Physiotherapy Management Of Multiple Sclerosis Ppt Upd Site

Paper: A physiotherapy management approach for a person with secondary progressive MS: A case report
Authors: Learmonth, Y.C., & Motl, R.W. (2019) – Physiotherapy Theory and Practice
Why it’s interesting:

Four technologies to include in your PPT:

PPT Upd: Add a QR code linking to a sample VR balance training clip. physiotherapy management of multiple sclerosis ppt upd

Frequency-Duration-Intensity-Type (F-D-I-T) update based on Multiple Sclerosis Journal 2025

| Domain | Recommendation | Clinical Reasoning | |--------|----------------|--------------------| | Aerobic | 3-4x/wk, 20-30min, 65-80% HRmax (or RPE 5-7/10) | Myelin repair upregulation via BDNF release | | Resistance | 2-3x/wk, 2 sets of 8-12 reps, 60-70% 1RM | Counteracts disuse atrophy; improves corticospinal excitability | | Balance | Daily, 10-15min, high repetition (30-50 reps per task) | Task-specific plasticity in sensorimotor cortex | | Flexibility | Daily, sustained static stretch 30-60s for spastic muscles | Reduces passive stiffness but adjunct to strengthening | Paper: A physiotherapy management approach for a person

Contraindication update: Avoid hazardous overheating. Use precooling (cold vest, 15-20 min before exercise) for heat-sensitive patients.

MS presents with a wide variety of symptoms due to the disruption of neural conduction. The clinical course is variable, typically categorized as: Four technologies to include in your PPT:

The Role of Neuroplasticity: Contemporary physiotherapy is grounded in the concept of neuroplasticity—the brain's ability to reorganize itself by forming new neural connections. Even in the presence of demyelination, PT aims to maximize function through adaptive strategies and cortical reorganization.

Pharmacology (Baclofen, Tizanidine) often causes weakness. PT strategies now prioritized:

Red flag: Sudden increase in spasticity → rule out UTI, constipation, or noxious stimulus.