American Board of Internal Medicine (ABIM) Certification Practice Exam

What is the recommended approach to addressing impaired mobility in patients with multiple sclerosis?

1. Physical and occupational therapy

2. Isolation therapy

3. Increased bed rest

4. Vision therapy

The correct answer is: Physical and occupational therapy

The recommended approach to addressing impaired mobility in patients with multiple sclerosis is through physical and occupational therapy. These therapies focus on enhancing mobility, strength, and functional ability, which are often compromised in individuals with multiple sclerosis due to neurological deficits. Physical therapy aims to improve movement and physical capabilities through tailored exercises, strength training, and balance activities. It helps patients maintain independence and improve their quality of life. Occupational therapy complements this by focusing on enabling patients to engage in daily activities and find adaptive strategies to manage their condition. Together, these therapies are integral in promoting mobility and ensuring that patients can perform everyday tasks, thereby enhancing their overall well-being. Other approaches, such as isolation therapy, may not be beneficial as they could lead to decreased social interaction and increased feelings of depression. Increased bed rest is counterproductive as it can lead to further deconditioning and physical decline. Vision therapy might be useful for those with specific vision-related issues, but it does not address mobility impairments directly. Therefore, the combination of physical and occupational therapy is the most effective strategy for improving mobility in patients with multiple sclerosis.