Physiotherapy Management Of Multiple Sclerosis Ppt Upd

Frequency-Duration-Intensity-Type (F-D-I-T) update based on Multiple Sclerosis Journal 2025

| Domain | Recommendation | Clinical Reasoning | |--------|----------------|--------------------| | Aerobic | 3-4x/wk, 20-30min, 65-80% HRmax (or RPE 5-7/10) | Myelin repair upregulation via BDNF release | | Resistance | 2-3x/wk, 2 sets of 8-12 reps, 60-70% 1RM | Counteracts disuse atrophy; improves corticospinal excitability | | Balance | Daily, 10-15min, high repetition (30-50 reps per task) | Task-specific plasticity in sensorimotor cortex | | Flexibility | Daily, sustained static stretch 30-60s for spastic muscles | Reduces passive stiffness but adjunct to strengthening | physiotherapy management of multiple sclerosis ppt upd

Contraindication update: Avoid hazardous overheating. Use precooling (cold vest, 15-20 min before exercise) for heat-sensitive patients. Pharmacology (Baclofen, Tizanidine) often causes weakness

Pharmacology (Baclofen, Tizanidine) often causes weakness. PT strategies now prioritized: Red flag: Sudden increase in spasticity → rule

Red flag: Sudden increase in spasticity → rule out UTI, constipation, or noxious stimulus.