Background: Multidisciplinary, individualized rehabilitation is widely considered to be the golden standard to obtain maximum biopsychosocial gains in short-term inpatient rehabilitation settings for people with multiple sclerosis (MS). Objective: To establish the efficacy of a multidisciplinary rehabilitation approach offered at the National Multiple Sclerosis Center of Melsbroek on both objective and patient reported biopsychosocial rehabilitation outcomes. Methods: Retrospective single center study on rehabilitation data from the KWS electronic medical database of NMSC Melsbroek. All records of adults with MS receiving multidisciplinary rehabilitation in 2017, consisting of an individualized daily program (3h, 5x/wk) including: physical therapy, occupational therapy, respiratory therapy, psychological therapy, nursing and social support, were considered. Performance at admission and discharge on the six minute walk test (6MWT), nine hole peg test (NHPT), mental health index (MHI) and peak expiratory flow (PEF) were compared. Results: A total of 582 records were obtained, of which 1 sample per outcome measure of interest was extracted depending on data availability. Significant improvements were found on the 6MWT (43.45m, p < 0.001), PEF (3.15%, p < 0.001) and MHI (9.48 pts, p < 0.001), of which improvement in 6MWT was also found to be clinically relevant (> 9% compared to baseline). NHPT, however, was not found to be significant nor clinically relevant. Discussion: Multidisciplinary rehabilitation was shown to significantly improve subjective (mental health) and objective (locomotion and respiratory function) functional outcomes. Fine hand motor skills, however, showed no significant improvement. Conclusion: This study supports the value of multidisciplinary rehabilitation as an effective method to tackle multidomain objective and patient perceived problems in patients with multiple sclerosis. Future studies should include a control condition and identify explaining variables as well as predictors for rehabilitation outcome.
Original languageEnglish
Publication statusPublished - 1 Jun 2019

    Research areas

  • Multiple Sclerosis, Multidisciplinary Rehabilitation

ID: 47095455