Update on rehabilitation in multiple sclerosis

La Presse médicale
Cécile Donzé

Abstract

Given that mobility impairment is a hallmark of multiple sclerosis, people with this disease are likely to benefit from rehabilitation therapy throughout the course of their illness. The review provides an update on rehabilitation focused on balance and walking impairment. Classical rehabilitation focusing on muscle rehabilitation, neurotherapeutic facilitation is effective and recommended. Other techniques did not prove their superiority: transcutaneal neurostimulation, repetitive magnetic stimulation, electromagnetic therapy, whole body vibration and robot-assisted gait rehabilitation and need more studies to conclude. Cooling therapy, hydrotherapy, orthoses and textured insoles could represent a complementary service to other techniques in specific conditions. Multidisciplinary rehabilitation program provides positive effects and high satisfaction for patients with multiple sclerosis but needs more evaluation. New technologies using serious game and telerehabilitation seem to be an interesting technique to promote physical activity, self-management and quality of life. Rehabilitation like other therapy needs regular clinical evaluation to adapt the program and propose appropriate techniques. Moreover, the objective of rehabi...Continue Reading

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Citations

Apr 1, 2015·La Presse médicale·David-Axel Laplaud
Dec 30, 2016·Journal of Motor Behavior·Megan C KirklandMichelle Ploughman
Jul 12, 2017·Current Sports Medicine Reports·Cecile DonzeMarc-Alexandre Guyot
May 8, 2020·Journal of Neuroengineering and Rehabilitation·G Puyuelo-QuintanaE García-Armada
May 15, 2021·La Presse médicale·Cécile Donzé, Caroline Massot
Dec 25, 2017·Archives of Physical Medicine and Rehabilitation·Alexander T PeeblesJessie M Huisinga

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