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December 2016; 6 (6) Guideline PerspectiveOpen Access

Rehabilitation in multiple sclerosis

Commentary on the recent AAN systematic review

Matthew H. Sutliff, Susan E. Bennett, Patricia Bobryk, June Halper, Lori A. Saslow, Lisa T. Skutnik, Christine Smith, Kathleen Zackowski, David E. Jones
First published October 27, 2016, DOI: https://doi.org/10.1212/CPJ.0000000000000318
Matthew H. Sutliff
Mellen Center for MS Treatment and Research (MHS), Neurological Institute, Cleveland Clinic, OH; University of Buffalo (SEB), SUNY, NY; Comprehensive Care Center of Central Florida (PB), Orlando; Consortium of Multiple Sclerosis Centers (JH, LTS), International Organization of MS Nurses, Hackensack, NJ; LS Science & Medical Communications, LLC (LAS), Great Neck, NY; Center for Physical Rehabilitation (CS), Holy Name Medical Center, Teaneck, NJ; Kennedy Krieger Institute (KZ), Johns Hopkins University School of Medicine, Baltimore, MD; and University of Virginia Health System (DEJ), Charlottesville.
PT, MSCS
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Susan E. Bennett
Mellen Center for MS Treatment and Research (MHS), Neurological Institute, Cleveland Clinic, OH; University of Buffalo (SEB), SUNY, NY; Comprehensive Care Center of Central Florida (PB), Orlando; Consortium of Multiple Sclerosis Centers (JH, LTS), International Organization of MS Nurses, Hackensack, NJ; LS Science & Medical Communications, LLC (LAS), Great Neck, NY; Center for Physical Rehabilitation (CS), Holy Name Medical Center, Teaneck, NJ; Kennedy Krieger Institute (KZ), Johns Hopkins University School of Medicine, Baltimore, MD; and University of Virginia Health System (DEJ), Charlottesville.
PT, DPT, EdD, NCS, MSCS
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Patricia Bobryk
Mellen Center for MS Treatment and Research (MHS), Neurological Institute, Cleveland Clinic, OH; University of Buffalo (SEB), SUNY, NY; Comprehensive Care Center of Central Florida (PB), Orlando; Consortium of Multiple Sclerosis Centers (JH, LTS), International Organization of MS Nurses, Hackensack, NJ; LS Science & Medical Communications, LLC (LAS), Great Neck, NY; Center for Physical Rehabilitation (CS), Holy Name Medical Center, Teaneck, NJ; Kennedy Krieger Institute (KZ), Johns Hopkins University School of Medicine, Baltimore, MD; and University of Virginia Health System (DEJ), Charlottesville.
MHS, PT, MSCS, ATP
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June Halper
Mellen Center for MS Treatment and Research (MHS), Neurological Institute, Cleveland Clinic, OH; University of Buffalo (SEB), SUNY, NY; Comprehensive Care Center of Central Florida (PB), Orlando; Consortium of Multiple Sclerosis Centers (JH, LTS), International Organization of MS Nurses, Hackensack, NJ; LS Science & Medical Communications, LLC (LAS), Great Neck, NY; Center for Physical Rehabilitation (CS), Holy Name Medical Center, Teaneck, NJ; Kennedy Krieger Institute (KZ), Johns Hopkins University School of Medicine, Baltimore, MD; and University of Virginia Health System (DEJ), Charlottesville.
MSN, APN-C, MSCN
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Lori A. Saslow
Mellen Center for MS Treatment and Research (MHS), Neurological Institute, Cleveland Clinic, OH; University of Buffalo (SEB), SUNY, NY; Comprehensive Care Center of Central Florida (PB), Orlando; Consortium of Multiple Sclerosis Centers (JH, LTS), International Organization of MS Nurses, Hackensack, NJ; LS Science & Medical Communications, LLC (LAS), Great Neck, NY; Center for Physical Rehabilitation (CS), Holy Name Medical Center, Teaneck, NJ; Kennedy Krieger Institute (KZ), Johns Hopkins University School of Medicine, Baltimore, MD; and University of Virginia Health System (DEJ), Charlottesville.
MS
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Lisa T. Skutnik
Mellen Center for MS Treatment and Research (MHS), Neurological Institute, Cleveland Clinic, OH; University of Buffalo (SEB), SUNY, NY; Comprehensive Care Center of Central Florida (PB), Orlando; Consortium of Multiple Sclerosis Centers (JH, LTS), International Organization of MS Nurses, Hackensack, NJ; LS Science & Medical Communications, LLC (LAS), Great Neck, NY; Center for Physical Rehabilitation (CS), Holy Name Medical Center, Teaneck, NJ; Kennedy Krieger Institute (KZ), Johns Hopkins University School of Medicine, Baltimore, MD; and University of Virginia Health System (DEJ), Charlottesville.
PT, MA, MA
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Christine Smith
Mellen Center for MS Treatment and Research (MHS), Neurological Institute, Cleveland Clinic, OH; University of Buffalo (SEB), SUNY, NY; Comprehensive Care Center of Central Florida (PB), Orlando; Consortium of Multiple Sclerosis Centers (JH, LTS), International Organization of MS Nurses, Hackensack, NJ; LS Science & Medical Communications, LLC (LAS), Great Neck, NY; Center for Physical Rehabilitation (CS), Holy Name Medical Center, Teaneck, NJ; Kennedy Krieger Institute (KZ), Johns Hopkins University School of Medicine, Baltimore, MD; and University of Virginia Health System (DEJ), Charlottesville.
OTR/L, MSCS
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Kathleen Zackowski
Mellen Center for MS Treatment and Research (MHS), Neurological Institute, Cleveland Clinic, OH; University of Buffalo (SEB), SUNY, NY; Comprehensive Care Center of Central Florida (PB), Orlando; Consortium of Multiple Sclerosis Centers (JH, LTS), International Organization of MS Nurses, Hackensack, NJ; LS Science & Medical Communications, LLC (LAS), Great Neck, NY; Center for Physical Rehabilitation (CS), Holy Name Medical Center, Teaneck, NJ; Kennedy Krieger Institute (KZ), Johns Hopkins University School of Medicine, Baltimore, MD; and University of Virginia Health System (DEJ), Charlottesville.
PhD, OTR, MSCS, CRND
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David E. Jones
Mellen Center for MS Treatment and Research (MHS), Neurological Institute, Cleveland Clinic, OH; University of Buffalo (SEB), SUNY, NY; Comprehensive Care Center of Central Florida (PB), Orlando; Consortium of Multiple Sclerosis Centers (JH, LTS), International Organization of MS Nurses, Hackensack, NJ; LS Science & Medical Communications, LLC (LAS), Great Neck, NY; Center for Physical Rehabilitation (CS), Holy Name Medical Center, Teaneck, NJ; Kennedy Krieger Institute (KZ), Johns Hopkins University School of Medicine, Baltimore, MD; and University of Virginia Health System (DEJ), Charlottesville.
MD
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Full PDF
Citation
Rehabilitation in multiple sclerosis
Commentary on the recent AAN systematic review
Matthew H. Sutliff, Susan E. Bennett, Patricia Bobryk, June Halper, Lori A. Saslow, Lisa T. Skutnik, Christine Smith, Kathleen Zackowski, David E. Jones
Neurol Clin Pract Dec 2016, 6 (6) 475-479; DOI: 10.1212/CPJ.0000000000000318

