多发性硬化症（MS）is a progressive neurologic disease that damages the nerves. This damage often leads toserious symptoms, such as the following:
- numbness and tingling
- 弱点
- muscle pain
- 视力问题
In some people, MS can be aggressive and advance quickly. In other people, it can be mild and progress at a much slower pace, with long periods of inactivity.
In any case, physical therapy (PT) can be an important part of treatment for people with MS. Read on to learn what PT can do to help you manage your MS.
PT for MS involves exercises to strengthen your muscles and improve your gait (how you walk) and yourbalance and coordination。它还涉及伸展运动，以帮助您保持活动能力并防止肌肉痉挛。PT还可以包括有关如何使用甘蔗，沃克或轮椅等移动性辅助工具的培训。
PT can be helpful even in the earliest stages of MS. It can help you:
- 学习如何支持和应对
with your changing body - 避免加剧症状
- 发展力量和耐力
- 病后恢复能力
relapse
A discussion with a physical therapist can help you understand how your body will change as the disease progresses. Getting PT can help you prepare for these changes and help you maintain or improve a healthy lifestyle.
PT may be helpful at various stages of your condition, and for different types of MS.
At diagnosis
At the time of yourMS诊断, it’s important to meet with a physical therapist for a baseline evaluation. This exam allows the therapist to see what your body is capable of now so they can compare that with your future abilities. You can also discuss your physical limitations and understand what levels of exercise and physical activity are appropriate for you.
初次考试后，您可能无需继续与物理治疗师见面。但是，如果您拥有积极进展的MS类型，则可能希望继续使用PT。
During a relapse
A relapse — also called a flare orexacerbation— is a period of time when symptoms of MS are more frequent or severe. During this period, you may have greater difficulty with everyday tasks that include:
- 在职的
- cooking
- 步行
- bathing
Your physical therapist will know how the relapse is affecting you by conducting a physical exam and comparing it with your baseline evaluation. After a relapse you should meet with your physical therapist to resume PT. Therapy after a relapse may help you regain some of the strength you might have lost during the relapse.
用于进行性多发性硬化症
If you haveprimary progressive MS, you don’t experience relapses. Instead, your disease is on a gradual, constant decline.
如果您被诊断出患有此类MS，请您的医生立即将您推荐给物理治疗师。您会尽快开始PT，这对于您的健康和福祉至关重要。PT可以教您如何补偿您将经历的更改。您可能还需要学习如何使用移动辅助工具，例如站立装置或轮椅。
Read more: Treatment for PPMS »
用于高级多发性硬化症
患有高级MS的人患有严重的MS症状。在大多数情况下，患有高级MS的人是非启动性的。这意味着如果没有其他人或电动设备的帮助，他们就无法行走或四处走动。此外，此阶段的人有发展其他健康状况的风险，例如osteoporosis或者epilepsy。
People with advanced MS can still benefit from PT. For instance, PT can help you learn to sit properly, develop upper body strength, and maintain the ability to use mobility aids.
Physical therapy can be done in several locations that include:
- your home
- an outpatient facility
- an
MS treatment center
PT for MS may be different based on where it’s provided. In some cases, the stage of the disease determines where you should have your PT. In other cases, you may be able to select the option that works best for you.
Inpatient PT
You’ll receive Inpatient care while you’re staying at a healthcare facility. PT conducted in an inpatient facility is often done in a hospital, MS treatment center, or long-term care facility.
大多数需要住院PT的人因MS而遭受跌倒或某种类型的伤害。患有高级MS的人也可能住在辅助生活中心，并且可能需要PT作为治疗的一部分。
门诊PT
门诊护理发生在医生办公室，物理治疗办公室或治疗中心。患有门诊PT的人来到场地接受治疗，然后离开。
门诊PTcan be a good choice for people who are recovering from a relapse or learning to handle the physical changes MS causes.
Home care
通过家庭护理，物理治疗师将来您家提供PT。MS各个阶段的人都可以使用家庭护理。
This type of therapy may be especially useful for people who’ve been recently diagnosed with MS and are learning to deal with slight changes in their physical abilities. Home care can also be good for people who have late-stage MS and are nonambulatory.
If you have MS, talk with your doctor about your course of treatment. If you would like to begin working with a physical therapist, ask your doctor for a referral.
MS对每个人都是不同的，有些人可能对某些练习做出良好的反应，而另一些人则不会。对您的医生和治疗师诚实有关您的症状以及您的感觉，以便他们可以创建适合您的PT程序。