Combination aquatic and land physical therapy program improved function and reduced spasticity after acute illness and exacerbation of multiple sclerosis: A case report

Abstract

Background and purpose: This case report provides retrospective review of an outpatient physical therapy program for a female client with primary progressive multiple sclerosis after acute illness requiring hospitalization that contributed to decline in function and deconditioning. This patient was prescribed a multi-modal intervention that included education and training to restore physical impairments and loss of function with a combination of aquatic and land-based interventions, and introduction to the functional electrical stimulation (FES) cycle.