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Multidisciplinary rehabilitation for adults with neuromyelitis optica spectrum disorders: A pilot study
Dong-Mei Suo1, Lin-Lin Liu, Kun Jia
1Department of Neurology and Tianjin Neurological Institute, Tianjin Medical University General Hospital, , Tianjin, China.
Objective:
To provide detailed data on the effects of multidisciplinary rehabilitation for patients with neuromyelitis optica spectrum disorder with moderate to severe disability.
Design:
A pilot randomized control study.
Subjects/Patients:
A total of 39 patients with neuromyelitis optica spectrum disorder were randomized into intervention or control groups.
Methods:
The intervention group received multidisciplinary rehabilitation 5 times/week for 4 weeks in a hospital, and the patients were guided to continue community- or home-based rehabilitation for 3 months. The control group did not receive any specific rehabilitation intervention. Disability was assessed using the Extended Disability Status Scale (EDSS) and Functional Systems (FS) scores after 4 weeks of rehabilitation and 3 months of follow-up.
Results:
The mean EDSS score was 7.5 at admission for both groups. Improvements (p<0.05) in the EDSS score and domains of bowel, bladder and motor functions (pyramidal and walking function) were noted in the multidisciplinary rehabilitation group after 4 weeks. After 3 months, the patients in the usual care group showed improvement in EDSS score and walking ability score; however, no significant changes in other variables were noted.
Conclusion:
These results suggest that multidisciplinary rehabilitation potentially promotes motor functional recovery in patients with neuromyelitis optica spectrum disorders.
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