Neurol. praxi 2016; 17(Suppl.4): 10-14

Evidence-based rehabilitation in multiple sclerosis

MUDr. Martina Hoskovcová, Ph.D.

Neurologická klinika a Centrum klinických neurověd 1. lékařská fakulta

Univerzita Karlova a Všeobecná fakultní nemocnice v Praze

Rehabilitation is an integral part of complex multiple sclerosis (MS) management. Nevertheless thereare no clear-cut evidence-based recommendations regarding particular therapeutic modalities andtheir intensity, frequency or length. In this respect it is necessary to pursue the latest systematicreviews of systematic reviews and meta-analyses which show what methods are currently recommendedin clinical practice. It is also necessary to rely on one’s long term clinical experience, assome methods are not yet recommended only because of few published studies or variable designof studies. Currently the most recommended rehabilitation method are surprisingly basic techniquessuch as physical therapeutic modalities (exercise/physical activities) for improved mobility, musclestrength and aerobic capacity, and also for reduced fatigue and improved quality of life. There is also high quality evidence for comprehensive fatigue management programs (exercise, education,medication) for MS patient-reported fatigue.

Keywords: multiple sclerosis, rehabilitation, evidence-based medicine, systematic review, exercise
and physical activities

Published: November 1, 2018  Show citation