Decrease the Severity of Spasticity Symptom for Patients with Multiple Sclerosis after Performance of Structured Self-Management Training Program (Theoretical Framework)

Multiple sclerosis is a chronic neurological autoimmune diseases which affect adults female more than male at productive age and distributed among more than 2 million peoples around the world, occupy the second neurological reason for disability and interact with the quality of life. Objectives: To evaluate the effectiveness of structured training program to decrease spasticity symptom severity for patients with multiple sclerosis. Middle Euphrates Neuroscience Center in AL-Najaf City choice as a proper setting to carry out this study, a purposive sample of (61) patients diagnosed with MS are divided to (31) experimental group and (30) control group, structured self-management training program prepared to decrease the spasticity level, special form prepared to evaluate the level of spasticity contain of Modified Ashworth Scale, data were collected by interview and of reliability was calculated as (0.78). the results show that the highest percentage of participant were female (59%), between age group the (31–40) years, with primary school (37.7%), (80.3%) were married, overall assessment for (61) MS patients related to spasticity shows severe spasticity symptom in pre-test. while in posttest shows improvement of spasticity symptom associated with performance of structured training program among experimental group members.