Multiple sclerosis tertiary prevention: Difference between revisions
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===Mobility restrictions=== | ===Mobility restrictions=== | ||
Interventions may be aimed at the level of the impairments that reduce mobility; or at the level of disability. At this second level interventions include provision, education and instruction in use of equipment such as walking aids, wheelchairs, motorized scooters and car adaptations; and instruction about compensatory strategies to accomplish an activity, (for example,undertaking safe transfers by pivoting in a flexed posture rather than standing up and stepping around). | Interventions may be aimed at the level of the impairments that reduce mobility; or at the level of disability. At this second level interventions include provision, education and instruction in use of equipment such as walking aids, wheelchairs, motorized scooters and car adaptations; and instruction about compensatory strategies to accomplish an activity, (for example,undertaking safe transfers by pivoting in a flexed posture rather than standing up and stepping around). | ||
===Spasticity=== | |||
There are also [[palliative]] measures like [[casting]]s, [[splint (medical)|splints]] or customised seatings.<ref name="isbn = 1 86016 182 0">{{cite book | last = The Royal College of Physicians |title = Multiple Sclerosis. National clinical guideline for diagnosis and management in primary and secondary care | publisher = Sarum ColourView Group | date = 2004 | location = Salisbury, Wiltshire | isbn = 1 86016 182 0 }}[http://www.rcplondon.ac.uk/pubs/books/MS/MSfulldocument.pdf Free full text]([[2004-08-13]]). Retrieved on[[2007-10-01]].</ref> | |||
===Tremors and ataxia=== | |||
[[Physical therapy]] is not indicated as a treatment for tremor or ataxia; however, the use of different [[Orthotics|orthese]]devices can help. An example is the use of wrist bandages with weights, which can be useful to increase the [[inertia]] of movement and therefore reduce tremor.<ref>{{cite journal |author=Aisen ML, Arnold A, Baiges I, Maxwell S, Rosen M |title=The effect of mechanical damping loads on disabling action tremor |journal=Neurology |volume=43 |issue=7 |pages=1346-50 |year=1993 |pmid=8327136|doi=}}</ref> Daily use objects have also to be adapted so they are easier to grab and use. | |||
==References== | ==References== | ||
Revision as of 14:50, 27 August 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Tertiary prevention
Mobility restrictions
Interventions may be aimed at the level of the impairments that reduce mobility; or at the level of disability. At this second level interventions include provision, education and instruction in use of equipment such as walking aids, wheelchairs, motorized scooters and car adaptations; and instruction about compensatory strategies to accomplish an activity, (for example,undertaking safe transfers by pivoting in a flexed posture rather than standing up and stepping around).
Spasticity
There are also palliative measures like castings, splints or customised seatings.[1]
Tremors and ataxia
Physical therapy is not indicated as a treatment for tremor or ataxia; however, the use of different orthesedevices can help. An example is the use of wrist bandages with weights, which can be useful to increase the inertia of movement and therefore reduce tremor.[2] Daily use objects have also to be adapted so they are easier to grab and use.
References
- ↑ The Royal College of Physicians (2004). Multiple Sclerosis. National clinical guideline for diagnosis and management in primary and secondary care. Salisbury, Wiltshire: Sarum ColourView Group. ISBN 1 86016 182 0.Free full text(2004-08-13). Retrieved on2007-10-01.
- ↑ Aisen ML, Arnold A, Baiges I, Maxwell S, Rosen M (1993). "The effect of mechanical damping loads on disabling action tremor". Neurology. 43 (7): 1346–50. PMID 8327136.