Gait Impairment and Optimizing Mobility in Multiple Sclerosis

被引:27
作者
Stevens, Victoria [1 ]
Goodman, Kelli [1 ]
Rough, Katherine [1 ]
Kraft, George H. [1 ]
机构
[1] Univ Washington Med, Seattle, WA USA
关键词
Multiple sclerosis; Gait; Falls; Balance; Rehabilitation; FUNCTIONAL ELECTRICAL-STIMULATION; ANKLE FOOT ORTHOSES; BALANCE DISORDERS; ACCIDENTAL FALLS; POSTURAL CONTROL; OLDER-ADULTS; DISABILITY STATUS; WALKING SPEED; ENERGY-COST; PEOPLE;
D O I
10.1016/j.pmr.2013.07.002
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Multiple sclerosis (MS) is an immune-mediated disease that causes demyelination and degeneration within the brain and spinal cord. This may result in many impairments, including impaired ambulation, muscle weakness, abnormal tone, visual disturbances, decreased sensation, and fatigue. Rehabilitation helps patients with MS maximize independence by helping to manage and minimize impairments. Deficits seen in ambulation should be addressed to improve energy efficiency and reduce falls. Compensation through appropriate prescription of assistive devices, bracing, and wheelchairs will help improve safety. Rehabilitation can make a significant impact on achieving and maintaining quality of life and independence.
引用
收藏
页码:573 / +
页数:21
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