[Physical therapy measures in multiple sclerosis].

Abstract

The physiotherapeutical treatment represents a major part of the rehabilitation. The endeavours in this respect will have to be well assigned and individually adapted to the patient. The mode of treatment will especially have to take into consideration the needs of everyday life. Therefore all functions which might be difficult to cope with for the patient or which might reduce his abilities in daily life ought to be trained already during the patient's stay in hospital. Then the careful choice of and furnishing with the necessary auxiliary devices must be planned in cooperation with the doctor, the therapeutist and the relatives. The treatment itself ought to start as early as possible. It should be continued even in phases of remission by the patient himself on the one hand, and from time to time it should be summarized in blocks of training on the other hand. The prevention of complications is to be increased by these measures and at the same time the patient is to realize the necessity of his personal engagement. The planing of the therapy must consider all possible fundamental disorders such as spasticy, palsy or plegie as well ataxy and also disorders of the bladder.