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Article Information

vol. 6 no. 6 475-479
DOI: 
https://doi.org/10.1212/CPJ.0000000000000318

Published By: 
Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology
Print ISSN: 
2163-0402
Online ISSN: 
2163-0933
History: 
  • Received April 18, 2016
  • Accepted October 6, 2016
  • First Published October 27, 2016.

Article Versions

  • Previous version (October 27, 2016 - 13:00).
  • You are viewing the most recent version of this article.
Copyright & Usage: 
© 2016 American Academy of Neurology This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND), which permits downloading and sharing the work provided it is properly cited. The work cannot be changed in any way or used commercially.

Author Disclosures

    1. Matthew H. Sutliff, PT, MSCS,
    2. Susan E. Bennett, PT, DPT, EdD, NCS, MSCS,
    3. Patricia Bobryk, MHS, PT, MSCS, ATP,
    4. June Halper, MSN, APN-C, MSCN,
    5. Lori A. Saslow, MS,
    6. Lisa T. Skutnik, PT, MA, MA,
    7. Christine Smith, OTR/L, MSCS,
    8. Kathleen Zackowski, PhD, OTR, MSCS, CRND and
    9. David E. Jones, MD
  1. Matthew H. Sutliff, PT, MSCS,
  2. Scientific Advisory Boards:
    1. Acorda Therapeutics advisory board

