1. Multiple Sclerosis
Jose S. Santiago M.D.

2. Multiple Sclerosis
Multiple Sclerosis- progressive disease wherein the immune system destroys the myelin sheath of the nerves.

3. Multiple Sclerosis Symptoms:
1. Numbness or weakness in one part of the body
2. Blurring or loss of vision
3. Fatigue
4. Unsteady gait

4. Multiple Sclerosis
Treatment:
1. Drugs
2. Physical Therapy

5. Multiple Sclerosis
A 35 year-old lady is affected with multiple sclerosis. Her lower limb is paralyzed and she receives treatment at the physical therapy department.

6. P: Patient T: Therapist
P: Hello.
T: Hello. Did you have your ______?
P: Yes, I had.
T: Shall we start the ________ now?
P: Yes. Can you please help me to _______ from the wheel chair?
T: Yes. I ‘ll hold your _____. You can hold my _____ and turn your body to ___ on the bed.

7. P: Patient T: Therapist
P: Please _____ my urine bag and place it on the ___.
T: Okay. We will ____ the exercise now. I will give ______ to your ______. Please co-operate with me.
P: Yes sir.
T: After the _____, I will make you stand on the _______ for some time.

8. P: Patient T: Therapist
P: Okay sir.
T: Turn to your ___ side. With one hand, hold the ___ and with your other hand hold my ___ and try to ____ from the bed.
P: It’s ___ to do that.
T: Do it ____. I will count numbers. Do it for __ times.
P: Yes sir.

9. P: Patient T: Therapist
T: Are you _____?
P: Yes, a ____. Since I had ____ a few hours ago, it feels ______ to do this exercise.
T: We will take a _____ and do it again. Now, we will _____ the exercise. I will make you stand on the ____. Please hold the _____. I will ___ the waist belt. Are you ______?
P: Yes I am _____.

10. P: Patient T: Therapist
T: In this position, I will apply the ____ on your _______. Now I will _____ the electrodes. You will feel a mild pricking sensation. Shall I ____ the intensity?
P: No. It is _____ now.
T: Okay. After this treatment you can _____.
P: Thanks sir.
T: You are welcome.