Rehabilitation for multiple sclerosis

Each exacerbation is associated with the appearance of inflammatory foci in the depths of the brain and spinal cord. Depending on the location of the inflammatory focus, the patient exhibits one or another neurological defect.

Most often, the disease develops in young active people between the ages of 15 and 60, so rehabilitation is important for maintaining working capacity, self-care, and independence from others for as long as possible. Rehabilitation treatment should be carried out during each exacerbation.

In the early stages of the disease, physical and motor rehabilitation is of paramount importance, aimed at building muscle strength in the arms, legs, back, and body. If there is a balance disorder, exercises are performed to coordinate movements and restore balance. After an exacerbation, a spontaneous process of attenuation of the inflammatory focus begins, the affected area narrows and the lost functions are gradually restored. If physical rehabilitation is carried out at this moment, recovery will be faster and more complete. Unlike other areas of neurorehabilitation, rehabilitation for multiple sclerosis does not require a protective regime, the patient can be given a full-fledged physical activity. An important part is devoted to classes on the development of fine motor skills.

The EMC Medical Rehabilitation Center is equipped with high-tech equipment for the rehabilitation of patients with severe motor disorders: Locomat Pro, ReoAmbulator, Anti-Gravity Treadmill, Bioness Vector. With the development of pathological muscle tone, treatment with botulinum toxin injections can be performed. Also, individual splints are made for patients to facilitate walking and create the correct position of the limbs.

Hydrotherapy is an effective method of rehabilitation for patients with multiple sclerosis. Exercises in water allow for adequate and harmonious physical activity, promotes muscle relaxation in case of abnormal tone. Activities at the pool include training on an underwater treadmill, underwater bicycles, steppers and swimming.

When the spinal cord is affected, even in the early stages of the disease, disorders of the pelvic organs, such as urination and defecation, may occur, in which case it is necessary to participate in the rehabilitation of a neurologist. Often, after an exacerbation, the defect regresses, but the symptoms persist, which can be caused by psychogenic disorders. A neurologist will perform a differential diagnosis to determine the true cause of urinary disorders and, if necessary, prescribe treatment to restore pelvic floor muscle tone.

Occupational therapy is necessary if the patient is experiencing difficulties in self-care. Classes with an occupational therapist help patients to adapt socially and restore their domestic independence. For the psychological comfort of patients with multiple sclerosis, it is important to remain active, able to work, and participate in family life. To practice everyday skills, the center has a training apartment and a training car.

Working with a psychologist and a neuropsychologist is crucial. The life expectancy of patients with multiple sclerosis today is the same as that of healthy people. The disease should not become an obstacle to learning, mastering a profession, or starting a family. It is important that patients maintain a positive attitude and motivation to be active.

Rehabilitation activities should be carried out regularly, so we create a self-study program for patients. The center's specialists can travel to the house to conduct on-site training. If necessary, we provide recommendations on the organization of the patient's living conditions in order to ensure his safety and the possibility of independent movement and self-service.