Ens Teaching Review

Journal of Neurology

, Volume 248, Issue 4, pp 255-259

First online:

Improving mobility and functional independence in persons with multiple sclerosis

  • J. A. FreemanAffiliated withDepartment of Clinical Neurology (Neurorehabilitation), Institute of Neurology, Queen Square, London WC1 N3BG, UK, Tel.: +44-171-8373611 ext 4152, Fax: +44-171-8130924

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Persons with multiple sclerosis (MS) commonly experience restrictions in mobility and everyday functional activities. A wide range of factors including physical, psychological, environmental and economic issues may contribute to these difficulties. This is particularly the case as the disease evolves, and the impairments and disabilities become more numerous, inter-related and hence more complex. Effective management of these complex problems requires assessment and intervention from a variety of different perspectives by using a coordinated, goal-oriented, multi-disciplinary management approach. Crucially, it requires management to be considered from a long-term perspective rather than as a fragmented series of isolated “quick-fixes”.

Key words Multiple sclerosis Rehabilitation Mobility Activities of daily living