Physiotherapy Management Of Multiple Sclerosis Ppt Upd __full__ Jun 2026

Strengthening the transversus abdominis and multifidus to improve sitting and standing posture.

Moderate-intensity aerobic exercise (60–80% of HR max), 2–3 times per week.

Muscle weakness, paraparesis, impaired motor control, and poor dexterity.

: Education on "energy conservation" has evolved into "fatigue management" through structured activity and lifestyle pacing. Bladder Dysfunction

Focus on deep abdominal and multifidus activation to stabilize the trunk during limb movement. 4. Gait Training and Assistive Technology physiotherapy management of multiple sclerosis ppt upd

According to recent clinical summaries, people with MS should aim for a structured physical activity plan to prevent secondary complications: Aerobic Exercise Strength Training 2 sessions/week (30 mins each) 2 sessions/week (8–10 exercises) Advanced 5 sessions/week (30–40 mins each) 2 sessions/week (2–3 sets per exercise)

Prescription of canes, rollators, or power wheelchairs based on the patient's EDSS score. 5. Critical Clinical Considerations and Safety Precautions Uhthoff’s Phenomenon (Heat Sensitivity)

Apply FES to the common peroneal nerve to correct foot drop during the swing phase.

Strength testing, tone (Ashworth Scale), spasticity management. : Education on "energy conservation" has evolved into

Spasticity fluctuates and requires a combination of medical and physical therapies.

Maintain comfort, optimize remaining function, and assist caregivers.

Reduce fall frequency, decrease the fear of falling, and improve safety during transfers. 4. Spasticity Management

MS is characterized by inflammation, demyelination, and axonal degeneration within the brain and spinal cord. It primarily affects young adults, with a higher prevalence in females. Core Pathological Features Gait Training and Assistive Technology According to recent

Improves cardiorespiratory fitness, reduces fatigue. Methods include cycling, aquatic therapy, and brisk walking.

The 2025 Cochrane protocol on exercise therapy for fatigue in MS will further clarify the optimal dose and modality for fatigue management.

Utilize prone lying or specific wedge positioning to inhibit overactive flexor groups.

Modified Ashworth Scale (MAS) to quantify spasticity in major muscle groups.