NEUROREHABILITATION STRATEGIES IN MULTIPLE SCLEROSIS
Multiple sclerosis (MS) is a chronic progressive disease which is one of the leading causes of handicap in young subjects. Despite the availability of advanced disease-modifying and symptomatic therapies, there is still a need for complex rehabilitation interventions in order to compensate functiona...
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doaj-e0ca773c16814f39b9741c86b1af99962020-11-24T23:09:45ZengRomanian Association of Balneology, Editura BalnearaBalneo Research Journal2069-75972069-76192015-12-015418018710.12680/balneo.2014.1075NEUROREHABILITATION STRATEGIES IN MULTIPLE SCLEROSISIoana Stanescu0Gabriela Dogaru1University of Medecine and Pharmacy “Iuliu Hatieganu”, Cluj Napoca ² Rehabilitation Hospital Cluj -NapocaUniversity of Medecine and Pharmacy “Iuliu Hatieganu”, Cluj Napoca ² Rehabilitation Hospital Cluj -NapocaMultiple sclerosis (MS) is a chronic progressive disease which is one of the leading causes of handicap in young subjects. Despite the availability of advanced disease-modifying and symptomatic therapies, there is still a need for complex rehabilitation interventions in order to compensate functional deficits, to minimize limitations in activity, to increase independence and quality of life of MS patients. Individualized programs elaborated by a multidisciplinary team of experts are the key to success of rehabilitation. Treatment should be adapted depending on: the individual patient's needs, demands of their surrounding environment, type and degree of disability, and treatment goals. The main objective of rehabilitation is, therefore, to ease the burden of symptoms by improving self-performance and independence. The methods used are: function conservation , optimization of restant capacities, compensation of functional deficits and prevention of complications. Benefits of rehabilitation interventions are generally higher in earlier phases of MS. Inpatient and outpatient multidisciplinary rehabilitation has been shown to be beneficial in improving disability. Outcome measures applied for patients with MS include: the EDSS score, the Barthel index and the FIM (Functional Independence Measure). The coexistence of physical and cognitive impairments, together with the imprevisible evolution of the disease makes MS rehabilitation very challenging. Rehabilitation is a valuable tool in the overall management of MS patients, the improvements obtained after treatment sessions often outlast the treatment period by several months. Neurorehabilitation methods are important tools in developing complex management strategies for patients with multiple sclerosis. http://bioclima.ro/Balneo75.pdfmultiple sclerosisneurorehabilitationdisability |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ioana Stanescu Gabriela Dogaru |
spellingShingle |
Ioana Stanescu Gabriela Dogaru NEUROREHABILITATION STRATEGIES IN MULTIPLE SCLEROSIS Balneo Research Journal multiple sclerosis neurorehabilitation disability |
author_facet |
Ioana Stanescu Gabriela Dogaru |
author_sort |
Ioana Stanescu |
title |
NEUROREHABILITATION STRATEGIES IN MULTIPLE SCLEROSIS |
title_short |
NEUROREHABILITATION STRATEGIES IN MULTIPLE SCLEROSIS |
title_full |
NEUROREHABILITATION STRATEGIES IN MULTIPLE SCLEROSIS |
title_fullStr |
NEUROREHABILITATION STRATEGIES IN MULTIPLE SCLEROSIS |
title_full_unstemmed |
NEUROREHABILITATION STRATEGIES IN MULTIPLE SCLEROSIS |
title_sort |
neurorehabilitation strategies in multiple sclerosis |
publisher |
Romanian Association of Balneology, Editura Balneara |
series |
Balneo Research Journal |
issn |
2069-7597 2069-7619 |
publishDate |
2015-12-01 |
description |
Multiple sclerosis (MS) is a chronic progressive disease which is one of the leading causes of handicap in young subjects. Despite the availability of advanced disease-modifying and symptomatic therapies, there is still a need for complex rehabilitation interventions in order to compensate functional deficits, to minimize limitations in activity, to increase independence and quality of life of MS patients. Individualized programs elaborated by a multidisciplinary team of experts are the key to success of rehabilitation. Treatment should be adapted depending on: the individual patient's needs, demands of their surrounding environment, type and degree of disability, and treatment goals.
The main objective of rehabilitation is, therefore, to ease the burden of symptoms by improving self-performance and independence. The methods used are: function conservation , optimization of restant capacities, compensation of functional deficits and prevention of complications.
Benefits of rehabilitation interventions are generally higher in earlier phases of MS. Inpatient and outpatient multidisciplinary rehabilitation has been shown to be beneficial in improving disability. Outcome measures applied for patients with MS include: the EDSS score, the Barthel index and the FIM (Functional Independence Measure). The coexistence of physical and cognitive impairments, together with the imprevisible evolution of the disease makes MS rehabilitation very challenging.
Rehabilitation is a valuable tool in the overall management of MS patients, the improvements obtained after treatment sessions often outlast the treatment period by several months. Neurorehabilitation methods are important tools in developing complex management strategies for patients with multiple sclerosis. |
topic |
multiple sclerosis neurorehabilitation disability |
url |
http://bioclima.ro/Balneo75.pdf |
work_keys_str_mv |
AT ioanastanescu neurorehabilitationstrategiesinmultiplesclerosis AT gabrieladogaru neurorehabilitationstrategiesinmultiplesclerosis |
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