2.5 MS Rehabilitation

Question 1

Intervention Types

Answer 1

Preventative
Compensatory
Restorative
Maintenance

Question 2

Preventative

Answer 2

Minimizing Complications
Delaying Exacerbation
Decrease Disability

Question 3

Compensatory

Answer 3

Task Modifications
Assistive Devices

Question 4

Restorative

Answer 4

Neural Plasticity
Recovery of movement

Question 5

Maintenance

Answer 5

Education
Assistive Services

Question 6

Interventions for early stages

Answer 6

Preventative and Restorative
Compensatory

Question 7

Interventions for middle stages

Answer 7

Compensatory strategies - use assistive devices, psychological support and energy conservations

Question 8

Interventions for late stages

Answer 8

Preventative - improve posture and education on bed mobility to avoid contractures.
Compensatory - Improve quality of life for caregiver and patient.

Question 9

Interventions for sensation

Answer 9

Restorative - provide proprioception loading through joints. weights for resistance
Compensatory - Make home environment modifications

Question 10

Interventions for pain

Answer 10

medication and acupuncture are the best.
compression garments.
medication accounted for by timing.

Question 11

Interventions for gait

Answer 11

PNF activities that focus on stability and coordination.
PNF chop and lift patterns with combinations of isotonic, reversal of antagonist and rhythmic stabilization.

Question 12

Interventions for bowel and bladder control

Answer 12

Pelvic floor exercises and electric stabilization

Question 13

Interventions for flexibility

Answer 13

can be helpful before intervention if patient has spasticity - it can increase range of motion

Question 14

Interventions for strength

Answer 14

progressive resistance bands, weight training. closed chain exercises are more functional

Question 15

Interventions for exercise

Answer 15

3-5 days a week training intensity at 60-85% heart rate peek for approx. 30 mins per session

Question 16

When might you prescribe a power scooter vs a power wheelchair for an individual with MS?

Answer 16

Compensatory vs. Preventative / Mild to Late severe stage

Question 17

What must a therapist provide in order to obtain a Power wheelchair for a patient?

Answer 17

Documentation of potential adverse outcomes.