Clinical Outcomes Following Application of a Clinical Practice Guideline for Persons with Multiple Sclerosis in a Multi-Discipline Rehabilitation Facility
Objectives: A retrospective analysis of clinical outcomes related to outpatient Physical Therapy (PT), Occupational Therapy (OT) and Speech Language Pathology (SLP), following implementation of a MS CPG.
Methods: Patients were first grouped by gait velocity; Group 1: 0 – 0.39 m/sec, Group 2: >0.4 m/sec. Analysis of outcome measures were then performed within these groups. Group 1 outcome measures included: Trunk Impairment Scale, gait velocity, Multiple Sclerosis Impact Scale-29, 9-Hole PEG test, Grip strength, and National Outcomes Measurement System (NOMS). Group 2 outcome measures included: Berg Balance Scale, gait velocity, Multiple Sclerosis Impact Scale-29, 9-Hole PEG test, Grip strength, 6-minute walk test, and National Outcomes Measurement System (NOMS).
Results: The data presented demonstrates excellent outcomes through the application of a CPG.
Conclusions: Even with a heterogeneous patient population, consistency of practice and continuum of care is important in overall health and well-being of persons living with MS.