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Multiple system atrophy
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===Rehabilitation=== Management by rehabilitation professionals including [[physiatrist]]s, physiotherapists, occupational therapists, speech therapists, and others for difficulties with walking/movement, daily tasks, and speech problems is essential.{{citation needed|date=December 2020}} [[Physiotherapist]]s can help to maintain the patient's mobility and will help to prevent [[contractures]].<ref name=Wenning04>{{cite journal | vauthors = Wenning GK, Colosimo C, Geser F, Poewe W | title = Multiple system atrophy | journal = The Lancet. Neurology | volume = 3 | issue = 2 | pages = 93β103 | date = February 2004 | pmid = 14747001 | doi = 10.1016/S1474-4422(03)00662-8 | s2cid = 10162139 }}<br />{{cite journal |vauthors=Wenning GK, Colosimo C, Geser F, Poewe W |title=Erratum |journal=Lancet Neurol |volume=3 |issue=3 |pages=137 |date=March 2004 |doi=10.1016/S1474-4422(04)00695-7 |s2cid=208782339 }}</ref> Instructing patients in [[gait training]] will help to improve their mobility and decrease their risk of falls.<ref name="Hardy">{{cite journal | vauthors = Hardy J | title = Multiple system atrophy: pathophysiology, treatment and nursing care | journal = Nursing Standard | volume = 22 | issue = 22 | pages = 50β6; quiz 58 | date = 2008 | pmid = 18333558 | doi = 10.7748/ns2008.02.22.22.50.c6359 }}</ref> A physiotherapist may also prescribe [[mobility aid]]s such as a cane or a walker to increase the patient's safety.<ref name="Hardy"/> [[Speech therapist]]s may assist in assessing, treating and supporting speech (dysarthria) and swallowing difficulties (dysphagia). Speech changes mean that alternative communication may be needed, for example, communication aids or word charts.{{citation needed|date=December 2020}} Early intervention of swallowing difficulties is particularly useful to allow for discussion around tube feeding further in the disease progression.{{citation needed|date=May 2018}} At some point in the progression of the disease, fluid and food modification may be implemented.{{citation needed|date=December 2020}}
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