Physiotherapy Management Of Multiple Sclerosis Ppt Upd Today

Physiotherapy is a vital component of managing Multiple Sclerosis (MS), focused on maintaining mobility, strength, and independence throughout all stages of the disease. Current 2026 guidelines emphasize that regular, moderate-intensity exercise is safe and essential for managing symptoms such as fatigue, balance issues, and muscle weakness. Core Objectives of Physiotherapy in MS

Slide 8 — Spasticity & Tone Management

• Assessment with Modified Ashworth Scale.
• Non-pharmacological: stretching, serial casting, positioning, functional electrical stimulation (FES), task-specific strengthening.
• Collaborate with neurology for botulinum toxin or intrathecal baclofen when needed.
• Use orthoses and splints to manage contracture risk.

The Role of Neuroplasticity: Contemporary physiotherapy is grounded in the concept of neuroplasticity—the brain's ability to reorganize itself by forming new neural connections. Even in the presence of demyelination, PT aims to maximize function through adaptive strategies and cortical reorganization. physiotherapy management of multiple sclerosis ppt upd

Current evidence-based standards for individuals with mild to moderate MS impairment include: Aerobic Exercise Physiotherapy is a vital component of managing Multiple

• Physical Modalities:
  • Whole Body Vibration (WBV) – 3-5 sessions/week; reduces modified Ashworth scale by 0.5-1.0 points.
  • Reciprocal inhibition exercises – Active hamstring contraction to relax quadriceps spasticity.
  • Cast/splinting – Nocturnal ankle-foot orthosis prevents Achilles contracture.

  Slide 12 — Cognitive & Psychological Support

  • Incorporate cognitive strategies in therapy (simplified instructions, memory aids).
  • Use dual-task training cautiously.
  • Screen for depression/anxiety; refer to mental health services.