Affiliations: [a] Scientific Research Area, Italian Multiple Sclerosis Foundation, FISM, Genoa, Italy | [b] AISM Rehabilitation Centre, Italian Multiple Sclerosis Society, Genoa, Italy | [c] Department of Physiopathology, Experimental Medicine and Public Health, University of Siena, Siena, Italy
Abstract: Objective:Evaluate the efficacy of outcome measures routinely used in a physical therapy service for Multiple Sclerosis (MS). Design:We performed a retrospective review of 500 medical records of MS patients from the outpatients service of AISM Rehabilitation Centre, Genova, Italy. Patients:All records of outpatients followed by AISM Rehabilitation Centre who underwent physical therapy from 2006 to 2008 were evaluated. Methods:Modified Fatigue Impact Scale (MFIS) and Ambulation Index (AI) were reviewed for all records at the begin and at the end of the rehabilitation treatment. Results:The number of assessments recorded was 295 in 209 patients. Out of the 209 patients, 133 were female and 76 were male. The mean age was 51.6 ± 11.68 years, the mean Expanded Disability Status Scale (EDSS) score was 4.98 ± 1.79, and 185 patients were ambulatory. In nonambulatory patients neither scale showed a significant increase. In ambulatory patients (275 assessments) significant changes were observed in AI, MFIS total score and subscores. Conclusion:Physical therapy has a positive impact on fatigue, and the MFIS seems to be a good outcome measure in ambulatory patients. The AI and MFIS seem to be not indicated for use in non-ambulatory patients.
