Multiple Sclerosis - A Practical Guide to Rehabilitation - 51

A Practical Guide to Rehabilitation
in
A PRACTICAL GUIDE TO IDIOPATHIC

MULTIPLE SCLEROSIS

Putting it All Together-Case Scenario 2
TOMMY

Tommy is an 11-year-old boy who was
diagnosed with multiple sclerosis 1
year ago following 2, or possibly 3,
episodes of visual disturbance and
sensory motor weakness

MRI findings showed multiple periventricular white matter changes as well as gadolinium enhancing lesions in
the cortical region and the brainstem. He started treatment with a DMT soon after diagnosis. He had a recent
relapse manifesting as INO, sensory symptoms (vertigo, tingling, numbness), and mild cognitive impairment
affecting his speech and slowing his ability to complete classwork and homework. His mother is particularly
concerned about the cognitive changes, and told the neurologist "we want to do everything we can" to keep
Tommy healthy and functioning well at home and at school. The neurologist has changed Tommy's DMT and
referred him for rehabilitation.

Listen to Susan Bennett, PT, DPT, EdD,
NCS, MSCS discuss Tommy's PT
assessment, with a focus on balance

ASSESSMENTS
Physical Therapy
* Sensation to touch/localization
* Proprioception
* Oculomotor testing
- Saccades
- Convergence
- Smooth pursuits
- Vestibulo-ocular reflex
- Gait
* Running
* Kicking/dribbling a ball

* Balance
- Tandem walk
- 1-legged stand
- Standing on an uneven surface with eyes open
or closed
* Manual muscle test, both lower extremities
Occupational Therapy
* Interview with Tommy and parent(s) to
understand specific struggles
Speech-Language Pathology
* Brief Neuropsychological Battery for Children

Case 2: Tommy

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Multiple Sclerosis - A Practical Guide to Rehabilitation

Table of Contents for the Digital Edition of Multiple Sclerosis - A Practical Guide to Rehabilitation

Contents
Multiple Sclerosis - A Practical Guide to Rehabilitation - Contents
Multiple Sclerosis - A Practical Guide to Rehabilitation - Cover2
Multiple Sclerosis - A Practical Guide to Rehabilitation - 1
Multiple Sclerosis - A Practical Guide to Rehabilitation - 2
Multiple Sclerosis - A Practical Guide to Rehabilitation - 3
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Multiple Sclerosis - A Practical Guide to Rehabilitation - Cover3
Multiple Sclerosis - A Practical Guide to Rehabilitation - Cover4
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