Abstract
A 64 year-old female with 21 year history of multiple sclerosis was seen for physical therapy treatment for eight sessions from 2/11/15 to 4/8/15 at the California State University, Sacramento neurological pro bono clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. This patient was examined over the course of the first 2 sessions using the Modified Fatigue Impact Scale, Modified Clinical Test of Sensory Integration in Balance, Six Minute Walk Test and Multiple Sclerosis Quality of Life questionnaire, visual observation, sensory, coordination and proprioception testing, Modified Ashworth Scale and Activities-Specific Balance Confidence scale. These measures were used to determine an appropriate plan of care, including goals to improve static and dynamic balance, walking endurance, range of motion, quality of life and to decrease the impact of fatigue. Interventions for this patient included overground interval gait training, balance activities, stretching program and patient education. After the course of treatment, the patient demonstrated decreased impact of fatigue, increased walking endurance and improved static balance. This patient was discharged to her home with a home exercise program.