitation Journal
Research Article

Classical massage in multiplesclerosis.

Santos, Iara; Laurito, Gabrielle Stephanie Soares; Silva, Maria Nazaré Soares; Carruba, Marcelo; Leal, Andrea Fernanda; Barcala, Luciana

Downloads: 0
Views: 667


Background: Multiple sclerosis is an autoimmune disease, inflammatory that affects the white matter of the central nervous system, resulting in neurological signs and symptoms that after the outbreaks, may leave sequels as the location of the lesion. Symptoms may include loss of double vision, muscle weakness, lack of balance, numbness, pain, problem in the control of the bladder and bowel, fatigue, emotional changes and intellectual impairment. Objective: To describe the effects and compromise in carrier of multiple sclerosis, to check the efficiency of classical massage in reduction of symptoms and their influence on the performance of activities of daily living. Method/Design: It is a study of controlled clinical trial with a convenience sample of individuals already framed in clinical school of physical therapy at the University Nine July (Uninove). Eight were selected individuals diagnosed with Multiple Sclerosis, between 30 and 50 years of age, without dermatological problems for the application of classical massage. The subjects were evaluated before and after the proposed intervention consists of 20 sessions of classical massage performed twice a week having a duration of 40 minutes each session. Results: In the first three months, there have been significant results demonstrated the functional assessment (MIF), but from the sixth to the twelve months remained functional stability. The quality of life (SF-36) showed that in pre-requirements of General Condition, Vitality, Social, Emotional and Mental, was increased in the first nine months and after this period, the results were not significant. In the evaluation of the balance by the scale of Berg in the first three months did not show satisfactory results, but from the third month to the sixth month there was a significant increase in the balance. The sensitivity surface showed an increase after the sixth month of application of classical massage, keeping up to twelve months proposed by the study. In profound sensitivity presented significant results from nine months of treatment. Conclusions: The present study showed that the physical therapy, through the classical massage, does not eliminate the neurological damage that attends the disease, but can act in the treatment of specific symptoms favoring the well-being and the features of patients with multiple sclerosis.


Word: Multiple Sclerosis, Classic massage, Physiotherapy.


1. Taveira FM, Teixeira AL, Domingues RB. Complicações respiratórias na esclerose Múltipla. Rev. Bras. Neurol. 2011;47(4):16-24. 2. Alves-Leon SV, Malfetano FR, Pimentel MLV, Estrada CLD, Pereira VCSR, Liem AM et al. Multiple Sclerosis outcome and morbi-mortality of Brazilian cohort patients. Arq.Neuropsiquiatr. 2008;66(3-B):671-677.

3. Negreiros MA, Fernandez JL, Kerchmeyer CV, Paes RA, Alvareng R, Mattos P. Alterações cognitivas em indivíduos brasileiros com esclerose múltipla surto-remissão. J Bras Psiquiatr. 2011;60(4):266-70.

4. Cerqueira ACR, Nardi AE. Depressão e esclerose múltipla: Uma visão geral. Ver.Bras.Neurol. 2011;47(4):11-16.

5. Almeida LHRB, Rocha FC, Nascimento FCL, Campelo LM. Ensinando e aprendendo com portadores de Esclerose Múltipla: relato de experiência. Rev. BrasEnferm. 2007;60(4):460-3.

6. Kessler N, Ganança MM, Ganança FF, Lopes SC, Serra AP, Coavilla HH. Balance Rehabilitation Unit (BRU TM) posturography in relapsing- remitting multiple sclerosis. Arq.Neuropsiquiatr. 2011;69 (3):485-490.

7. Filho HA, Carvalho SRS, Dias RM. Principais testes utilizados na avaliação de fadiga na esclerose múltipla revisão sistemática. Ver.Bras.Neurol. 2010;46(2):37-43.

8. Santos FLV, Corrêa NMH, Leal RMP, Monteiro CFS.A Vivência do Cônjuge/Companheiro de Portador de Esclerose Múltipla. Rev.Enferm. UERJ. 2010;18(2):229-34.

9. Mendes A, Sá MJ. Classical immunomodulatory therapy in multiple sclerosis. Arq.Neuropsiquiatr. 2011;69(3):536-543.

10. Ribeiro SBF, Maia DF, Ribeiro JB, Cardoso FAG, Silva C. Clinicaland epidemia logical profile ofpatientswilthmultiplesclerosis in Uberaba, Minas Gerais,Brazil. Arq.neuropsiquiatr. 2011;69(2- A):184-187.

