are frequently used to control muscle tone and enhance coordination. Symptom-Specific Management Spasticity
: Recommend at least 150 minutes per week of physical activity. Aerobic : mins/week (moderate intensity). Strength : sessions/week targeting major muscle groups ( exercises; sets of reps). Flexibility/Balance : times per week.
Neuroplasticity, technology-integrated rehab, and personalized exercise prescription. Slide 1: Title Slide Title: Physiotherapy Management of Multiple Sclerosis
Physiotherapy for Multiple Sclerosis (MS) has evolved from simple symptom management to a high-intensity, neurorestorative model that utilizes technology and behavior change to maximize long-term mobility . physiotherapy management of multiple sclerosis ppt upd
Defined attacks followed by partial or complete recovery periods.
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
Introduce controlled balance disruptions on unstable surfaces (like foam pads or balance boards) to train and speed up postural recovery responses. 5. Crucial Clinical Considerations Managing Heat Sensitivity (Uthoff’s Phenomenon) are frequently used to control muscle tone and
From simple "energy conservation" to active "neurorestorative" care. Slide 3: Comprehensive Assessment
[Immune Activation] ➔ [T-Cells Cross Blood-Brain Barrier] ➔ [Demyelination & Inflammation] ➔ [Axonal Transection & Sclerosis] Key Clinical Phenotypes
| Domain | Frequency | Intensity | Type | | :--- | :--- | :--- | :--- | | Aerobic | 3-5x/week | RPE 12-15 (Borg) | Recumbent bike, aquatic | | Resistance | 2-3x/week | 8-12 reps, 70% 1RM | Theraband, machines | | Balance | Daily | Unstable surface | Tai Chi, yoga, dual-task | Strength : sessions/week targeting major muscle groups (
: Teaching self-management strategies, including energy conservation and the use of assistive devices . Evidence-Based Exercise Guidelines (2026 Update)
MS presents with a wide variety of symptoms due to the disruption of neural conduction. The clinical course is variable, typically categorized as:
Assessment by a specialized MS physical therapist should occur immediately upon diagnosis to establish a baseline and lifestyle physical activity program. Hybrid Care Models: Combining in-person clinic visits with remote telerehabilitation
Modern MS management has shifted from purely compensatory strategies to neurorestorative and technology-integrated rehabilitation Early Intervention: