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Use of optokinetics based OKCSIB protocol in restoring mobility in primary progressive MS
  1. Benjamin Chitambira1,
  2. Ciara McConaghy2
  1. 1Department of Physiotherapy, East Kent Hospitals University NHS Foundation Trust, Ashford, UK
  2. 2The Whittington Hospital NHS Trust, Department of Physiotherapy, London, UK
  1. Correspondence to Benjamin Chitambira, bchitambira{at}


The case is of a mid-40s patient who developed progressive muscle weakness and loss of mobility over 6 weeks due to primary progressive multiple sclerosis. 2.5 days before admission, she became bed bound with weakness of 1/5 on the Oxford scale. She normally rested for a couple of days after similar periods of worsening symptoms and then got back on her feet although with worse balance. She was treated with optokinetic chart stimulation and sensory interaction for balance (OKCSIB) protocol. Within 2 days of intervention, she was mobile with a delta frame and supervision of one. By the end of a week, she was independently mobile with her delta frame. It is recommended that instead of just practising function, the OKCSIB protocol be used to regain antigravity extensor control loss of which leads to deteriorating function in neurological conditions.

  • multiple sclerosis
  • physiotherapy (rehabilitation)
  • disability

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  • Contributors BC was responsible for drafting structure of the manuscript, methodology and results as well as overall editing of the entire manuscript. CM was responsible for drafting the manuscript with focus on introduction and discussion sections of the manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.