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Improving Functional Impairment in Persons with MS: Physical Activity and Quality of Life
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Improving Functional Impairment in Persons with Multiple Sclerosis: Physical Activity and Quality of Life
Randall T. Schapiro, MD, FAAN
CME/CE Released: 11/29/2012; Valid for credit through 11/29/2013

Target Audience

This activity is designed for neurologists, physician assistants, nurse practitioners, and nurses who care for patients with MS.

Statement of Need/Program Overview

Health-related quality of life (QOL) is a persistently unmet need in many patients with multiple sclerosis (MS). Although QOL has a central role in MS management, it may not always be included in clinical appraisals and care plans. MS-related symptoms are an important contributor to diminished QOL in persons with MS, but despite the prevalence of these symptoms, they may be under recognized and undertreated. This activity is intended to enhance clinician knowledge and competence related to the recognition, assessment, and monitoring of QOL in patients with MS. Strategies for addressing specific symptoms such as pain, depression, spasticity, bowel and bladder dysfunction, pseudobulbar affect, and mobility are presented, as well as the benefits of multidisciplinary management and team approaches to enhancing QOL in patients with MS.

Learning Objectives
  • Develop strategies to assess and monitor QOL related to symptomatic care in MS
  • Plan interventions that will facilitate comprehensive and ongoing appraisal and management of symptomatic problems related to MS
  • Implement plans to enhance communication and coordination of care for MS-related symptoms across the interdisciplinary team
Accreditation Statement

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of The Consortium of Multiple Sclerosis Centers (CMSC), Nurse Practitioner Alternatives (NPA), and CMEology.

CMSC is accredited by the ACCME to provide continuing medical education for physicians.

The American Academy of Physician Assistants accepts AMA PRA Category 1 Credit(s) from organizations accredited by the ACCME.

This activity will be co-provided by NPA, CMSC, and CMEology.

NPA is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission (ANCC) on Accreditation.

Accreditation does not imply endorsement by NPA or ANCC.

Credit Designation Statement

CMSC designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Creditâ„¢.

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity is awarded 1.0 contact hour of continuing education credit for nurses and advanced practice nurses.

Faculty Listing
Randall T. Schapiro, MD, FAAN
President, The Schapiro Multiple Sclerosis Advisory Group
Clinical Professor of Neurology (Retired)
University of Minnesota

Faculty Disclosure Statements

In accordance with the ACCME, ANCC, CMSC, and NPA require that any person who is in a position to control the content of a CME/CNE activity must disclose all relevant financial relationships they have with a commercial interest.

*Dr. Schapiro reported that he receives a salary from EMD Serono, is a consultant and speaker for Acorda Therapeutics, Inc., and is a speaker for Pfizer Inc.

*June Halper, APN-C, MSCN, FAAN, Executive Director, CMSC/IOMSN, reported that she is a speaker for Acorda Therapeutics, Inc., for non-CME programs.

*Laurie Scudder, DNP, NP-C, nurse planner, NPA, has disclosed no relevant financial relationships.

*Dana Ravyn, PhD, MPH, Scientific Director, CMEology, has disclosed no relevant financial relationships.

*Rob Lowney, BA, MBA, Principal, CMEology, has disclosed no relevant financial relationships.

To resolve identified conflicts of interest, the educational content was fully peer-reviewed by a clinician who has disclosed no relevant financial relationships. The resulting certified activity was found to provide educational content that is current, evidence-based, and commercially balanced.

*Planning Committee

Method of Participation
  • This activity includes text, graphics, and may include multimedia features. There are no fees for participating in or receiving credit for this activity.
  • Click on all of the medical education activity links and review the content presented. You must view all of the content to proceed to the post-test.
  • Read, complete, and submit answers to the post-test questions and evaluation questions online. You must answer all missed questions until you get them correct.
  • Participants must receive a passing score in order to proceed to the course evaluation, and they must respond to all evaluation questions to receive a letter of credit.
  • If needed, you may save your answers and return to complete your course at a later date. You can find your saved course by selecting Your Course History on the left navigation bar. Then select View next to the course you would like to complete.
Hardware/Software Requirements

freeCME recommends version 6.x browsers or higher from Microsoft or Netscape. Certain educational activities may require additional software to view multimedia, presentation, or printable versions of content. These activities will be marked as such and will provide links to the required software. Required software may include:

  • Macromedia Flash
  • Apple QuickTime
  • Adobe Acrobat
  • Microsoft PowerPoint
  • Windows Media Player
  • RealNetworks RealOne Player
Disclosure of Unlabeled or Investigational Drugs

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the US Food and Drug Administration. The opinions expressed in the educational activity are those of the faculty. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings. Further, participants should appraise the information presented critically and are encouraged to consult appropriate resources for any product or device mentioned in this program.


The content and views presented in this educational activity are those of the authors and do not necessarily reflect those of CMSC, NPA, CMEology, or Allergan. This material is prepared based upon a review of multiple sources of information, but is not exhaustive of the subject matter. Therefore, healthcare professionals and other individuals should review and consider other publications and materials on the subject matter before relying solely upon the information contained within this educational activity.

Other Information

Release Date: 11-29-12; Expiration Date: 11-29-13

This activity is supported by an educational grant from Allergan, Inc.

For questions on CME credit, please contact CMSC at 201-487-1050 or email

For questions on CNE credit, please contact NPA at 866-901-6267 or email

Link to the Program

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The Consortium of Multiple Sclerosis Centers

3 University Plaza Drive, Suite 116 Hackensack, NJ 07601

Tel: 201.487.1050 | Fax: 862.772.7275