Physiotherapy Management Of Multiple Sclerosis Ppt Upd Jun 2026

Up to 80% of MS patients experience Uthoff's Phenomenon, where a temporary rise in core body temperature impairs nerve conduction and worsens neurological symptoms.

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Prolonged stretching, static weight-bearing, and cryotherapy. Education: Proper positioning in bed and wheelchairs. Fatigue Management physiotherapy management of multiple sclerosis ppt upd

Measures the effects of fatigue on daily life. Evidence-Based Physiotherapy Interventions

Intention tremors, dysmetria, dysdiadochokinesia, and severe truncal ataxia. Up to 80% of MS patients experience Uthoff's

Physiotherapy plans must balance symptom management with neuroplasticity-driven restorative training. Exercise Prescription and Aerobic Conditioning

Evaluating respiratory capacity and aerobic endurance. Education: Proper positioning in bed and wheelchairs

| Domain | Recommendation | Caution | |--------|----------------|---------| | Aerobic | 2-3x/week, 20-30 min, 60-80% HRmax or RPE 12-14 (Borg) | Avoid overheating → pre-cooling | | Resistance | 2x/week, 8-15 reps, 60-80% 1RM | Avoid eccentric overload in weak quads | | Balance | Daily, 10-15 min, dual-task training | Progress from stable to unstable surface | | Flexibility | Daily, static stretches for hip flexors, hamstrings, calves | Avoid long-duration stretch in spasticity without agonist activation |

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Continuous neurological decline from onset without distinct relapses.