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Multiple sclerosis and rehabilitation

Multiple sclerosis and rehabilitation

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Rehabilitation in multiple sclerosis plays a key role. It consists of many stages. The patient is taught to use motor functions not affected by the disease. These skills are essential for normal and independent functioning in everyday life. Rehabilitation of patients with S includes not only motor but also occupational, urological, speech and psychological rehabilitation. Social rehabilitation also plays a very important role.

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Rehabilitation goals

Rehabilitation requires the involvement of neurologists, psychologists, psychotherapists, nurses and qualified physiotherapists. The family and relatives of the patient also play a key role. It depends on the patient's state of health, activity, complexity of accompanying symptoms and mental state. It is worth remembering that each patient is individually selected for the set of exercises, their frequency and intensity. It is a long-term process, requiring regularity and consistency. The role of exercises for patients with S is to improve the general condition of the patient and any changes in the muscles (preventing atrophy, reducing strength, normalising tension).

Place of rehabilitation

Rehabilitation initially takes place in hospital wards, then continues at home, in specially equipped hospital wards or in rehabilitation centres. It is very important that the affected person is accompanied by family and relatives for emotional and psychological support.

This is one of the prerequisites if the treatment is to be as beneficial as possible for the patient. Continuity, consistency and regularity of rehabilitation also play an important role.
Physical rehabilitation

The task of physical rehabilitation is to stretch the limbs and perform activities that enable their mobility. This type of exercise can be done at home, in rehabilitation centres or at the swimming pool. Regularity, consistency and following the recommendations of the professional rehabilitation team play a key role here. When doing exercises at home, the order of the exercises must not be changed or they must not be replaced by other exercises similar to those indicated by the specialist.

Theseexercises are recommended for patients who still have the ability to move and do not have extensive neurological disorders. They offer the possibility to improve mobility and improve quality of life.

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During the period of relapse, exercise should be adapted to the patient's general condition. They should not overload the body additionally, so it is advisable to use passive and breathing exercises. After a throw, it is possible to return to a normal, intensive and active exercise regime.

In patients with advanced S, exercise rehabilitation is based on counteracting joint contractures, reducing spasticity, limiting muscle spasms and more. These patients will need appropriate devices and equipment (crutches, mobility supports, platforms, wheelchairs and uprighting tables) in their exercises.