11. Simões LC, Lima TMA, Crato NA, Mancini PC, Gonçalves DU. Alterações dos potenciais evocados auditivos do tronco encefálico em pacientes com esclerose múltipla. Braz J Otorhinolaryngol.2009;75(2)177-81.

12. Lima TMA, Crato NA, Mancini PC, Gonçalves DU, Simões LC. Alterações dos potenciais evocados auditivos do tronco encefálico em pacientes com esclerose múltipla. Braz.J.Otorhinolaryngol.2009;75(2):177-81.

13. Finkelsztejn A, Fragoso YD, Giacomo MCB, Russo L, Cruz WS. The Effect of Multiple Sclerosis on the ProfessionaTefe of a Group of Brasilian Patients. Arq.Neuropsiquiatr. 2010;68(6):914-917.

14. Andrade EP, Yurisacai P, Berezorvsky A, Salomão SR. Alterações encontradas no potencial visual evocado por padrão reverso em pacientes com esclerose múltipla.Arq.Bras.Oftolmol.2007;70(6):943-8.

15. Morales RR, Morales NMO, Rocha FCG, Fenelon SB, Pinto RMC, Silva CHM. Qualidade de vida em portadores de esclerose múltipla.Arq. NeuroPsiquiart.2007;65(2-b):454-460.

16. Pavan K, Miguez PB, Marangoni BEM, Tilbery CP, Lianza S. Comportamento da incontinência urinária em pacientes com esclerose múltipla e a sua influência na qualidade de vida.Med Reabil. 2010;29(1):1-5.

17. Fragoso YD, Silva O, Finkelsztezn. Correlation between Fatigue and sulf-esteen in patients with multiple sclerosis Arq.Neuropsiquiatr. 2009;67(3-B):818-821.

18. Vasconcelos AG, Haase VG, Lima EP, Lana Peixoto MA. Maintaining quality of life in multiple sclerosis. Arq.Neuropsiquiatr. 2010;68(5):726-730.

19. Lopes KN, Nogueira LAC, Nóbrega FR, Filho HA, Alvarenga RMP.Limitação funcional, fadiga e qualidade de vida na forma progressiva primária da esclerose múltipla. Rev. Neurocienc. 2010;18(1):13-17.

20. Rocha FC, Almeida LHRB, Nascimento FCL, Campelo LM. TeachingandlearningwithMultiple Sclerosis patients: experience report. Rev. BrasEnferm, Brasília. 2007 jul-ago;60(4):460-3.

21. Miguez BP, Marangani BEM, Tilbery CP, Lianza S. Urinary incotinence behavior in patients with multiple sclerosis and its influence in quality of life. Med.Reabil. 2010;29(1);1-5.

22. Santos FLV, Corrêa NMH, Leal RMP, Monteiro CFS.A Vivência do Cônjuge/Companheiro de Portador de Esclerose Múltipla. Rev.Enferm. UERJ. 2010;18(2):229-34.

23. Borges TP, Greve JMA, Monteiro AP, Silva RES, Giovani AMM, Silva MJP. Massage application for occupation low back pain in nursing staff .Rev.Latino-Am.Enfermagem. 2012 May-June;20(3):511-19.

24. Vasque IC, Santos DS, Carvalho EC. Tendência da pesquisa envolvendo o uso de toque terapêutico como uma estratégia de enfermagem. Acta Paul Enferm. 2011;24 (5):712-4.

25. Nerbass FB, Feltrim MIZ, Souza SA, Ykida DS, Filho GL. Effects of massage therapy on sleep quality after coronary artery bypass graft surgery. CLINICS 2010;65(11):1105-1110.

26. Capellini VK, Souza GS, Regina C, Faria S. Massage therapy in the management of myogenic TMD: a pilot study. JAppl.Oral Sci. 2006;14(1):21-6.

27. Reis CPA, Hardy E, Sousa MH. The effectiveness of connective tissue massage in the treatment of primary dysmenorrheal among young women. Rev.Bras.SaúdeMatern.Infant. Recife. 2010;10(2):247-256.

28. King LS, Matsutani, Akemi L, Ana A, Marques, Pasqual A. Effect of massage therapy in patients with fibromyalgia: Case reports. Ter. Man.2010;38(8):349-353.

29. Borges TP, Greve JMA, Monteiro AP, Silva RES, Giovani AMM, Silva MJP. Massage application for occupation low back pain in nursing staff.Rev.Latino-Am.Enfermagem. 2012 May-June;20(3):511-19.

588167e17f8c9d710a8b45b6 mtprehab Articles
Links & Downloads

Man. Ther., Posturology Rehabil. J.

Share this page
Page Sections