Physiotherapy Management Of - Multiple Sclerosis Ppt Upd

Balance challenges using unstable surfaces, like foam pads and balance boards, to stimulate sensory pathways. Spasticity Management Protocols

Updated 2026 exercise recommendations differentiate between general and advanced targets based on disease stage: Exercise Type Minimum Guidelines (Standard) Advanced Guidelines 2 x 30 mins/week (moderate intensity) 5 x 30-40 mins/week (mod-to-vigorous) 2 sessions/week (8-10 exercises) 2 sessions/week (8-10 exercises) Flexibility 3–6 times per week Daily or as needed 3–6 times per week Daily or integrated into tasks For Non-Ambulatory Patients:

Utilize cool water pools (typically 26°C to 28°C) to relax tight muscles, decrease spasticity, and allow for easier, lower-impact movement. Balance, Coordination, and Ataxia Management

Utilize body-weight supported treadmill training (BWSTT) or overground gait training. physiotherapy management of multiple sclerosis ppt upd

Addressing movement disorders (ataxia, spasticity).

A thorough assessment is the foundation of effective physiotherapy management. The following tools are recommended for evaluating disability, tracking progression, and guiding intervention:

: Promoting regular physical activity is a primary aim to prevent secondary symptoms. Moderate-intensity workouts are often recommended, with a focus on increasing aerobic activity gradually. Symptom-Specific Interventions : Balance challenges using unstable surfaces, like foam pads

Physiotherapy is vital in managing MS. It spans from early diagnosis to advanced stages. The primary goal is maintaining optimal function. Therapy aims to maximize independence and safety. It minimizes secondary complications like muscle contractures. Treatment strategies change as the disease progresses. Comprehensive Patient Assessment

Spasticity affects up to 80% of MS patients and can lead to pain, contractures, and loss of function.

Prolonged static stretching, low-load prolonged positioning, splinting, and hydrotherapy. Addressing movement disorders (ataxia, spasticity)

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

Stationary cycling, arm-crank ergometry, aquatic therapy, or elliptical training.