Multidisciplinary approach to treatment of a Multiple Sclerosis Exacerbation in a 10 day Inpatient Rehabilitation Setting
Type of Presentation
Event
Location
Hall of Governors
Start Date
4-7-2017 4:00 PM
End Date
4-7-2017 6:00 PM
Abstract
Background/purpose: Multiple Sclerosis (MS) is a central nervous disorder that has a prevalence of 3.2 per 100,000 individuals in the United States and leads to persistent disability in 80% of these individuals. MS typically results in an inability to perform activities of daily living and instrumental activities of daily living. Research has shown that physical and occupational therapy are beneficial treatments but limited research has determined their impact in a shortened multidisciplinary approach in the inpatient rehab setting.
Case Description: The patient was a 49 year old male with secondary progressive MS that presented with generalized weakness, decreased coordination and decreased endurance. The symptoms resulted in decreased ability to perform transfers and ambulation both independently and safely.
Outcomes: This patient completed 9 days of therapy that involved occupational, physical and speech therapy over a 10 day inpatient stay. Patient showed significant increases in transfers and ambulation demonstrated by improvements in the Functional Independent Measure (FIM). There were no differences seen in fatigue when utilizing the Fatigue Severity Scale.
Discussion: The increases seen in the FIM indicate an improved ability for the subject to be independent and participate as an active member of his family. Although, the multidisciplinary approach in a shortened duration did not have a significant impact on perceived fatigue in this case study, further research will be required to determine if the improvements seen in the inpatient rehab setting correlate in the home and are maintained in the long term.
Multidisciplinary approach to treatment of a Multiple Sclerosis Exacerbation in a 10 day Inpatient Rehabilitation Setting
Hall of Governors
Background/purpose: Multiple Sclerosis (MS) is a central nervous disorder that has a prevalence of 3.2 per 100,000 individuals in the United States and leads to persistent disability in 80% of these individuals. MS typically results in an inability to perform activities of daily living and instrumental activities of daily living. Research has shown that physical and occupational therapy are beneficial treatments but limited research has determined their impact in a shortened multidisciplinary approach in the inpatient rehab setting.
Case Description: The patient was a 49 year old male with secondary progressive MS that presented with generalized weakness, decreased coordination and decreased endurance. The symptoms resulted in decreased ability to perform transfers and ambulation both independently and safely.
Outcomes: This patient completed 9 days of therapy that involved occupational, physical and speech therapy over a 10 day inpatient stay. Patient showed significant increases in transfers and ambulation demonstrated by improvements in the Functional Independent Measure (FIM). There were no differences seen in fatigue when utilizing the Fatigue Severity Scale.
Discussion: The increases seen in the FIM indicate an improved ability for the subject to be independent and participate as an active member of his family. Although, the multidisciplinary approach in a shortened duration did not have a significant impact on perceived fatigue in this case study, further research will be required to determine if the improvements seen in the inpatient rehab setting correlate in the home and are maintained in the long term.