    Gifts:
    1. NONE

    Funding for travel or speaker honoraria:
    1. Acorda Therapeutics speakers bureau

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. Acorda Therapeutics speakers bureau

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. Geauga Rehabilitation Engineering - royalties for sales of the Hip Flexion Assist Device (HFAD)

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  3. Susan E. Bennett, PT, DPT, EdD, NCS, MSCS,
  4. Scientific Advisory Boards:
    1. Acorda Therapeutics EMD Serono on a new APP

    Gifts:
    1. NONE

    Funding for travel or speaker honoraria:
    1. Acorda Therapeutics

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. Acorda Therapeutics

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  5. Patricia Bobryk, MHS, PT, MSCS, ATP,
  6. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for travel or speaker honoraria:
    1. Non-Profit: Travel/moderator honoraria CMSC Annual Meeting Non-Profit: Travel/speaker honoraria MS Foundation Non-profit: Speaker, Can Do Multiple Sclerosis

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  7. June Halper, MSN, APN-C, MSCN,
  8. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. International Journal of MS Care, 1999-present. CEO of CMSC

    Patents:
    1. NONE

    Publishing Royalties:
    1. Nursing Care in Multiple Sclerosis: A Core Curriculum. 2011. Springer Medical Publishing. NYC.

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  9. Lori A. Saslow, MS,
  10. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. (1) Consortium of Multiple Sclerosis Centers

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  11. Lisa T. Skutnik, PT, MA, MA,
  12. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for travel or speaker honoraria:
    1. Biogen - travel and hotel funding to attend meeting

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. Biogen

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  13. Christine Smith, OTR/L, MSCS,
  14. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other activities:
    1. Author on a rehabilitation primer produced by the France Foundation

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. Ownership interest (stock, stock options, other): Teva

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  15. Kathleen Zackowski, PhD, OTR, MSCS, CRND and
  16. Scientific Advisory Boards:
    1. (1) Consortium of MS Centers.

    Gifts:
    1. NONE

    Funding for travel or speaker honoraria:
    1. (1) ReWalk Robotics

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. (1) Acorda Therapeutics, (3) Minoryx Therapeutics

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. (1) National MS Society

    Stock/Stock Options/Board of Directors Compensation:
    1. (1) Consortium of MS Centers, expense compensation. (2) National MS Society

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  17. David E. Jones, MD
  18. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for travel or speaker honoraria:
    1. Honorarium, MS Foundation Honorarium, Multiple Sclerosis Association of America Honorarium, Consortium of MS Centers Travel, American Academy of Neurology Travel, Consortium of MS Centers Travel, Multiple Sclerosis Association of America Travel, Can Do MS

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. (1) Biogen -- 2 consultant meetings (2) Novartis -- 1 consultant meeting (3) Pharmacy Quality Alliance

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. Biogen National MS Society

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. University of Virginia

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  1. Mellen Center for MS Treatment and Research (MHS), Neurological Institute, Cleveland Clinic, OH; University of Buffalo (SEB), SUNY, NY; Comprehensive Care Center of Central Florida (PB), Orlando; Consortium of Multiple Sclerosis Centers (JH, LTS), International Organization of MS Nurses, Hackensack, NJ; LS Science & Medical Communications, LLC (LAS), Great Neck, NY; Center for Physical Rehabilitation (CS), Holy Name Medical Center, Teaneck, NJ; Kennedy Krieger Institute (KZ), Johns Hopkins University School of Medicine, Baltimore, MD; and University of Virginia Health System (DEJ), Charlottesville.
  1. Correspondence to:
    Dj9d{at}virginia.edu
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The Nerve!: Rapid online correspondence

  • Guideline authors' response: Rehabilitation in multiple sclerosis: Commentary on the recent AAN systematic review
    • Jodie K. Haselkorn, MD, MPH, MS Center of Excellence West, US Veterans Health Administration, University of Washington, Seattle, WAguidelines@aan.com
    • Christina Hughes, MD; Alex Rae-Grant, MD; Lily Jung Henson, MD,MMM; Christopher T. Bever, MD,MBA; Albert C. Lo, MD,PhD; Theodore R. Brown, MD,MPH; George H. Kraft, MD,MS; Gary Gronseth, MD; Melissa J. Armstrong, MD,MSc; Pushpa Narayanaswami, MBBS,DM
    Submitted April 13, 2017
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