An approach to the management of multiple sclerosis

Abstract

The role of the physiotherapist working in a multi-disciplinary team helping people suffering from multiple sclerosis is described. The onset and clinical involvement varies considerably, and this process characterises the disease. Consequently, the sensory-motor deficits also vary considerably so that any form of management must be specific to the individual, and be adapted and adjusted as required throughout the course. However, general guidelines to rehabilitation in the different stages are given. The value of accurate assessment and instruction in correct posture, exercises, and general self-care are discussed, along with the importance of support and counselling for the sufferer and family both in the early stages and in long-term management.