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Consultative, Proactive Physical Therapy in Early Multiple Sclerosis.

Monica Hendricksen1, Jake Boyer1, Miriam Rafferty1,2

  • 1From the Shirley Ryan AbilityLab, Chicago, IL.

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|December 4, 2024
PubMed
Summary
This summary is machine-generated.

A proactive physical therapy (PAPT) approach helps newly diagnosed multiple sclerosis (MS) patients meet exercise guidelines. This model improves physical function and reduces fatigue, demonstrating feasibility and effectiveness with minimal visits.

Keywords:
case studyexercisephysical therapyrehabilitation

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Exercise Science

Background:

  • Exercise is a key non-pharmacological treatment for multiple sclerosis (MS) symptom management.
  • Traditional physical therapy (PT) often focuses on function restoration, not proactive morbidity prevention.
  • A proactive physical therapy (PAPT) approach is proposed for MS patients.

Purpose of the Study:

  • To apply and evaluate a proactive physical therapy (PAPT) model for individuals newly diagnosed with MS.
  • To assess the feasibility and effectiveness of PAPT in promoting adherence to exercise guidelines and maintaining physical function.

Main Methods:

  • Patients with MS were referred to PAPT post-diagnosis.
  • A shared decision-making process informed functional evaluations, exercise education, and goal setting.
  • Regular communication and assessments of physical function and fatigue occurred over 6 months.

Main Results:

  • Most patients met or exceeded recommended exercise guidelines (aerobic, strengthening, flexibility) within 6 months.
  • Clinically meaningful improvements in physical function and significant reductions in fatigue were observed.
  • The PAPT model proved feasible, with patients maintaining or improving function.

Conclusions:

  • A proactive physical therapy (PAPT) model is feasible and effective for newly diagnosed MS patients.
  • Minimal PT contact facilitated adherence to exercise recommendations and functional improvements.
  • PAPT offers a viable strategy for long-term MS management.