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Evidence-Based Practice for Multiple Sclerosis

November 1, 2022 by Ashley Zhinin.
Do you have trouble writing evidence based goals for your patients with multiple sclerosis? This document outlines recommended outcome measures and the scores that are necessary to demonstrate improvement. Use it as a quick reference to educate patients on their fall risk and performance relative to other individuals with multiple sclerosis. Shirley Ryan Ability Labs, […]
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The Role of Cognitive Impairment on Physical Therapy Attendance and Outcomes in Multiple Sclerosis (2022)

August 1, 2022 by Ashley Zhinin.
Multiple Sclerosis (MS) is a demyelinating neurodegenerative process that affects the central nervous system. Individuals with MS are often referred to physical therapy for personalized plans of care to address functional mobility and acquire new motor skills. Therapists frequently use functional outcome measures to assess progress. Cognitive status is also affected by MS, and there […]
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Home Safety Screening

August 1, 2022 by Ashley Zhinin.
This screening can be used to assess the client’s ability to resolve safety issues around the home.
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Interventions for Instrumental Activities of Daily Living Among Adults with Multiple Sclerosis: A Systematic Review (2022)

May 1, 2022 by Ashley Zhinin.
This systematic review followed the Cochrane Collaboration methodology. Inclusion criteria were Level 1 or 2 evidence, published in English, published from January 2011 to December 2018, intervention within the OT scope of practice, and at least one IADL outcome measure. The population included adults age 18 years and older with a diagnosis of MS. Coaching […]
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Combining Qualitative and Quantitative Data Collection and Analysis Methods in Understanding Multiple Sclerosis Fatigue Management (2015)

January 16, 2022 by Megan Berg.
The research questions used in this study were as follows: 1. What fatigue management strategies do people with MS use? 2. How often do they use those strategies (regularly, sometimes, and never)? 3. What reasoning influenced their use of these strategies? Qualitative and quantitative measures were collected from 31 individuals with MS using convenience sampling […]
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Systematic Review of Yoga and Balance: Effect on Adults With Neuromuscular Impairment (2019)

January 16, 2022 by Megan Berg.
According to the Center for Disease Control and Prevention, falls are the leading cause of nonfatal injuries for people ages 18-85 yr in the United States with more than 800,000 adults hospitalized each year. The most common neurological conditions that pose a high risk for falls are traumatic brain injury (TBI), cerebrovascular accident (CVA), dementia […]
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Inadequate Fluid Intake in Long Term Care Residents: Prevalence and Determinants (2018)

January 13, 2022 by Megan Berg.
Previous research suggests that half of the LTC residents may be dehydrated. Dehydration is a form of malnutrition. The treatment of other illnesses can be complicated by dehydration including urinary tract and pulmonary infections, kidney stones, hyperthermia, constipation, orthostatic hypotension, and thrombo-embolic compilation. About 60% of LTC residents are hospitalized for dehydration complications and are […]
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The Effect of Traditional Dysphagia Therapy on the Swallowing Function in Patients with Multiple Sclerosis: A Pilot Double-Blinded Randomized Controlled Trial (2019)

January 13, 2022 by Megan Berg.
The authors used a randomized, double-blind, clinical trial to determine how TDT would affect individuals with MS with dysphagia. The participants from the study were included if he/ she had an established diagnosis of MS according to McDonald’s criteria, between 20 and 60 years of age, DYMUS questionnaire indicated dysphagia, no acute relapse in the […]
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Dysphagia in Multiple Sclerosis: Evaluation and Validation of the DYMUS Questionnaire (2017)

January 13, 2022 by Megan Berg.
The DYMUS questionnaire was designed by Bergamaschi et al. and is currently the only questionnaire for identifying the presence of dysphagia with individuals with multiple sclerosis (MS). This questionnaire is able to determine the presence of oropharyngeal dysphagia and indicate the need for objections assessments such as the FEES and/or VFSS. The study compared the […]
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The Management of Drooling in Adults with Neurological Conditions (2012)

January 11, 2022 by Megan Berg.
Starting with the physical, the authors note with four sources how drooling can create chapping, infection, dehydration, and even odor. These symptoms can be compounded by the psychosocial aspect. With drooling, the risk of patients being infantilized is real, and can impact how the support system of a patient reacts to them. Drooling can also […]
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