Abstract

Purpose: To review the literature to determine which interventions available in the inpatient rehabilitation setting are efficacious for increasing standing balance in patients with multiple sclerosis. Case Description: Virginia (first name has been changed to protect patients privacy) is a 71-year-old woman with a long standing history of multiple sclerosis, who sustained an acute right elbow fracture due to a recent fall at home. Following a surgical repair, she was admitted to an inpatient rehabilitation facility. Her goals were to regain independent functional mobility while maintaining non-weight bearing restrictions through her right arm. Outcomes: Virginia did not progress to independent ambulation. After two weeks she was discharged to a skilled nursing facility. Discussion: A variety of interventions are available and should be implemented when attempting to improve balance in a patient with multiple sclerosis. These interventions often include torso weighting, resistive exercise, neuromuscular re-education, and core strengthening. In less medically complex subjects than Virginia, the above stated interventions have proven effective, low-risk and easily replicable within an inpatient rehabilitation setting.

Provenance

Submitted by Valeria Gallo (valeriag@salud.unm.edu) on 2014-06-25T19:19:34Z No. of bitstreams: 1 VG Capstone.pdf: 1047227 bytes, checksum: 0d16a3920eeb6d74473d0bbb5fdc6160 (MD5), Made available in DSpace on 2014-06-25T19:19:34Z (GMT). No. of bitstreams: 1 VG Capstone.pdf: 1047227 bytes, checksum: 0d16a3920eeb6d74473d0bbb5fdc6160 (MD5)

Document Type

Capstone

Keywords

Postural Balance, Multiple Sclerosis, Rehabilitation, Aged

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