Multiple Sclerosis in Adults: Management
National Institute for Health and Care Excellence. (2014).
London (United Kingdom): National Institute for Health and Care Excellence, (Clinical Guideline 186), 1-611.
This evidence-based guideline provides recommendations for the diagnosis and management of multiple sclerosis. The audience for the guideline is health care professionals. Specific recommendations pertaining to the field of speech-language pathology and audiology involve cognitive losses, speech difficulties, and balance problems.
National Institute for Health and Care Excellence (United Kingdom)
This guideline was reviewed with the following:<ul> <li>National Institute for Health and Care Excellence. (2016). <em>Multiple Sclerosis </em>(Quality Standard 108). Retrieved from <a href="https://www.nice.org.uk/guidance/qs108">www.nice.org.uk</a></li> <li>National Institute for Health and Care Excellence. (2018). <em>2018 Surveillance of Multiple Sclerosis in Adults: Management (NICE Guideline CG186)</em>. Retrieved from <a href="https://www.nice.org.uk/guidance/cg186/resources/2018-surveillance-of-multiple-sclerosis-in-adults-management-nice-guideline-cg186-6594461389/chapter/Proposed-surveillance-decision?tab=evidence">www.nice.org.uk</a></li></ul>
All individuals with multiple sclerosis should undergo comprehensive review at least once a year of all aspects of their care. Involvement of different professionals within the multidisciplinary team in comprehensive assessment may be necessary if their specific expertise is needed. Comprehensive review should include assessment of speech, swallowing, or cognitive symptoms if needed by the individual with multiple sclerosis, with further referral for identified issues (Moderate Quality Evidence).
Individuals with multiple sclerosis should receive multidisciplinary care in order to meet their needs, from professionals with expertise in the disease, including speech-language pathologists (Low to Very Low Quality Evidence).
Individuals with multiple sclerosis should be considered for vestibular rehabilitation, falls management, balance rehabilitation, and aquatic exercises, if they experience difficulties with mobility or fatigue associated with limited standing balance (Very Low to Low Level Evidence).
