This systematic review examined the evidence supporting each professional role in a multidisciplinary multiple sclerosis (MS) care team. Following PRISMA guidelines, we searched PubMed and EMBASE for original research from the past decade and screened 612 records. The evidence supports the concept of a multidisciplinary MS unit, while revealing research gaps for some roles, such as occupational therapy.
What was the context of our study?
MS is a leading cause of non-traumatic disability in young adults, affecting cognitive, motor, sensory and emotional functions. Current medicines offer limited benefit in reversing existing damage, so comprehensive care is essential. While the need for a multidisciplinary team is widely accepted, the evidence supporting each potential member of an ideal MS unit has not been clear.
What did we do?
We conducted a systematic literature review following PRISMA guidelines, focusing on original research from the past ten years on multidisciplinary teams or specific healthcare professionals in MS care. We searched PubMed and EMBASE, screened 612 unique records against predefined criteria, assessed 47 papers in full, and extracted data on study objectives, methods and outcomes.
What did we find?
Studies from many countries showed improved outcomes when MS care involved multidisciplinary teams, including neurologists, nurses, physiotherapists, occupational therapists, psychologists and other specialists. However, gaps remain, particularly regarding the role of occupational therapy and the standardisation of inpatient rehabilitation practices.
Why is this important?
The review provides evidence in favour of dedicated MS units with a range of professionals working together to optimise outcomes. It also highlights where further research is needed on which roles to include and how they contribute.
Reference
Savio M, Kearney H, Giunti G. Evaluating the evidence behind multidisciplinary roles for a multiple sclerosis unit: A systematic literature review. Multiple Sclerosis and Related Disorders. 2025;95:106342. https://doi.org/10.1016/j.msard.2025.106342