Symptomatic Therapy and Rehabilitation in Primary Progressive Multiple Sclerosis

Box 3

Phases in rehabilitation process. Adapted from: Steins et al. [16].

(i) Evaluation-identification and quantifying effects of disablement (limitation in activity and participation)—mediators for

adaptive capacity that can be targeted foci for therapy.

(ii) Treatments—arrest the pathophysiologic processes causing tissue injury.

(iii) Therapeutic exercise—focuses on enhancement of organ performance.

(iv) Task reacquisition—emphasizes total body adaptive techniques.

(v) Environmental modification–directs effort towards environmental enhancement (physical, psychological, social, and

Political) to improve participation.