New Review of Neurorehabilitation in Multiple Sclerosis - Resilience in Practice
LONDON, September 19, 2017 /PRNewswire/ --
Jürg Kesselring, European Neurological Review, 2017;12(1):31-6 DOI: https://doi.org/10.17925/ENR.2017.12.01.31
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Published recently in European Neurological Review the peer-reviewed journal from touchNEUROLOGY, Professor Kesselring stresses that although enormous strides have been made in the efficacy and range of disease-modifying drugs for the treatment of multiple sclerosis (MS) there is another equally important concept that is neurorehabilitation. , Key factors that contribute to the impact of neurorehabilitation include resilience and neuroplasticity. In the former, components such as nutrition, self-belief and physical activity provide a stronger response to the disease and improved responses to treatment. Neuroplasticity is the capacity of the brain to establish new neuronal networks after lesion damage has occurred and distant brain regions assume control of lost functions. In MS, it is vital that each patient is treated by a coordinated multidisciplinary team. This enables all aspects of the disease including problems with mobility, gait, bladder/bowel disturbances, fatigue and depression to be effectively treated. It is also important that the treating team adopts current best practice and provides internationally agreed standards of care. A further vital aspect of MS management is patient engagement, in which individuals are fully involved and are encouraged to strive and put effort into meeting treatment goals. In this approach, healthcare providers become motivators and patients need less intervention and consume fewer resources. Numerous interventions that promote neurorehabilitation are available, though evidence to support their use is limited by a lack of data from large randomised controlled trials. Overall Professor Kesselring emphasises that combining interventions that promote neurorehabilitation with newer, more effective treatments creates a promising potential to substantially improve the outlook for patients at all stages of MS.
The full peer-reviewed, open-access article is available here:
https://doi.org/10.17925/ENR.2017.12.01.31
Disclosure: Jürg Kesselring has nothing to disclose in relation to this article. No support was received for the publication of this article.
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