The Effectiveness of Personalized Manual Therapy and Rehabilitation Program in Multiple Sclerosis: A Case Report

Purpose: This case report aims to investigate the effects of personalized manual therapy and rehabilitation programs on pain management, physical functions, quality of life, and overall well-being in patients with multiple sclerosis (MS).

Method: A 39-year-old male patient with MS participated in a 12-week treatment program, conducted twice a week for 80 minutes per session. The therapy included manual therapy, balance exercises, stretching, and strengthening exercises. Before and after treatment, spasticity was measured comprehensively with the Modified Asworth Scale, normal range of motion was assessed passively with a goniometer, motor assessment was assessed manually, balance was assessed with the Berg Balance scale and functional reach test, fatigue and pain were assessed with the Visual Analog Scale, posture was assessed with the New York Posture Rating Scale, and quality of life was assessed with the MS Quality of Life-54 questionnaire.

Results: After the 12-week program, significant improvements were observed in the patient’s muscle strength, joint range of motion, and balance-coordination abilities. Pain and fatigue levels decreased, and quality-of-life scores showed a marked increase.

Discussion: This case report demonstrates the efficacy of manual therapy and individualized rehabilitation

interventions in improving physical functions, reducing pain, managing fatigue, and enhancing the quality of life in individuals with MS.

Key Words: Multiple Sclerosis, Manual Therapy, Rehabilitation, Physical Function, Pain