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J Neurol. 2014 Mar;261(3):526-32. doi: 10.1007/s00415-013-7230-6. Epub 2014 Jan 22.

The MoSt Project--more steps in multiple sclerosis: a Delphi method consensus initiative for the evaluation of mobility management of MS patients in Italy.

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  • 1Regional Reference Center for Multiple Sclerosis, Department of Neurology, Spedali Civili di Brescia, Presidio Ospedaliero di Montichiari (BS), Via Ciotti 154, 25018, Montichiari, BS, Italy,


The aim of the study was to identify the main factors that impact mobility impairment in multiple sclerosis (MS) patients in Italy. Clinicians from a large number of Italian MS centers took part in a Delphi process aimed at obtaining consensus statements among the participants. Large consensus was obtained for statements grouped under the following main MS themes: identification of the most useful scales to evaluate mobility, integration of objective evaluation with patient perceptions, impact of walking impairment on daily life, management of the disabled patient using a rehabilitative and pharmacological approach. The consensus statements developed by a large number of experts may be used as a practical reference tool to help physicians treat MS patients with motor impairment.

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