• Megha Sharma
• Dr. Ritika Mani
• Dr. Bhagyashree Panda

Multiple system atrophy is a rare, debilitating, adult-onset neurodegenerative disorder that manifests clinically as predominant parkinsonian type or cerebellar type with autonomic dysfunction affecting quality of life of MSA patients. Despite the importance of physiotherapy in improving the symptoms there is a lack of standardized treatment protocol for multiple system atrophy. This study aimed to develop a rehabilitation protocol for multiple system atrophy to improve the quality of life via reducing the symptoms of MSA. A comprehensive literature review was conducted including 5 RCT’s, 3 Retrospective analysis, 8 literature review, 1 cross-sectional study, and 8 case studies. The results showed that the physiotherapy rehabilitation protocol does reduce the symptoms and improves the QOL of MSA patients. The developed protocol consists of a four week intervention program focussing upon the mobility, strengthening, gait, balance and coordination as well as swallowing difficulties. The protocol has the potential to reduce the symptoms, improve the functional outcomes and enhance the QOL of MSA patients. Therefore, this study provides a standardized rehabilitation protocol for MSA, which can be used to attain symptomatic relief and to improve the QOL of the patient.

Multiple system atrophy, neurodegenerative, Physiotherapy for MSA, Dysphagia Exercises in MSA, Treatment MSA

"DESIGNING A PHYSIOTHERAPY REHABILITATION PROTOCOL FOR MULTIPLE SYSTEM ATROPHY: REVIEW ", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.12, Issue 2, page no.c354-c361, February-2025, Available :http://www.jetir.org/papers/JETIR2502243.pdf

"DESIGNING A PHYSIOTHERAPY REHABILITATION PROTOCOL FOR MULTIPLE SYSTEM ATROPHY: REVIEW ", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.12, Issue 2, page no. ppc354-c361, February-2025, Available at : http://www.jetir.org/papers/JETIR2502243.pdf