Physiotherapy Management Of Multiple Sclerosis Ppt Upd Guide

Coordinate exercise sessions with peak medication times (e.g., Baclofen) or apply cryotherapy to temporarily reduce tone. Gait Rehabilitation and Orthotics

Maintaining functional mobility; preventing secondary contractures and deconditioning.

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Continuous worsening of symptoms from the start, without distinct relapses. physiotherapy management of multiple sclerosis ppt upd

Numbness, tingling, proprioceptive deficits, and neuropathic pain.

60–80% of maximum heart rate, or a Rating of Perceived Exertion (RPE) of 11–13 (somewhat hard).

Physiotherapy is a critical component of lifelong management for individuals living with Multiple Sclerosis. By prescribing tailored aerobic, resistance, and balance training, physical therapists directly combat the progression of functional limitations. Adapting interventions to the patient's current EDSS stage allows the clinical team to optimize independence, reduce secondary complications, and improve overall quality of life. Coordinate exercise sessions with peak medication times (e

┌──────────────────────────────┐ │ MS Motor & Sensory Axis │ └──────────────┬───────────────┘ │ ┌───────────────────────┼───────────────────────┐ ▼ ▼ ▼ ┌─────────────────┐ ┌─────────────────┐ ┌─────────────────┐ │ Spasticity │ │ Cerebellar Axis │ │ Sensory Loss │ │ • Hypertonia │ │ • Ataxia │ │ • Paresthesia │ │ • Clonus │ │ • Intention │ │ • Proprioception│ │ • Contractures │ │ Tremor │ │ Deficits │ └─────────────────┘ └─────────────────┘ └─────────────────┘

EDSS 0.0 - 3.5 EDSS 4.0 - 6.5 EDSS 7.0 - 9.5 ┌──────────────────────┐ ┌──────────────────────┐ ┌──────────────────────┐ │ Mild Disability │ │ Moderate Disability │ │ Severe Disability │ ├──────────────────────┤ ├──────────────────────┤ ├──────────────────────┤ │• High-intensity PRT │ │• Gait training │ │• Passive stretching │ │• Advanced balance │ │• Orthotic fitting │ │• Postural transfers │ │• Neuroprotection focus│ │• Energy conservation │ │• Pressure care │ └──────────────────────┘ └──────────────────────┘ └──────────────────────┘

Utilize cooling vests, cold showers, or climate-controlled environments before and during exercise to mitigate Uhthoff's phenomenon. Spasticity Management Continuous worsening of symptoms from the start, without

[ Aerobic Exercise ] [ Resistance Training ] • 2-3 Days / Week • 2 Days / Week • 40% - 60% VO2 Max • 60% - 80% 1RM • Cycling, Walking, Aquatics • Multi-joint Compound Moves Neuroplasticity-Driven Balance and Ataxia Management

At least 150 minutes of exercise or lifestyle physical activity per week. Aerobic Exercise:

Physiotherapy is most effective when integrated into a comprehensive, multidisciplinary care team. Coordinated efforts ensure optimal patient outcomes: