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Team-Based Rehabilitation: Functional and Quality of Life Outcomes

Andersen M, Knox K, Nickel D, Mirkowski M, McIntyre A, Bayley M, Bruno T, on behalf of the MSBEST Team. (2019). Team-Based Rehabilitation: Functional and Quality of Life Outcomes. Multiple Sclerosis Best Evidence-Based Strategies and Treatment/Therapies for Rehabilitation. Version 1.0: p. 1-48.

PDF of Module

This module provides a comprehensive overview of the available evidence for team-based rehabilitation approaches for three main outcomes in persons with multiple sclerosis: self-care activities, participation, and quality of life

Key Points

  • Team-based rehabilitation may result in improved self-care as measured by the Functional Independence Measure in progressive MS. However, the evidence is conflicting regarding whether or not team-based rehabilitation improves self-care for persons with relapsing remitting MS as studies involve both relapsing and progressive disease courses. The evidence is also conflicting for the acute MS relapse population.
  • Team-based rehabilitation may result in improved participation outcomes in persons with MS; however, the evidence is conflicting. More standardized approaches for including and measuring participation outcomes are needed.
  • It is unclear whether or not team-based rehabilitation is effective in improving quality of life in persons with MS as assessed by various outcome measures.