American Board of Internal Medicine (ABIM) Certification Practice Exam

Which of the following is a non-pharmacologic option for treating spasticity in multiple sclerosis?

1. Massage therapy

2. Antidepressant medication

3. Electric shock therapy

4. Cognitive behavioral therapy

The correct answer is: Massage therapy

Massage therapy is recognized as a non-pharmacologic option for treating spasticity in multiple sclerosis. Spasticity is a common symptom in multiple sclerosis characterized by muscle stiffness and involuntary muscle spasms. Non-pharmacologic interventions, such as massage therapy, can help reduce muscle tension and promote relaxation, potentially improving overall comfort and quality of life for individuals with this condition. Other therapeutic approaches focused on addressing spasticity often incorporate physical modalities. These can include physical therapy, stretching exercises, and various forms of movement therapy aimed at improving flexibility and reducing muscle tightness. Antidepressant medication, while useful for managing mood disorders commonly associated with multiple sclerosis, does not address the physical symptoms of spasticity directly. Electric shock therapy is not a standard treatment modality for spasticity and is generally used for other specific psychiatric conditions. Cognitive behavioral therapy focuses on addressing psychological aspects and coping strategies rather than directly treating the physical symptom of spasticity. Thus, massage therapy stands out as a fitting non-pharmacologic option for managing spasticity in this context.