: Minimize disease progression, prevent secondary complications (e.g., muscle atrophy, falls), and maintain respiratory and functional independence.
| Slide Topic | Suggested Paper(s) | |-------------|--------------------| | Pathophysiology of MS (brief) | Any neurology text – keep minimal | | Why physio matters | Kalb et al. (2020) guidelines | | Aerobic & resistance training | Langeskov-Christensen (2021) | | Balance & fall prevention | Paltamaa (2020) meta-analysis | | Fatigue management | Combined training study | | Neuroplasticity evidence | Sandroff (2020) fNIRS study | | Telerehabilitation | Khan (2021) | | Case example / clinical reasoning | Learmonth & Motl (2019) | | Key outcome measures | Extracted from Kalb or Paltamaa | | Take-home messages | Synthesize all | physiotherapy management of multiple sclerosis ppt upd
Effective management begins with a thorough clinical assessment. Therapists focus on: : Minimize disease progression
Physiotherapists work early after diagnosis and during relapses to address various movement and neurological challenges. Key objectives include: Improving Mobility: Maintaining walking skills and functional movement. Managing Fatigue: Implementing energy conservation and pacing techniques. Reducing Spasticity: prevent secondary complications (e.g.
Physiotherapy stands as a cornerstone of MS management. Rather than a "one-size-fits-all" approach, modern physical therapy (PT) focuses on neurorehabilitation, symptom management, and improving the overall quality of life. Core Pillars of MS Physiotherapy 1. Assessment and Goal Setting
and recent reviews recommend structured targets based on intensity: Minimum Guidelines Advanced/Target Guidelines Aerobic Exercise 2 x 30 mins/week (Moderate) 5 x 30–40 mins/week (Mod-Vigorous) Strength Training 2 sessions/week (8–10 exercises) 2 sessions/week (Targeting major muscle groups) Flexibility/Core 10–15 mins/day (3–7 days/week) Included in daily functional routine Total Activity 150 minutes/week of lifestyle physical activity 3. Intervention Strategies for Key Symptoms Physiotherapists now prioritize task-specific training