MS Interventions Flashcards
treament focus with MS
- Prevention
- Remediation
- Compensation
EDSS 0-2.5 Mild Disability treatment focus
Mostly on Prevention and some remediation
- minimal mobility deficits
- standard tests may not be sensitive enough to detect disease progression or disability
- assessment of pts when symptomatic is extremely helpful
- focus on edu and maximizing fitness levels
EDSS 3-6 Moderate Disability treatment focus
Mostly Remediation with some prevention
- Impairments are more readily apparent
- may or may not begin to impact activity and participation
- secondary impairments develop
treatment considerations for EDSS 3-6
- intermittent versus continuous activity
- can improve tolerance by increasing rest periods
- this is where we spend the most time with patients
treatment focus with EDSS 6.5-9 Severe Disability
Mostly Compensation and some prevention
- sig mobility and functional limitations
- more pronounced comorbidities
- longer remission periods
treatment considerations for EDSS 6.5-9.5
- despite focus being largely compensatory and preventative, it can still be very meaningful
- major goal is to improve safety and efficiency with mobility
EDSS 0 description
normal neuro exam
EDSS 1 description
no disability, minimal signs in one FS
EDSS 1.5 description
no disability, minimal signs in more than one FS
EDSS 2 description
minimal disability in one FS
EDSS 2.5 description
minimal disability in 2 FS
EDSS 3 description
fully ambulatory, moderate disability in one FS
or
mild disability in three or four FS
EDSS 3.5 description
fully ambulatory but with moderate disability in one FS and minimal or more disability in several other FS
EDSS 4 description
fully ambulatory without aid, self-sufficient, up and about some 12 hours a day, able to walk without aid or rest at least 500m without aid/rest
EDSS 4.5 description
- fully ambulatory without aid,
- up and about much of the day,
- able to work a full day, may otherwise have some limitation of full activity or require min A
- able to walk without aid or rest at least 300m