A Multimodel Rehabilitation Program for a Patient with Relapsing Remitting Multiple Sclerosis: A Case Report

Multiple sclerosis, multimodal programme, Balance, Fatigue, Gait. Introduction Multiple sclerosis (MS) is a chronic inflammatory, demylinating disease of the central nervous system. Prevalence of 3/100, 000 for India. Case presentation 40 years female, relapsing remitting multiple sclerosis. Patient had complaint of stiffness and weakness of both limbs while walking, associated with imbalance, urinary complains and visual problems all since last 2 years. Patient had started physiotherapy from 21st July 2015. Management and Outcome Multimodal rehabilitation programme includes cardiovascular activity, stretching, PNF, task oriented approach, balance and core muscle strengthening exercises. Outcome measures were BBS, TUG, Functional gait Index, Gait parameters, FIM, Fatigue Impairment scale. Discussion Task oriented approach and PNF helps in maintaining static and dynamic balance and gait deviation. Activity pacing Maintained activity tolerance without reports of fatigue after therapy. CV endurance exercises helps in Aerobic capacity, functional ability, and Quality of Life for those with disabilities and chronic diseases. Conclusion Proprioceptive neuromuscular facilitation (PNF) and Task oriented approach and balance exercises helps in attain optimum level of function and increase quality of life.