Analysis of symptoms, functional impairments, and participation in occupational therapy for individuals with multiple...

SUMMARY The aim of this study was to identify client factors that may influence physicians' decision to refer individuals with multiple sclerosis (MS) to occupational therapy (OT). Study participants were seen in an MS clinic in which a physician referral was required prior to receipt of OT services. The symptoms and functional impairments of 40 individuals with MS who were either seen or not seen for OT services were compared. Findings show that individuals with MS who were referred to OT reported more difficulties with speaking or swallowing, hand tremors, uncontrolled urinary urgency, weakness of the legs, and performing functional activities than individuals with MS who did not receive OT services. Results also suggest that difficulties in functional mobility, work, community mobility and meal preparation were more likely to prompt OT referral and subsequent therapy for individuals who had attended the MS Clinic than any specific sign or symptom.