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MS – Inpatient Neurorehabilitation — SCE Neurology MCQ

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EasyNeurorehabilitationMS – Inpatient NeurorehabilitationSCE Neurology

A 40-year-old woman with MS develops acute myelitis. After treatment with IV methylprednisolone, she has residual moderate paraparesis (MRC 3/5 bilaterally) and a neurogenic bladder. She is referred for inpatient neurorehabilitation. What is the goal of inpatient neurorehabilitation for MS relapse recovery?

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Correct answer: E — Maximise functional recovery from the relapse through intensive, goal-directed MDT rehabilitation — addressing mobility, transfers, ADLs, bladder management, and psychological adjustment — to achieve the best possible functional outcome before discharge

Inpatient neurorehabilitation for MS relapse recovery involves: (1) intensive, goal-directed MDT rehabilitation (physiotherapy, OT, SLT if needed, psychology, nursing), (2) setting SMART goals for specific functional outcomes (walking, transfers, ADLs, bladder management), (3) addressing secondary complications (contracture prevention, DVT prevention, skin care), (4) psychological support for adjustment to disability, (5) planning discharge with appropriate community support. NICE NG100 recommends access to specialist neurorehabilitation for MS patients during and after relapses. A: Rehabilitation does not cure MS but maximises function. C: MDT approach needed. D: Strong evidence for rehabilitation effectiveness. E: Early rehabilitation alongside recovery is optimal.

Reference: NICE NG100 MS; ABN MS Guidelines