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Critical Reviews™ in Physical and Rehabilitation Medicine

Publicou 4 edições por ano

ISSN Imprimir: 0896-2960

ISSN On-line: 2162-6553

SJR: 0.141 SNIP: 0.129 CiteScore™:: 0.6 H-Index: 18

Indexed in

Rehabilitation in Multiple Sclerosis

Volume 10, Edição 1, 1998, pp. 75-100
DOI: 10.1615/CritRevPhysRehabilMed.v10.i1.50
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RESUMO

Multiple sclerosis is a chronic, progressive, and disabling disease of the central nervous system, for which no cure exists. By the advent of immune modulating pharmacological treatments during recent years, it has become possible to slow down the disease process. Nevertheless, treatment of symptoms and help to overcome disability and handicap are still the mainstay in the management of MS patients. A multidisciplinary team of professionals comprising a neurologist, neuropsychologist, physiotherapist, occupational therapist, social worker, and nurse is regarded as the optimal approach to a successful rehabilitation. Very few studies have addressed the outcome and cost-effectiveness of the rehabilitational efforts. More studies are needed to provide knowledge of the many aspects of rehabilitation, for example, treatment regimes, in- and outpatient management, treatment duration, etc. Traditionally, physical treatment has been a central part of the rehabilition, but during the last decade the focus has changed against coping strategies, cognitive dysfunction, and psychological reactions. From this new insight it has become clear that an optimal rehabilitation starts at the time of diagnosis. In this article the present knowledge of MS rehabilitation is reviewed and commented on in light of the clinical experiences of the authors.

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