Abstract

Background/Purpose: This paper was written to investigate potential rehab techniques for a patient with multiple sclerosis (MS) who was having difficulty with mobility. This research addresses the PICO question: Is resistance training or endurance training more efficient at improving mobility in adults with multiple sclerosis. There are many treatment options when working with a patient who has MS and this paper looks into the best practice for improving mobility.Case Description: Mrs. G. presented to outpatient physical therapy with primary progressive multiple sclerosis with an Expanded Disability Status Scale (EDSS) of 8.5 indicating that she is limited to her bed, chair, and wheelchair. She presented to an outpatient physical therapy clinic with decreased strength and mobility. She wanted to improve her ability to transfer to and from her wheel chair. Outcomes: A review of current literature found varying evidence supporting the efficacy of resistance and endurance exercises improving walking mobility in people with MS. Not all research found improvements in mobility after resistance training. Research looking into endurance training for improving mobility in people with MS found statistically significant data supporting this intervention. One study comparing resistance and endurance training for improving walking mobility found both interventions statistically similar (Sabapathy NM, Minahan CL, Turner GT, and Broadley SA, 2011). Discussion: The literature about improving mobility in people with multiple sclerosis focuses mainly on improving walking speed. There was no research on increasing bed mobility in patients with multiple sclerosis who scored higher than an 8 out of 10 on the EDSS meaning that they were restricted to bed, chair, and wheelchair activities. With this limitation in MS research, it is difficult to draw conclusions relevant to this case study. There is a need for further research into improving mobility for patients with more severe MS.

Provenance

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Document Type

Capstone

First Advisor

Tiffany Enache

Keywords

Exercise Training, Physical Therapy Modalities, Multiple Sclerosis

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