Document Type

Case Report

Department

Physical Therapy & Rehabilitation Science

Degree Name

DPT (Doctor of Physical Therapy)

Session and Year of Graduation

Fall 2018

Advisor

Laura Frey Law

Abstract

Background: Multiple sclerosis is a commonly diagnosed neurological disease, but standardized courses of treatment are not well established by research. Symptoms associated with MS can lead to significant primary and secondary complications, impacting an individual’s physical and emotional wellbeing, as well as quality of life. Although research is lacking, wellness programs including physical exercise and rehabilitation to address mobility deficits, are considered a standard for those with MS. Case description: The patient was a 76-year old female with 18-year diagnosis of Relapsing-Remitting MS. The patient’s chief complaint was right lateral hip pain, increasing losses of balance and significant weakness in left leg. The patient was referred to outpatient physical therapy for right hip pain and general strength and balance training. Interventions: The patient participated in therapy for 12 weeks, in which time emphasis was put on balance and lower extremity resistance training. The patient performed general lower extremity strengthening and functional tasks for strengthening throughout therapy sessions. Static and dynamic balance interventions were then integrated. Outcome measures: Outcome measures tested included the Musculoskeletal Functional Outcomes Survey, Five Time Sit to Stand Test, static balance, Forward Reach Test, and manual muscle testing. Discussion: The purpose of this case report is to identify interventions incorporated in the plan of care for an individual with MS and report this individual’s response to said interventions. This report will identify the patient’s response to balance and resistance training specifically. The patient displayed overall improvement in static balance, lower extremity strength, and decrease in objective fall risk.

Keywords

Multiple sclerosis; resistance; balance; neurology; physical therapy; rehabilitation; fall risk

Pages

9 pages

Copyright

Copyright © 2018 Elizabeth Halbur

COinS
 

URL

https://ir.uiowa.edu/pt_casereports/53