Multiple sclerosis (MS) is classified as a inflammatory demyelinating disease due to the disruption of the protective sheath around the nerve (myelin sheath). The myelin sheath is essential for the transmission of electrical impulses and important for many functions of the body. Damage to this nerve covering can lead to a diversity of symptoms. MS affects the brain and spinal cord.
It is estimated that there are at least 8000 people with Multiple Sclerosis (MS) in Ireland.
Symptoms are diverse and can vary significantly from one person to another. They are often unpredictable and disruptive to daily living and for this reason it is a very challenging condition that requires input from all team members.
Multiple Sclerosis Treatment
Drug therapies can help MS. There are essentially two treatment options:
Symptomatic drug therapy which ease or relieve symptoms eg limb stiffness, bladder problems
Disease modifying drugs which have a primary impact on the disease process, eg betaferons, but which to date are only partially effective.
Multiple Sclerosis Symptoms
Typically a person with MS will present with an extensive and varied symptom pattern and may complain of some of the following:
Many of the above mentioned symptoms can respond to Physiotherapy input. Early intervention by a skilled Neurophysiotherapist will identify physical impairments, their impact on function and establish an appropriate long-term management plan.
At the Dublin Physiotherapy clinic a comprehensive assessment will include a detailed history and physical assessment. From this key impairments and potential problems are identified. A rehabilitation program is devised specific to your needs Management will vary for each person and may include any or some of the following:
Given the progressive nature of the condition it is common practice that we would see an individual for many years but often on an intermittent basis when issues arise. The frequency of visits will really depend on the extent and pattern of symptoms, your goals and what we as clinicians can achieve through active intervention.
A recent profiling study of people with M.S. in Ireland was undertaken at the request of M.S. Ireland, whose members valued Physiotherapy as an integral part of their management but complained of the lack of input. The findings were surprising and supported their complaint that the amount of Physiotherapy they received was low.
A larger study is currently underway in Ireland looking at the importance and value of exercise with Multiple sclerosis. “Getting the Balance Right” programme which you may have heard of or taken part in. The results are extremely positive and support evidence that structured exercise programs can improve many of the physical impairments that we as physiotherapists treat – weakness, balance, functional limitations.
At Dublin physiotherapy Clinic exercise programs can be specifically devised, monitored and re-evaluated as needed. They are varied and structured to address core elements of conditioning and fitness: