Neurological Rehabilitation of Multiple Sclerosis

Multiple sclerosis (MS) is a progressive neurological disorder, classically presenting in working age adults, including those in the Armed Forces. The Defence Medical Rehabilitation Centre (DMRC) Stanford Hall offers vocationally focused neurorehabilitation services for service personnel (SP) with MS, with the goal to minimise disability, maximise independence and remain able to work.This paper has two aims. First, it briefly provides a clinical update of MS, focusing on pathology, presentation, diagnosis and management. Finally, it will describe the role of DMRC and data from the last decade in the management of MS.Our findings suggest not all SP with MS are being referred to DMRC, and some of those who do have significant delays, potentially impacting on patient support, symptom management and occupational outcomes. It is hoped that this paper will improve awareness and recognition of MS for Armed Forces personnel.

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Neurological rehabilitation of multiple sclerosis

Neurological Sciences ◽

10.1007/s10072-007-0801-5 ◽

2007 ◽

Vol 28 (2) ◽

pp. 118-118 ◽

Cited By ~ 1

Author(s):

L. La Mantia

Keyword(s):

Multiple Sclerosis ◽

Neurological Rehabilitation

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Neurological Rehabilitation of Multiple Sclerosis

10.1201/b14373 ◽

2006 ◽

Cited By ~ 1

Keyword(s):

Multiple Sclerosis ◽

Neurological Rehabilitation

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Effect of pulsed magnetic field therapy on the level of fatigue in patients with multiple sclerosis - a randomized controlled trial

Multiple Sclerosis Journal ◽

10.1191/1352458505ms1156oa ◽

2005 ◽

Vol 11 (3) ◽

pp. 302-305 ◽

Cited By ~ 21

Author(s):

Stefan Mostert ◽

Jürg Kesselring

Keyword(s):

Magnetic Field ◽

Multiple Sclerosis ◽

Rehabilitation Program ◽

Treatment Session ◽

Pulsed Magnetic Field ◽

Neurological Rehabilitation ◽

Single Treatment ◽

Magnetic Field Therapy ◽

Field Therapy ◽

Single Treatment Session

Twenty-five multiple sclerosis patients, taking part in a rehabilitation program, were randomly assigned to treatment with pulsed magnetic field therapy (PMFT) or to sham therapy in order to study the additional effect of PMFTas part of a multimodal neurological rehabilitation program on fatigue. Patients demographic and disease specific characteristics were recorded. Level of fatigue was measured by fatigue sverity scale (FSS) at entrance and discharge and with a visual analog scale (VAS) immediate before and after a single treatment session. The ‘Magnetic Cell Regeneration’ system by Santerra was used for PMFT. A single treatment lasted 16 minutes twice daily over 3-4 weeks and consisted of relaxed lying on a PMF mattress. Sham intervention was conducted in an identical manner with the PMF-device off. Patients and statistics were blinded. Level of fatigue measured by FSS was high at entrance in both treatment group (TG) and control group (CG) (5.6 versus 5.5). Over time of rehabilitation fatigue was reduced by 18% in TG and 7% in CG which was statistically not significant. There was a statistically significant immediate effect of the single treatment session witch 18% reduction of fatigue measured by VAS in TG versus 11% in CG. Because of a high ‘placebo effect’ of simple bed rest, a only small and short lasting additional effect of PMFT and high costs of a PMF-device, we cannot recommend PMFTas an additional feature of a multimodal neurological rehabilitation program in order to reduce fatigue level of MS-patients.

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Fact file 12: Rehabilitation medicine

10.1093/oso/9780198792079.003.0025 ◽

2017 ◽

Author(s):

Daisy Fancourt

Keyword(s):

Multiple Sclerosis ◽

Spinal Cord ◽

Spinal Cord Injury ◽

Cerebral Palsy ◽

Brain Injuries ◽

Rehabilitation Medicine ◽

Active Management ◽

Neurological Rehabilitation ◽

Cord Injury ◽

Musculoskeletal Rehabilitation

Rehabilitation medicine involves the treatment and active management of disabilities and other disabling conditions. The four major clinical areas of work are neurological rehabilitation (including working with people with conditions such as multiple sclerosis and cerebral palsy or people recovering from acute brain injuries and strokes), musculoskeletal rehabilitation (including supporting rheumatological conditions such as arthritis and back pain), amputee rehabilitation (often working in partnership with orthotics clinics and wheelchair centres), and rehabilitation following spinal cord injury....

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