DeLisa J A, Hammond M C, Mikulic M A, Miller R M
Am Fam Physician. 1985 Oct;32(4):157-63.
Rehabilitation of the multiple sclerosis patient must be individualized because of the varied manifestations and fluctuating course of the disease. The activity schedule must be modified to compensate for muscle weakness and fatigability. Spasticity and the preventable complication of joint contractures may be treated with joint ranging, medications, motor-point blocks and surgical intervention. Mobility problems, such as foot drop, may be improved with an ankle-foot orthosis, but ultimately a patient may require a wheelchair. Measures to prevent pressure sores include position change, pressure release, incontinence management and special equipment.
由于多发性硬化症患者的症状表现多样且病情波动，其康复治疗必须个体化。活动计划必须进行调整，以补偿肌肉无力和易疲劳的状况。痉挛以及可预防的关节挛缩并发症可通过关节活动度训练、药物治疗、运动点阻滞和手术干预来治疗。诸如足下垂等行动能力问题，可通过踝足矫形器得到改善，但最终患者可能需要轮椅。预防压疮的措施包括改变体位、减压、失禁管理和特殊设备。
