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NEUROLOGY 1981;31:1316
© 1981 American Academy of Neurology

The cost-effectiveness of multiple sclerosis rehabilitation

A model

Joel S. Feigenson, M.D., Labe Scheinberg, M.D., Marcelle Catalano, R.N., Linda Polkow, B.S., O.T.R., Peter M. Mantegazza, M.B.A., Walter D. Feigenson, B.S. and Nicholas G. LaRocca, M.A.

Burke Rehabilitation Center (Dr. J. Feigenson, Ms. Catalano, Ms. Polkow, and Mr. Mantegazza), White Plains, NY, the Department of Neurology (Dr. J. Feigenson), Cornell University School of Medicine, the MS Comprehensive Care Center, Albert Einstein College of Medicine (Dr. Scheinberg and Mr. LaRocca). Bronx, NY, and Coopers and Lybrand (Mr. W. Feigenson). New York, NY.

Many patients with multiple sclerosis (MS) who have fixed, chronic neurologic deficits are kept at home with the help of community support systems, which cannot improve the physical independence of the MS patients they serve. We have found that active, intensive, multidisciplinary rehabilitation effectively improves functional performance, even though it cannot alter the underlying disorder. Inpatient rehabilitation with follow-up home care may actually be less expensive than any other current health care alternative.

Address correspondence and reprint requests to Dr. J. Feigenson. RRI Makepeace Hill. South Salem. NY 10590.

Accepted for publication January 6. 1981.

Financial support for data analysis was partially supplied by The National Multiple Sclerosis Society. Grant No RG 1135-A-4.




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