Novel Model of Care for the Person With Multiple Sclerosis

Background: The interdisciplinary team caring for the MS patient population works most effectively in an integrated model of care. This describes the role the Physical Therapist takes as an integral part of the medical team. The Physical Therapist in this model is a partner with the Neurologist under a network whose goal is to provide comprehensive care to the person with Multiple Sclerosis.

Objectives: NA

Methods: In an MS Center of Excellence, we have introduced a Physical Therapist as a member of the Neurology office team. As a member of the office team, the Physical Therapist functions as a portal to Rehabilitation Services. The PT provides functional screens and fall risk assessments to identify further need for rehabilitation services, and to chronicle changes in disability. They also provide valued input into necessary assistive devices and adaptive equipment, power mobility and seating needs, bracing, and management of orthopedic impairments. Perhaps most importantly, the PT educates patients, caregivers, physicians, and physician extenders about the importance of early intervention and appropriate use of Rehab Services throughout the course of the disease.

Results: NA

Conclusions: Integrating a Physical Therapist as a consultant within the offices of the Neurologist is a novel, and welcome practice. This model has lead to high satisfaction for patients, caregivers, providers, and the Rehabilitation staff. The PT is able to identify functional changes early and make recommendations appropriately. The Neurologists and their mid-level providers have come to an improved understanding of the role of the Physical Therapist in preventing disability and promoting wellness and general fitness. The PT can facilitate communication among medical providers and the treating therapists.