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Multiple Sclerosis: Pathophysiology, Diagnosis, and Medical Management

presented by Herb Karpatkin

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Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Multiple sclerosis is a disease that results in loss of mobility for almost all persons afflicted with the disease. However, only a small percentage of persons with MS get appropriate physical therapy to address these deficits. Part of this is due to the fact that MS is by nature a very complex disease with complex mobility deficits, and there is very little available information to guide physical therapists in how to optimally treat these patients. The purpose of this course is to provide a global view of multiple sclerosis evaluation and management for physical therapists. The course begins with a review of the unique pathophysiology and how it impacts mobility. A full evaluation is shown on both a model and actual MS patients, followed by treatment of the evaluation findings. It is hoped that this course will provide clinicians with the tools to effectively evaluate and treat persons with multiple sclerosis, regardless of the types of deficits shown, or the severity of the disease.

Meet Your Instructor

Herb Karpatkin, PT, DSc, NCS, MSCS (Presenter)

Herb Karpatkin, PT, DSc graduated from the Physical Therapy program at Sargent College, Boston University in 1989, and received his doctoral degree in neurologic physical therapy from Rocky Mountain University of Health professions. He is a Certified Multiple Sclerosis Specialist from the Consortium of Multiple Sclerosis Centers and a board certified Neurologic Clinical Specialist through…

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Chapters & Learning Objectives

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1. Update on Pathophysiology and Medical Management for Physical Therapists

Describe the underlying neuropathology of multiple sclerosis. Classify the types of medical management utilized for MS treatment. Explain the requirements for a diagnosis of Multiple Sclerosis. Describe the unique signs and symptoms associated with a diagnosis of MS.

2. Physical Therapy Evaluation and Assessment of Multiple Sclerosis: A Disease Specific Approach

Identify how an MS evaluation differs from evaluation of other CNS disorders. Demonstrate the ability to differentiate between primary and secondary MS fatigue. Analyze the evaluative findings to identify unique MS presentations. Differentiate between impairment based findings and functional limitations.

3. Physical Therapy Interventons for Multiple Sclerosis: Impairments

Designs a treatment plan for Multiple Sclerosis impairments including fatigue, weakness, sensory loss, thermosensitivity and posture. Recognize the relationship between MS impairments and MS functional limitations. Describe the use of intermittent exercise as specific treatment modality in Multiple Sclerosis. Understand the role of treating secondary impairments to reduce multiple sclerosis disability.

4. Physical Therapy Interventions for Multiple Sclerosis: Functional Limitations

Identify patterns of functional limitation specific to MS. Perform task specific interventions for balance loss in MS. Understand how to use the Berg Balance Scale and the Dynamic Gait index to develop specific treatment interventions.

5. Multiple Sclerosis Q&A

Instructor, Herb Karpatkin, sits down to answer some specific questions relating to Multiple Sclerosis including discharge and maintenance treatment, testing when MS is suspected, and the psychological management of patients with this disease.

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