Document Detail

Exercise and rehabilitation for individuals with multiple sclerosis.
MedLine Citation:
PMID:  15893685     Owner:  NLM     Status:  MEDLINE    
It is the coexistence of physical and cognitive impairments, together with emotional and social issues in a disease with an uncertain course, that makes MS rehabilitation unique and challenging. Inpatient rehabilitation improves functional independence but has only limited success improving the level of neurologic impairment. Benefits are usually not long lasting. Severely disabled people derive equal or more benefit than those who are less disabled, but cognitive problems and ataxia tend to be refractory. There is now good evidence that exercise can improve fitness and function for those with mild MS and helps to maintain function for those with moderate to severe disability. Therapy can be performed over 6 to 15 weeks in outpatient or home-based settings or as a weekly day program lasting several months. Several different forms of exercise have been investigated. For most individuals, aerobic exercise that incorporates a degree of balance training and socialization is recommended. Time constraints, access, impairment level, personal preferences, motivations, and funding sources influence the prescription for exercise and other components of rehabilitation. Just as immunomodulatory drugs must be taken on a continual basis and be adjusted as the disease progresses, so should rehabilitation be viewed as an ongoing process to maintain and restore maximum function and QOL.
Theodore R Brown; George H Kraft
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Review    
Journal Detail:
Title:  Physical medicine and rehabilitation clinics of North America     Volume:  16     ISSN:  1047-9651     ISO Abbreviation:  Phys Med Rehabil Clin N Am     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-05-16     Completed Date:  2005-07-14     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  9102787     Medline TA:  Phys Med Rehabil Clin N Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  513-55     Citation Subset:  IM    
MS Hub Medical Group, 1100 Olive Way, Suite 150, Seattle, WA 98101, USA.
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MeSH Terms
Disabled Persons / rehabilitation
Exercise Therapy*
Fatigue / physiopathology
Multiple Sclerosis / rehabilitation,  therapy*
Muscle Spasticity / physiopathology
Occupational Therapy
Physical Fitness
Postural Balance
Quality of Life

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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