American Speech-Language-Hearing Association

EBP Compendium: Summary of Systematic Review

The Cochrane Collaboration; Department of Rehabilitation Medicine, Royal Park Campus, Royal Melbourne Hospital, Australia
Multidisciplinary Rehabilitation for Adults with Multiple Sclerosis

Khan, F., Turner-Stokes, L., et al. (2007).
Cochrane Database of Systematic Reviews(2).

Indicators of Review Quality:

The review addresses a clearly focused question No
Criteria for inclusion of studies are provided Yes
Search strategy is described in sufficient detail for replication Yes
Included studies are assessed for study quality Yes
Quality assessments are reproducible Yes*

Description: This is a systematic review of controlled trials investigating the use of multidisciplinary rehabilitation for adults with multiple sclerosis. Results indicate that multidisciplinary rehabilitation can provide short-term improvements at the levels of activity and participation for patients with MS, but no improvement is noted in the level of impairment.

Question(s) Addressed:

Question not specifically stated.

Population: Adults over the age of 18 with the diagnosis of MS.

Intervention/Assessment: Multi-disciplinary (MD) rehabilitation, which includes inpatient, outpatient, home or community-based programs. In this trial, rehabilitation consists of two or more disciplines in conjunction with physician consultation, and targeted towards improvement at the levels of activity and/or participation. Rehabilitation programs could include elements of physical therapy (PT), occupational therapy (OT), speech pathology (SP), psychology and or neuropsychology (NP), cognitive therapy and/or behavior management, social work (SW), nutrition, orthotics, counseling input, recreation and vocational therapy.

Number of Studies Included: 8

Years Included: Through September 2005

Findings:

Conclusions:

"Despite no change in level of impairment, multi-disciplinary rehabilitation can improve the experience of people living with multiple impairment in terms of both activity and participation" (p. 11). However, there needs to be more evidence to determine the cost-effectiveness of one rehabilitation program over another.

Keywords: Multiple Sclerosis

Access the Review

Note:

*See the specific review methods used by the Cochrane Multiple Sclerosis Group.

Added to Compendium: February 2012

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