Article

Rehabilitation is often recommended to MS-patients but data on its
efficacy is limited. OBJECTIVE: To evaluate the benefit of inpatient
multidisciplinary rehabilitation. METHODS: A rater-blinded, randomized, waiting
list controlled exploratory study. 19 participants completed the study with ten
allocated to the intervention and nine to the waiting list group. Assessment of
outcome-parameters was done at baseline and after 3 months. Time Walking Tests
(TWTs) and 9 Hole Peg Test were used to objectively assess the level of activity,
Functional-Assessment-in-MS and MS-Self Efficacy-Scale to assess participation
and quality of life and Expanded Disability Status Scale (EDSS) to assess bodily
function. Additionally Rivermead Mobility Index, Berg Balance Scale,
Tinetti-Test, MS-Functional Composite and a rater-blinded evaluation of a
video-analysis on walking performance was done. RESULTS: Mean change scores of
Timed 50 meter Walk (p = 0.014), walking speed (p = 0.034), 2- (p = 0.204) and
6-Minute Walk (p = 0.027) indicated an improvement favoring inpatient
multidisciplinary rehabilitation. We could not demonstrate a benefit for upper
limb function and some improvement was seen in other outcome-parameters without
reaching statistical significance. EDSS remained unchanged. CONCLUSION: Inpatient
multidisciplinary rehabilitation is effective in MS patients with positive impact
on the level of activity as measured by TWTs covering both short and long
distance ambulation.

Langue : ANGLAIS