Physiotherapeutic theory for neurological rehabili
Summary
Summary phys. theory: evidence in MS
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Physiotherapeutic theory for neurological rehabili
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Katholieke Universiteit Leuven (KU Leuven)
Summary of the evidence in MS lesson given by prof. G. Verheyen from the course of physiotherapeutic theory. It is a summary of the powerpoint slides and additional items noted during the lesson. The slides were in English and my own notes are always in Dutch as much as possible. It is therefore a ...
Physiotherapeutic theory for neurological rehabili
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Phys. Theory:MS: evidence based MS physical rehab
Evidence-based Physical Rehabilitation with multi-dimensional effects
Rehabilitation in MS: a systematic review of systematic reviews (Khan et al 2016)
- Included 39
Cochraine: 15
Other :24 met 2 reports
- Cochraine review van alle oude cochraine reviews
- Hoogste evidentie
Oefentherapie (wandelen & fatigue)
Physical therapy
Fatigue management programma’s
- Matige evidentie
Spasticiteit management
UL training
Energie consevatie
Multi-disciplinaire behandeling
Cognitieve training
Neuropsychologische reva
Vocational reva
What’s matters in rehabilitation is ‘functioning’
- Thompson et al. (2022)
- Accumulating & multisymptomatology in more disabled PMS
Exercise is an effective symptomatic treatment
- Exercise and lifestyle physical activity recommendation for people with MS troughout the disease course
(kalb et al)
- Lifestyle, exercise and acivity pachage for people living with progressive MS (LEAP-MS): protocol for a single
arm feasibility study (latchem-Hastings et al)
- Dalgas et al. 2019 (graf)
Aerobiic capacity
Stregth
Information progression
speed
o MET
o PASSAT
EXERCISE THERAPY
- Input (stimulus) → blackbox → output (response)
- What are we doing? How often do we need to do it?
Nala Melis Pagina 1
, Phys. Theory:MS: evidence based MS physical rehab
- Exercise is quantifiable PT isn’t, we need to clarify what we do
GUIDELINES AVAILABLE FOR EXERCISE IN MS
- Multiple sclerosis and physical exercise: recommendations for
the application of resistance, endurance and combined
training (Dalgas et al)
- Developpment of evidence informed physical activity
guidelines for adults with MS (Latimer-Cheung et al)
- See also Pearson et al (2015) . Clinical Rehabilitation, On
physical activity
FUNCTIONAL- AND NEUROLOGICAL RESERVE
- Y-as= functonele reserve
- X-as= tijd
1
- Start grafiek (1) 2
Alle lijnen nog samen
Op moment diagnose
Genoeg brain reserve
- Daling (2)
Atrofie hersenen
- Disability = EDSS
- Groene kader
Nog wat tegenspraak over oefentheraîe dat
hersenen beschermt in MS
o Use it or losei t
- Medical treatment
DMD
Exercise as Medicine to reduce symptoms
- U Dalgas et al. Exercise as Medicine in Multiple Sclerosis—Time for a Paradigm Shift: Preventive,
Symptomatic, and Disease-Modifying Aspects and Perspectives. (2019)
- /w/ training= ↑kracht
- Aerobic training (VO2 max)= ↑aerobic capacity
- Balans ↑ bij krachttraining
Nala Melis Pagina 2
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