naa a22 4500 510740901 CHVBK 20180411083027.0 cr unu---uuuuu 180411e20130901xx s 000 0 eng 10.1007/s11845-013-0905-2 doi (NATIONALLICENCE)springer-10.1007/s11845-013-0905-2 Utilization of physical rehabilitation among people with multiple sclerosis [Elektronische Daten] [I. Milivojević, I. Adamec, M. Habek] Background: The goal in rehabilitating patients with multiple sclerosis (MS) is to minimize their physical and mental impairments and keep them integrated into their social environment. However, rehabilitation is not systematically utilized in MS patients. Objectives: This study aimed to determine how many patients diagnosed with MS use rehabilitation as a way of treatment and to evaluate correlation between use of rehabilitation and level of impairment. Methods: We analyzed data regarding the use of rehabilitation in the last 2years in 63 MS patients. Data were gathered using questionnaires during regular visits to neurological outpatient clinic from October to December 2011. Expanded Disability Status Scale (EDSS) was determined for all patients. Results: One or more types of rehabilitation were used in 41.3% of questioned patients: inpatient, outpatient and home-based rehabilitation were used in 28.5, 17.4 and 4.7% of patients, respectively. Average EDSS in group with inpatient rehabilitation was 2.9, in group with outpatient rehabilitation 3.0 and in group without rehabilitation 1.0. We found that patients who used inpatient, outpatient and home-based rehabilitation had higher level of impairment comparing to patients who were not rehabilitated (p=0.002, p=0.004 and p=0.021, respectively). Conclusion: Rehabilitation of MS patients is not systematically provided, especially in early stages of disease when best results can be achieved. Royal Academy of Medicine in Ireland, 2013 Multiple sclerosis nationallicence Physical therapy nationallicence Rehabilitation nationallicence Inpatient nationallicence Outpatient nationallicence Home based nationallicence Expanded Disability Status Scale nationallicence Milivojević I. Department of Physical Medicine and Rehabilitation, General Hospital Zadar, Zadar, Croatia aut Adamec I. Department of Neurology, University Hospital Center Zagreb, Referral Center for Demyelinating Diseases of the Central Nervous System, Kišpatićeva 12, 10000, Zagreb, Croatia aut Habek M. Department of Neurology, University Hospital Center Zagreb, Referral Center for Demyelinating Diseases of the Central Nervous System, Kišpatićeva 12, 10000, Zagreb, Croatia aut Irish Journal of Medical Science Springer-Verlag 182/3(2013-09-01), 429-432 0021-1265 182:3<429 2013 182 11845 https://doi.org/10.1007/s11845-013-0905-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11845-013-0905-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Milivojević I. Department of Physical Medicine and Rehabilitation, General Hospital Zadar, Zadar, Croatia aut NATIONALLICENCE 700 1- Adamec I. Department of Neurology, University Hospital Center Zagreb, Referral Center for Demyelinating Diseases of the Central Nervous System, Kišpatićeva 12, 10000, Zagreb, Croatia aut NATIONALLICENCE 700 1- Habek M. Department of Neurology, University Hospital Center Zagreb, Referral Center for Demyelinating Diseases of the Central Nervous System, Kišpatićeva 12, 10000, Zagreb, Croatia aut NATIONALLICENCE 773 0- Irish Journal of Medical Science Springer-Verlag 182/3(2013-09-01), 429-432 0021-1265 182:3<429 2013 182 11845 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer