A Multi-Faceted, Task Specific Approach for Successful Gait Intervention in MS
Objectives: To highlight three innovative strategies for optimizing gait outcomes in persons with MS.
Methods: A comprehensive physical therapy evaluation was performed on each individual. Intervention was chosen based on the patient’s impairments in addition to gait deficits. The gait interventions included lower extremity orthoses, assistive devices, and neuromuscular electrical stimulation. All patients also received an individualized home based exercise and walking program.
Results: Spatiotemporal gait measurement (GAITRite), 6 Minute Walk Test, and video observational gait analysis were used to assess the impact of the interventions. Each of the case examples described exhibit improvements in the above measures.
Conclusions: Through the application of the described combination of interventions, the patients discussed had excellent outcomes related to their gait. Thus, these patients were able to continue with safe community mobility, engage in their life roles, and have improved quality of life.