Multiple sclerosis in adults: management

Recommendation ID: CG186/3
Question: What is the optimal frequency, intensity and form of rehabilitation for mobility problems in people with Multiple Sclerosis (MS)?
Any explanatory notes (if applicable): Reduced mobility is one of the most common problems in MS and 85% of people with MS report a gait disturbance as their main complaint. Gait is a complex function and many of the symptoms of MS, such as fatigue, weakness, spasticity and ataxia can impact on its quality. Following an assessment by a physiotherapist with expertise in MS, some gait-related problems can be improved by the use of devices. One of the main contributors to poor gait is muscle weakness which may be primary (for example, because of the disease process) or secondary (as a result of deconditioning). The latter is common as people with MS are known to reduce their activity levels soon after diagnosis. Allowing people to regain and then maintain maximal strength is important so that they can perform their usual tasks and remain independent for as long as possible.

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Is this a recommendation for the use of a technology only in the context of research?	No
Is it a recommendation that suggests collection of data or the establishment of a register?	No
Last Reviewed	27/11/2014