Multiple Sclerosis (MS) is an autoimmune disease of the central nervous system primarily involving inflammation, demyelination and neuronal loss. The effects of MS are varied depending on the location of the nerves affected, and the symptoms can come on rapidly or gradually over time.
The way that MS can affect person to person varies but can divided into the following four categories which can help to determine how the disease may progress over time.
Relapsing -Remittent RRMS – short attacks with complete or partial return to normal.
Secondary Progressive SPMS – this begins as RRMS but the patient will experience a steady decline in function.
Primary Progressive PPMS- Patients experience a steady decline from the onset of symptoms.
Progressive Relapsing MS PRMS – Patients experience a steady decline from the initial onset of symptoms but with acute attacks accelerating the progression.
Symptoms of MS are:
A multidisciplinary approach is essential in the management of MS.
Physiotherapists will aim to help manage the effects of muscle spasm, improve muscle strength and flexibility, pain management, improve balance and postural stability, advise on management of fatigue and optimise functional ability alongside occupational therapists eg. walking and activities of daily living.
Occupational Therapists will be involved in assessing and helping the patient with the activities of daily living, advising on adaptations and equipment for mobility, transfers and positioning.
Medical management will involve medication (for pain and muscle spasms), referral to specialist Neurologist and MS Nurse (for management of home care, bladder and bowel care, psychological support)
PhysioFunction’s highly specialised neurological physiotherapists, therapy assistants, sports therapists, personal trainers and OT are able to deliver tailored programs for clients who have MS.
Some examples of the therapy you may receive includes: