DISCUSS BRIEFLY ON REHABILITATION OF MULTIPLE SCLEROSIS ?
REHABILITATION OF MS
1 The main objective is to ease the burden of symptoms by improving self performance and independence
2 Individualised approach is the key in management
3 Family based rehabilitation plays a key role
4 By following a multidisciplinary approach
5 By maintaining postural balance - exercises such as tai chi , yoga , hydrotherapy and Feldenkrais and by use of lokomat
6 By use of modafinil ( improves attention span , working span and phenomic memory ) , appropriate time management , sleep hygeine , memory cues and calenders
7 By establishing a proper bowel plan - lifestyle modification , use of fiber rich diet and take laxatives
8 For abolishimg pain - carbamazepine is used for acute paroxysmal pain , amitryptiline for dysesthetic pain
9 By focusing on functional communication therapy emphasizing importance to communication rather than sound
10 by eating smaller quantity of food at a time to prevent dysphagia
11 By implementing energy conservation techniques - doing less work at a time , not to stretch too much to avoid fatigue
12 By use of adaptive devices to simplify things at office or home
13 By providing vocational reassurance , counselling and job placements
14 By maximizing quality of life
15 By improving gait parameters by following a daily regime of walking a few and feasible distances
16 By providing assistive devices to prevent undue stresses on the extremities
LIMITATIONS
1 severly disabled individuals
2 individuals with cognitive difficulties
3 individuals with ataxia and imbalance