ArticleFrontiers in rehabilitation sciences2026
Importance of physiotherapy and occupational therapy according to people with multiple sclerosis-results from an online survey.
Article in Frontiers in rehabilitation sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Multiple Sclerosis (MS) is a long-term neurological disease with life-altering consequences for daily functioning. While physiotherapy, occupational therapy and Cesar/Mensendieck (posture) exercise therapy are considered essential in the management of MS, little is known about how people with MS (PwMS) value these therapies across the course of the disease. Therefore, we aimed to investigate PwMS' experiences with these therapies, as well as their perceived role and value in the lives of PwMS. Methods: A nationwide online survey was conducted among adults with MS. The survey used closed and free-text questions to assess use, experiences with these therapies, barriers to access, satisfaction, and perceived values. Quantitative data were analyzed descriptively, and free-text data were analyzed thematically. Results: In total, 193 participants (mean age 58, 73% female) completed the survey. Physiotherapy was widely known and used (97% ever used, 88% current use), occupational therapy was known to 96% and used by 75% (25% current), while posture exercise therapy was less known and used. All these therapies are highly valued by PwMS, with roles evolving throughout the disease course. Satisfaction with therapy and therapists was high, especially regarding contact, trust, and involvement in therapy decisions. Access barriers included distance, mobility, transport, and financial issues. Participants emphasized the need for MS-specific expertise of physiotherapists. Conclusion: PwMS highly value physiotherapy, occupational therapy, and posture exercise therapy, which have a lasting impact across all disease stages. Their values and needs are dynamic and multifaceted, evolving with disease progression and changing life circumstances.
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