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CLAVITHERAPY IN DISSEMINATED SCLEROSIS - DS (sclerosis multiplex - SM), IN ATROPHIC LATERAL SLEROSIS (ALS), NEUROPATHY AND AIDS POLYNEUROPATHY

 DISSEMINATED SCLEROSIS (sclerosis multiplex – SM)-  symptoms and their causes

DISSEMINATED SCLEROSIS is very complex disorder, especially for an emotionally sensitive person. The illness is characterised by a wide range of symptoms, of which not all need to appear in one affected patient. 

The results of the study of 200 patients diagnosed with Disseminated Slcerosis – DS (Sclerosis Multiplex – SM) prior to and following clavitherapy. 

APPENDIX 1 - PRELIMINARY NEUROLOGICAL EVALUATION OF DISSEMINATED SCLEROSIS - DS (sclerosis multiplex - SM) PATIENTS TREATED WITH CLAVITHERAPY METHOD.

From: Jan K. Nowak, M.D.Ph.D., Diplomate in Neurology and Clinical Neurophysiology, 05-804 Pruszkow, 9916 Powstancow St, Poland

The investigations were carried out in the Clavitherapy Center - the Spring:

1) from 12 till 17 of April, 1999, two female cases (38 and 46)

2) from 19 till 24 of April, 1999, two male cases (40 and 41)

In all those cases DS (SM) was undoubtfully confirmed by clinical assessment and NMR. Examinations were performed twice: before the session and just after five days of treatment. It was a typical neurological examination. Moreover, special forms were filled in to evaluate motor, sensation, vegetative, psychic and emotional level in each case.

MOTORIC SYSTEM AND ACTIVITY:

Three patients showed significant progress in walking, being able to cover longer distances than before, and no support was necessary for them. Moving upstairs was also easier. A clear improvement in muscle movement coordination was observed. Spasticity was decreased in general, especially that of lower limbs.

One female trainee didn't reveal satisfactory progress. 1t can be somehow explained by deliberate severity of her disease. Being motorically disabled, with secondary arthropathy, she was finally far more enthusiastic and cooperative about the training.

SENSATION AFFERENT SYSTEM:

In three cases, previously manifesting severe objective sensation deficiencies and paresthaesia, all these abnormalities vanished. In one case no preliminary deficits were detected before and after therapy.

SPHINCTER ACTIVITY:

All patients reported formerly to be constipated, dysuric, with irritating nycturia. After the treatment all these problems were over and comfort was restored.

BLOOD SUPPLY OF UPPER AND LOWER LIMBS:

Whereas foregoing examination revealed cold hands and feet, there was far more warmth to be felt afterwards.

PSYCHOEMOTIONAL EVALUATION:

Each patient interrogated about emotions admitted significant relief, calming down, better sleep, higher motoric activity and declared continuing training at home, including massages, exercise and clavitherapy. It was possible to teach their relatives to set up clavitherapy sessions at home.

A special attention should be paid to vision disorders. Formerly reported as poor, the visual acuity got better in three cases. This observation needs a detailed ophtalmological examination and was noticed by reading tests only.

 ________________

SUMMARY:

I observed significant improvement in neurological state of DS (SM) patients treated with clavitherapy. I analysed my own research material, Mrs M. Szubert-Carnocka's forms and Mr F. Barbasiewicz's private statistics to prove that conclusion.

Taking into account present knowledge concerning disseminated sclerosis with its insufficient treatment results, this seems to be rational to introduce clavitherapy as an effective auxiliary remedy for DS (SM). The pharmacological) achievements are still inappropriate as far as obtainable medical data are concerned, only acute phase is now under notable control. Wide diffusion of clavitherapy could be of significant help in rehabilitation or auxiliary medication.

Finally, I am convinced to say that achieved results of the experiment come from applied method only and have no connection in temporary remissions, which are typical in DS (SM).

APPENDIX 2 - EVALUATION OF NEUROLOGICAL CONDITION OF 10 CASES AFTER FIVE-DAYS' CLAVITHERAPEUTIC TREATMENT

From: Matylda Strzelecka-Górzynska, M. D., Diplomate in Neurology, Piastów, 14134 Tysi1clecia St, Poland

In April and May of 1999 nine patients with disseminated sclerosis were examined, each case having been formerly confirmed by means of hospital observation and NMR. The patients were able to produce any necessary medical documentation such as hospital forms and NMR files. There occured one case of amyotrophic lateral sclerosis (ALS), a motor neuron disease, with eight months' history of illness. Nine patients out of that ten completed the training, one person called off due to some conflicts among the trainees. The group consisted of 4 females (age 38 up to 46) and 6 males 9 (age 38 up to 51), Case histories spanned periods of time ranging from five to eleven years. Nobody had been subject to steroid therapy for at least three months, nor was experiencing such medication at that moment. Cases were classified into three subtitles: the first one of slow DS (SM) progress (2), the second of progressive process with aggravations (4), the third of intermittent crisis type (3). For the last three months no significant progress or crisis had been reported in that group. One patient with ALS was obviously showing some deterioration and was in the middle of RILUTEK once-a-day treatment. The following neurological findings were reported on admission:

· two females revealed spastic paresis of lower limbs and cerebellar syndrome

· two other females showed dominating spastic hemiparesis, superficial sensation deficiency and numbness.

