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Self care programs and multiple sclerosis: physical therapeutics treatment -- literature review
Demaille-Wlodyka S, Donze C, Givron P, Gallien P, ETP Sofmer Group
Annals of Physical and Rehabilitation Medicine 2011 Mar;54(2):109-128
systematic review

OBJECTIVE: To clarify the therapeutic education program impact with multiple sclerosis patients, literature review. Highlight contents and efficacy. METHOD: A non-systematic review on Medline, PubMed and Cochrane Library databases from 1966 to 2010 using the following keywords: "multiple sclerosis", "self-care", "self-management" and specific symptoms keywords. Clinical trials and randomized clinical trials, as well as literature reviews published in English, French and German will be analyzed. RESULTS: Counseling is a part of the non-pharmacological management of chronic illnesses such as multiple sclerosis. Symptoms' diversity and the different clinical forms limit standardized programs of self-care management, applicable to patients. In the literature review, counseling programs have often low metrology. A behavior change with patients and medical staff could exist. To empower the patient, to reduce symptoms' impact and to improve treatment access are the aims of educational therapy. CONCLUSION: Therapeutic education program for multiple sclerosis patients could progress with their standardization and assessment, for each sign. To promote the educational therapy of multiple sclerosis patients, a specific training for medical staff, as specific financing are necessary.

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