Role of Physiotherapist in Multiple Sclerosis Rehabilitation

Question 1

what are the Interventions throughout the Disease Course

Answer 1

At the Time of Diagnosis

Following Acute Exacerbations

Progressive Disease

Advanced MS

Question 2

Education
Support
Baseline evaluation
Appropriate exercise
Fatigue
Gait or balance impairments
related to?

Answer 2

At the Time of Diagnosis

Question 3

AFTER relapse or attack
Returning to baseline function
related to?

Answer 3

Following Acute Exacerbations

Question 4

Progressive Disease is?

Answer 4

Primary-progressive MS
Secondary-progressive MS
Emotional burden
Early rehabilitation
Conditioning
Supportive device
Environmental changes

Question 5

Non-ambulatory
Secondary Problems
Trunk based interventions
Transfers
Assistive devices
Wheelchair
Weight bearing
Stretch
Bowel and bladder
Respiration
Speech
are related to?

Answer 5

advanced MS

Question 6

what are the test done with MS?

Answer 6

MS Functional Composite (MSFC), which includes the 25-foot walk
Expanded Disability Status Scale (EDSS)
MS Fatigue Impact Scale (MSFIS)
Disease Steps (DS)
MS Walking Scale-12 (MSWS-12), a patient self-report

Question 7

0 = Normal
1-4.5 = Fully Ambulatory
5-9.5 =Ambulation Impaired
10 = Death
this scale related to?

Answer 7

EDSS

Question 8

Modified Ashworth Scales for?

Answer 8

spasticity

Question 9

Modified Fatigue Impact Scale
Fatigue Severity Scale
are for depression
true or false?

Answer 9

false, for fatigue level scale

Question 10

how can we test balance?

Answer 10

Single-leg stance test
Romberg
tandem stance
Functional Reach Test
Tinetti Performance-Oriented Mobility Assessment
Berg Balance Scale
Balance Evaluation Systems Test (BESTest)…

Question 11

Speed,
Distance
Quality
Motion analysis
25FTW and the timed 10-meter gait test
6-minute walk test (6MWT)
Timed Up-and-Go Test (TUG)
are for?

Answer 11

gait

Question 12

Box and Block Test for?

Answer 12

Upper extremity function test

Question 13

Balance
Coordination
Upper Body Control
Strength
Endurance
are factors effecting what?

Answer 13

ambulatoin/mobility

Question 14

40% V˙o2max aerobic ergometer exercise program was well tolerated in people with MS and did not provoke remission

true or false?

Answer 14

false, 60%

Question 15

how much exercise should be done with MS patients?

Answer 15

2-3 sessions per week
intensity=65%-75%
20-30 mins per session
resistance ex,15 to 28 rep with 1-3 sets increasing to 3-4 sets

training should last at least 12 weeks

Question 16

how can we prevent fatigue?

Answer 16

Cooling suit
No one type of exercise, resistance or aerobic, or program has been proven most effective
Energy ConservatIon Methods