Management Of Multiple Sclerosis Ppt Upd | Physiotherapy
Physiotherapy Management of Multiple Sclerosis: A 2025-2026 PPT Update
- Objective: To provide an updated, evidence-based physiotherapy framework for managing impairments, activity limitations, and participation restrictions in people with Multiple Sclerosis (PwMS).
- Key Updates: Shift from purely compensatory strategies to neuroplasticity-driven rehabilitation, high-intensity interval training (HIIT), telerehabilitation, and fatigue management as a primary outcome.
- Virtual Reality (VR): Gamified rehabilitation improves adherence and dual-task processing.
- Telerehabilitation: Remote monitoring and exercise prescription, vital for patients with mobility transport barriers.
- Whole Body Vibration (WBV): Used to improve muscle strength and proprioception, though protocols vary.
- Assessment with Modified Ashworth Scale.
- Non-pharmacological: stretching, serial casting, positioning, functional electrical stimulation (FES), task-specific strengthening.
- Collaborate with neurology for botulinum toxin or intrathecal baclofen when needed.
- Use orthoses and splints to manage contracture risk.
Mobility & Gait:
Assessing walking speed (10-meter walk test), endurance (6-minute walk test), and the use of assistive devices.
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Current evidence-based standards for individuals with mild to moderate MS impairment include: Aerobic Exercise endurance (6-minute walk test)
