Extended outpatient rehabilitation: its influence on symptom frequency, fatigue, and functional status for persons with progressive multiple sclerosis

Effectiveness of Multidisciplinary Rehabilitation Services in Postacute Care: State-of-the-Science. A Review

“…For example, Trend et al 39 evaluated the short-term effectiveness of intensive multidisciplinary rehabilitation for people with Parkinson's disease and found improvements in mobility, gait, speech, depression, and QOL, with people of more advanced disease at baseline showing more significant gains. Freeman 40 and Di Fabio 41 and colleagues described benefits of multidisciplinary rehabilitation for subjects with multiple sclerosis as a result of both inpatient rehabilitation 40 and an extended outpatient rehabilitation program. 41 Several ongoing nonrandomized studies with different designs that are evaluating inpatient rehabilitation and skilled nursing facilities were presented at the State-of-the-Science Symposium.…”

“…Freeman 40 and Di Fabio 41 and colleagues described benefits of multidisciplinary rehabilitation for subjects with multiple sclerosis as a result of both inpatient rehabilitation 40 and an extended outpatient rehabilitation program. 41 Several ongoing nonrandomized studies with different designs that are evaluating inpatient rehabilitation and skilled nursing facilities were presented at the State-of-the-Science Symposium. It was recognized that particularly lacking are measurements of the effectiveness of multidisciplinary rehabilitation for people with such conditions as pulmonary disease or cancer.…”

Barriers and Facilitators Related to Rehabilitation Stays in Multiple Sclerosis

“…2,3 Motor and cognitive impairment, fatigue, depression, pain, incontinence, sexual dysfunction, and the unpredictability of the disease reduce health-related quality of life [4][5][6][7][8][9][10][11] and participation in work and life. 2,12,13 Although it has been difficult to show the effect of multidisciplinary rehabilitation stays in clinical trials, 14,15 several studies have suggested a positive effect of multidisciplinary rehabilitation on disability [15][16][17][18][19][20][21] and aspects of health-related quality of life. 15,17,18,20,21 A review by Khan et al 15 concluded that there was strong evidence that inpatient or outpatient rehabilitation can increase activity and participation in society, despite a lack of reduction in actual impairment.…”

“…2,12,13 Although it has been difficult to show the effect of multidisciplinary rehabilitation stays in clinical trials, 14,15 several studies have suggested a positive effect of multidisciplinary rehabilitation on disability [15][16][17][18][19][20][21] and aspects of health-related quality of life. 15,17,18,20,21 A review by Khan et al 15 concluded that there was strong evidence that inpatient or outpatient rehabilitation can increase activity and participation in society, despite a lack of reduction in actual impairment. Multidisciplinary rehabilitation has been shown to have a positive effect on measures of functional independence including locomotion, sphincter control, and self-care.…”

Rehabilitation in Multiple Sclerosis: Outcome Selection in Clinical Trials

“…In looking at trials designed to measure the package of multidisciplinary rehabilitation that have been undertaken in the past decade, it is evident that earlier research focused almost entirely on physical disability (Table 1). [2][3][4][5][6][7][8][9][10][11][12][13][14] In recent years, however, there has been increasing recognition that disability is only one of the many aspects of health affected by rehabilitation, and there has consequently been a broadening of the domains measured to include other aspects, such as handicaps and quality of life. This extension of the outcomes measured is important, because it is known from clinical experience that MS has a widespread impact on an individual.…”