Is the Melsbroek Disability Scoring Test (MDST) a Good Tool to Assess Rehabilitation in Pwms?
Most patients with multiple sclerosis (PwMS) experience a decrease in their mobility as their disease progresses. It’s well known now that movement and exercise therapy are beneficial: they can induce a (partial) recuperation of functional motor loss or maintain the present level of functional mobility.
In the rehab department from the National Multiple Sclerosis Center we work with a multidisciplinary team composed from PT, OT, Speech therapist, Social workers, Psychologist and neuropsychologist, rehab nurses and rehab doctors and we treat out and inpatients.
We provide all our PwMS with an individual session of PT as well as many different group therapies (fitness, relaxation, hydrotherapy, horse riding, balance training, passive cycling).
The common goal of each group therapy is to actively and passively mobilize the patient within their limitations, trying to increase their functional possibilities.
To start a rehabilitation, we need information’s about the physical problems from the PwMS, he’s expectation for the rehab period and bases on that, we can choose goals for this period.
To assess PwMS during rehabilitation, we have a lot of well-known tools for specific problems like walking (25FWS-6MWS), fatigue (FSS-MFIS), spasticity (Ashford), balance (TUG-BBS) or quality of life (SF36).
Al these tests are validated for a part from the disease, but no one, gives a global view of the problems with the PwMS.
The MDST is a test which gives a global view of the functional disabilities from the PwMS with a global score of his limitations.
We will assess walking, balance, spasticity, tremor, active and passive mobility from the upper limb and lower limb.
We collected the data of more than 1500 PwMS who followed a rehabilitation period from at least 3 weeks in the National MS Centre in Melsbroek (Belgium) and we analysed the different parameters of those patients.
The different data we collected are the EDSS, the type of MS, age, gender, age of disease, duration of the rehabilitation, MDST, FIM, 25FWS 2MWS and 6MWS.
We also compared the goals for the rehab with the attended goals.
We search a correlation between the MDST and the others tests and between the results from the rehab and the duration from the rehabilitation period.
The data analysis is in progress.
The data analysis is in progress