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Acute physical therapy for a patient following a Multiple Sclerosis exacerbation
A patient with a multiple sclerosis (MS) exacerbation was seen for physical therapy treatment for 3 sessions in July 2016 in an acute inpatient physical therapy setting. Treatment was provided by a physical therapy doctoral student under the supervision of a licensed physical therapist.The patient was evaluated during the initial encounter with a lower extremity Manual Muscle Test (MMT), Timed Up and Go (TUG), 6 Minute Walk Test (6MWT), and Functional Reach Test (FRT). A plan of care was established and the main goals for the patient were to improve strength, balance, endurance, mobility during functional activities, and functional independence. The main interventions used were overground gait training, task-specific training, functional training, and strength training. The patient improved strength, balance, endurance, mobility during functional activities, and functional independence. The patient was discharged to home with a referral to outpatient physical therapy and supervision for all functional activities.