Physiotherapy goals must shift dynamically alongside the patient's neurological status, as quantified by the Expanded Disability Status Scale (EDSS).
Emerging literature confirms that regular physical activity exerts a neuroprotective effect in MS, promoting neuroplasticity and potentially slowing brain atrophy.
Allows over-ground walking practice for non-ambulatory patients. Home Exercise Programs and Long-Term Adherence
Physiotherapy is a cornerstone of Multiple Sclerosis (MS) management, shifting from a historical focus on "saving energy" to an evidence-based approach that emphasizes active exercise to maintain independence and improve quality of life. Key Management Strategies Physiotherapy interventions are typically categorized into restorative (improving function) and compensatory (managing limitations) approaches. Physiopedia Aerobic & Strength Training : Current guidelines recommend at least 150 minutes per week of exercise. This should include: physiotherapy management of multiple sclerosis ppt upd
Physiotherapy interventions must target specific impairments using evidence-based parameters.
The gold standard for grading MS impairment, tracking scores from 0 (normal) to 10 (death due to MS).
Preserving safe, functional ambulation delays the loss of independence. positioning to prevent contractures
Prevent secondary complications of immobility and support recovery back to baseline.
Significant impairment in ambulation; requires walking aids (cane, crutches, or walker).
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A rare form showing steady progression from onset alongside acute, clear relapses. Core Pathophysiological Impairments
Implement gentle active-assisted range of motion (ROM), positioning to prevent contractures, and energy conservation. Avoid vigorous or fatiguing exercises while the patient is undergoing high-dose corticosteroid treatment. 2. Remission and Maintenance Phase
Evaluating respiratory capacity and aerobic endurance.