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The Course Of Care And Specific Therapeutic Interventions At A 72 Year Old Female With Relapsing Remitting Ms

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The purpose of the current case report was to describe the course of care and specific therapeutic interventions for the management of recurrent patellar subluxations in a 72-year-old female with relapsing-remitting MS. She demonstrated with improvements in ROM and strength of bilateral LE. Improved strength of the quadriceps and decreased muscle atrophy improved the patients ability to complete sit to stand transfers, stand for prolonged periods and ambulate greater distances. From the initial evaluation the patient exhibited advancements in scores on the BBS, 2mWT and LEFI. Improvement of patellar tracking was attained however, patellofemoral pain was not completely resolved and when the knee was unsupported she continued to experience pain on the lateral groove of the left knee when ambulating. Collectively these results provide clinicians with a framework to effectively manage patients with orthopedic impairments complicated by underlying neuromuscular disorders.
Individuals with orthopedic impairments complicated by an underlying neuromuscular disorder can be treated however, the duration of care required to achieve functional improvements and goals is greater. Previous reports have highlighted surgical treatment and outcomes of patients with MS and coexisting orthopedic conditions. One study reported on 14 patients with coexisting MS and spinal cord compression secondary to cervical spondylosis or cervical disc disease. After decompressive surgery, half the patients

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