Assessments and interventions to improve sleep quality and manage dysfunctional sleep beliefs in people with MS may improve health-related quality of life and functioning. Cognitive behavioral therapy for insomnia targets both factors and has been demonstrated to be a modifiable and efficacious treatment in this population.
When developing plans of care, physical therapists should consider how psychosocial factors such as pain impact, depression, and social support may affect walking-related goal attainment.
The use of cooling vests may limit the effects of thermosensitivity in people with multiple sclerosis, as evidenced by improved 6-minute walk test performance compared with an uncooled condition.
People with multiple sclerosis (MS) residing in rural regions in the United States, as well as globally, face similar barriers to accessing MS care and experience poorer disease outcomes.
More data are needed to ascertain the actual risks and benefits of DMT use, discontinuation, and de-escalation in older people with MS.