. four men were suffering mainly from lower limbs spastic paresis

· one male patient was complainig of hemianaesthesia with cerebellar syndrome · the only patient with ALS developed spastic paresis of lower limbs and atonic paralysis of right upper limb, shoulder muscle atrophy, with no sensation disorders.

All persons invited to the program were very cooperative and eager to take part in the therapy, even for prolonged routine. Much trust and hope was shown up as a chance to get better appeared. Final inspection revealed as follows:

· one person gave up for personal reasons

· one person was hardly able to admit any improvement and claimed little effect. Physical examination pointed to a slight decrease in lower limb spasticity thus upgrading motoric abilities.

· the others' reports were far more optimistic as their paretic limbs gained some more extent of movements and longer distances of self-dependent walk. Numbness and formication as sensational vexatious experiences were also significantly withdrawn. Two patients appreciated better sphincter control. Objective findings confirmed decreased spasticity in paretic limbs with all consecutive advantages as movement extension and accuracy together with somatic improvement.

· there were also some additional comments of improved eyesight and sensory disorder relief, but no objective clinical tests were applied to verify them, such as evoked sensory potentials or ophtalmologic assessment.

Formerly evident pyramidal deficiencies were still present, to mention paradoxical extensor reflex, plantar muscle reflex and asymmetric reflexes. Cerebellar symptoms of nystagmus and dysmetria together with cranial nerve lesions producing strabismus - all those findings persisted without changes.

Distant results of therapy were not verified and only five days' watch was performed.

CONCLUSIONS:

Eight cases of disseminated sclerosis and one of amyothropic lateral sclerosis were subject to preliminary and consequent examination. The final conclusions that could be drawn after five days' course seem to appreciate clavitherapy as an auxiliary tool in neurological rehabilitation. The main positive effect was that of reducing spasticity of paretic limbs as well as defeating patients' reluctance to take up exercise. Patient being cooperative and optimistic, far better results can thus be achieved and motoric abilities may upgrade.

The physician in charge of trial assessment was not involved in therapy in any way, therefore remained objective.

APPENDIX 3:

From: M.Magdalena Szubert-Czarnocka, M.D., Diplomate in Neurology, Milanówek, 16 Klonowa St, Poland

At the Center of Clavitherapy - the Spring, of Strzeniówka, 10 Jeżynowa St, five patients were examined from April 26th till May 15th, 1999. According to full desired scheme of such evaluation there were two examination sessions: the first one prior to admission and the same on discharge. Two female and three male sufferers, aged from 38 up to 58, average age estimated at 47, had case histories from one year up to 21 years of disease. Four patients had established diagnosis of disseminated sclerosis (multiplex sclerosis) with full documentation and the fifth person suffered from motor neuron disease with focal demyelinization.

THE METHOD: each case was examined twice and special forms were filled in to evaluate motoric, sensory and vegetative systems, sphincter function and mental condition.

CONCLUSIONS:

· motoric system: all patients considerably improved their motion abilities. Formerly, all needed some support to walk. Afterwards, they could move around all by themselves, even upstairs or downstairs. Motor coordination was deliberately enhanced and easier movements could be observed. Spasticity was significantly decreased.

· sensory system: numbness was diminished or completely gone

· sphincters activity: generally improved, no nycturia reported, bowel movements regular once a day. Blood supply of limbs was proved to be more effective as significant rise of skin temperature was detected. The examined reported better eyesight together with emotional relief.

Finally, this is to certify that clavitherapy seems to be effective in DS (SM) treatment as the group of five patients made significant progress in physical abilities.

APPENDIX 4: EVALUATION OF GLAVITHERAPY TREATMENT OF SIX DAYS' COURSE APPLIED TO TWO PATIENTS WITH DISSEMINATED SCLEROSIS - DS (sclerosis multiplex - SM).

From: Małgorzata Gontarek-Laton, M.D., Diplomate in Paediatrics, Diplomate in Paediatric Neurology, Szczecin, 11 Cedrowa St, Poland

On the first day of the course both patients were unable to walk alone without support or leaning against a companion. A distance of about 40 m could hardly be covered by one of them.

After six days' treatment distances of easy walk were enormously lengthened. Both patients did not need any stick support to make 400 and 850 m, respectively. Motion coordination changed for the better - from previously unsteady steps, there was a kind of fluency with peculiar nattiness of movements. Less spasticity resulted in better muscle performance and more intensive exercise could be taken up.

No dysphoria or irritation were present, good mood was restored, reaction time was set to normal. Both patients were full of trust and hope as they observed positive treatment effects. Also both decided to proceed with training in future.

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