PT Intervention in People with Multiple Sclerosis Flashcards
Dosing of aerobic exercise for adults with MS:
60-80% MAX hr, 30-60 minutes
3 days/week, 10-30 min, moderate intensity (11-13 Borg RPE)
dosing of resistance exercise for adults with MS:
2-3 sets at 8-15 RM for major muscle groups
One study found that positive effects of exercise in ppl with MS can last ______ months following cessation of an exercise program:
3-6 months
General exercise guidelines for ppl with MS:
> or equal to 150 min/week of exercise or > or eval to 150 min/week of lifestyle physical activity
ADVANCED AEROBIC EX:
15 on 20 pt RPE scale
70% vo2 peak or 80% HRpeak
Strength training recommendations based on STUDY:
more than 6 weeks, high intensity (> 80% 1 RM)
2 DAYS A WEEK
IMPROVE: strength, functional capacity, balance, and fatigue
1-3 sets, 8-15 reps, 2-3 x/wk
BFR dosing is being investigated for population that can’t get to higher intensities voluntarily:
1x 30 ; 3x 15 @20-30% 1 RM
lower intensities but gains may be the same
What is one style of training that can be considered if an individual struggles with fatiguability?
interval training
What is one limitation in balance research for ppl with MS?
further research needed to identify optimal dose/intensity
lack of reactive postural control training and systematic way to progress training
- one study induced trips and slide–> improved dynamic stability and reduced trip-induced falls although some subjects had to stop due to pain
What can aquatic training improve in ppl with MS?
aerobic capacity
postural control
resistance to movement
may help with pain
What can virtual reality training improve in ppl with MS?
cognitive-motor function
reduce frequency of tripping and falling by improving reactive and anticipatory balance
BEEMS program for ppl with MS and vestibular rehab:
BALANCE AND EYE MOVEMENT EXERCISES FOR PERSONS WITH MS
standing balance on diff surfaces
mobility based balance in walking with and without head movement
visual stability: saccadic, smooth pursuit movements, VOR
CHANGES FOR PROGRESSION: visual input, somatosensory input, vestibular input
1-2 x/week; 45 minutes, 6-8 weeks, daily home practice
What does torso weighting improve in gait with ppl with MS?
CADENCE, GAIT SPEED, STRIDE LENGTH
increased number of signals sent to the CNS
accessible, home-based intervention which may improve walking
How can trunk training impact upper limb functionality in patients with MS?
trunk impairment may be correlated to arm function; targeting trunk control may improve ADL/functional independence
Dosing for stretching among individuals with spasticity:
3x60 seconds
consider stretching after long durations of sitting
avoid long sedentary periods
Benefits of FES for gait:
improves QOL, MS-related walking ability, catalyst for change
ppl feel empowered
