ECHILIBRUL, STATUSUL OSOS SI STATUSUL MUSCULAR ÎN SCLEROZA MULTIPLĂ.

Introduction. In this study we evaluated the static and dynamic balance, walking, bone and muscular status in patients with multiple sclerosis (MS) and the results were compared with that of healthy individuals or that from unaffected segment for the muscle strength. Methods. The study included 17 subjects with MS (37-60 years), who formed the group of MS and 20 healthy subjects (37-65 years) who formed the control group (C). he evaluation included: the bone parameters at the calcaneus; daily calcium intake; static and dynamic balance; walking; spasticity and muscle strength. Results. The finding of balance tests indicates a high risk of falls, 47.05% of all patients tested, with having a score between 21 and Berg 40 points, which confirms that they need help for daily activities. Subjects in MS group have a low calcium intake to the recommended daily intake (604.76 mgCa/day to 1000 mgCa/day). Ultrasound parameters were low in MS subjects, indicating a higher racture risk. The muscular assessment revealed presence of spasticity in 45.0% of subjects, only at the lower limb, triceps sural muscles, tibialis anterior and quadriceps. uscle testing show a muscle weakness in one of the egs in all subjects. Conclusion. The finding of this study indicate that the hysiotherapy program for MS patients should having the objectives to improving balance, balancing muscle tone, slowing of bone quantity and quality loss, with ntroducing specific exercises for this and realizing a roper nutritional education.