Problem:
Inadequately managed multiple sclerosis (MS) can result in progressive neurological disability, particularly accelerating physical impairment, with 30-50% relapsing-remitting MS (RRMS) patients transitioning to secondary progressive MS within 10-15 years. Cognitive impairment, affecting 34-65% of MS patients, worsens with disease progression, impacting cognitive processing speed, episodic memory, and executive function, which can hinder daily activities and employment. MS patients are at a twofold increased risk of fall-related injuries, exacerbated by factors such as impaired balance, spasticity, cognitive dysfunction, and fatigue. Complications from immobility and neurogenic bladder can lead to recurrent urinary tract infections, pneumonia, septicemia, and pressure ulcers. Additionally, depression affects 37-45% of MS patients, correlating with poorer cognitive performance, decreased treatment adherence, and a lower quality of life. Shorten significantly keep meaning. Need Assignment Help?