Neurological rehabilitation for people with multiple sclerosis

Multiple sclerosis (MS) is an autoimmune disease that affects the central nervous system. All too often, an attack leads to hospitalization; afterwards, a stay in rehabilitation is sometimes necessary. Apart from relapses, people with multiple sclerosis have reduced care from the public health system. However, government programs allow limited home adaptations to compensate for the deficiencies. It is therefore important to take preventive action and learn how to manage the uncomfortable symptoms of everyday life (e.g., problems with balance, walking, progressive loss of autonomy, spasticity, pain, chronic fatigue).

Whether it is through its neurological physiotherapy services, kinesiology, adapted exercise classes, occupational therapy, the Neuro-Concept team will help you meet your challenges and slow down the increase of symptoms. Physical exercise improves the depressive symptoms1 of people with MS, reduces the risk of falls and has a positive effect on fatigue and quality of life.2 Physiotherapy increases walking skills through endurance exercises; improves balance and coordination through mindfulness exercises and dynamic training.3

To enable people with MS to access physical activity or specialized services, the Neuro-Concept centre presents an accessible site with specialized training equipment, advice from professionals with particular expertise with this clientele in neurological rehabilitation, and technologies to take physical training to the next level.4-7

Neuro-Concept recommends that a specialized team in neurological condition, who can recognize the variable and unique needs and expectations of each person with multiple sclerosis, should be involved from the moment the diagnosis is announced. The team should include kinesiology, physiotherapy, occupational therapy and speech-language pathology. This team must remain in contact at all times with other health authorities (e.g., hospitals, clinics, etc.). Services must be flexible, adaptable to the individual’s evolution, and evidence-based.

The Neuro-Concept centre offers a chance to work on realistic personal goals to increase the quality of life and functional autonomy. Also, Neuro-Concept works with several health care partners for a comprehensive interdisciplinary approach.

References :

1. Adamson, B. C., Ensari, I., & Motl, R. W. (2015). Effect of Exercise on Depressive Symptoms in Adults With Neurologic Disorders: A Systematic Review and Meta-Analysis. Archives of Physical Medicine & Rehabilitation, 96(7), 1329-1338.

2. Charron, S., McKay, K. A., & Tremlett, H. (2018). Physical activity and disability outcomes in multiple sclerosis: A systematic review (2011-2016). Multiple Sclerosis And Related Disorders, 20, 169-177.

3. Edwards, T., & Pilutti, L. A. (2017). The effect of exercise training in adults with multiple sclerosis with severe mobility disability: A systematic review and future research directions. Multiple Sclerosis And Related Disorders, 16, 31-39.

4. MEHRHOLZ J. POHL M., (2012) Electromechanical-assisted gait training after stroke: A systematic review comparing end-effector and exoskeleton devices, Journal of rehabilitation and medicine, 44, 193-199.

5. Casuso-Holgado, M. J., Martín-Valero, R., Carazo, A. F., Medrano-Sánchez, E. M., Cortés-Vega, M. D., & Montero-Bancalero, F. J. (2018). Effectiveness of virtual reality training for balance and gait rehabilitation in people with multiple sclerosis: a systematic review and meta-analysis. Clinical Rehabilitation, 32(9), 1220-1234. 

6. Mura, G., Carta, M. G., Sancassiani, F., Machado, S., & Prosperini, L. (2018). Active exergames to improve cognitive functioning in neurological disabilities: a systematic review and meta-analysis. European Journal Of Physical And Rehabilitation Medicine, 54(3), 450-462.

7. Etoom, M., Khraiwesh, Y., Lena, F., Hawamdeh, M., Hawamdeh, Z., Centonze, D., & Foti, C. (2018). Effectiveness of Physiotherapy Interventions on Spasticity in People With Multiple Sclerosis: A Systematic Review and Meta-Analysis. American Journal of Physical Medicine & Rehabilitation, 97(11), 793-807.

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