Diagnosis
Abnormal immune-mediated response attacks what in the CNS?
What is myelin, oligodendrocytes and nerve fibers
Described as symptoms that onset without remission and gradually worsen over time
What is Primary Progressive (PPMS) 15%
Remediate and improve impairments, limitations, and participations. Addressing the impairment directly
what is restorative therapy
Psychosocial aspects of MS
what is cognitive and emotional stress can be high due to uncertainty of the disease progression
with depression they learned helplessness, low self-efficacy, lack of environmental mastery
7-7.5 on the EDSS
Sharp shooting pain, spark like feelings down spine and into LEs with neck flexion
What is Lhermitte's sign
Women are 2-3x more affected than men where relapses occur and others full or partial recovery during remission
What is Relapsing Remitting (RRMS) 85%
For exercise training what are the 2 things that are addressed the most
what is muscular weakness and decreased endurance
Exercises need to be performed daily with 30-60 sec hold repeated a minimum of 2 reps
what is flexibility
absence or late onset of pyramidal and cerebellar signs
What is favorable prognosis
The two main criteria for diagnosing MS?
What is: -2 Different lesions at separate areas of CNS
-2 different lesions at separate pints in time at least one month apart
Clinically Isolated Syndrome is
What is a first episode by inflammation and demyelination and has a characteristic of MS but hasn't met all criteria yet
The fatigue scale for motor and cognitive functions FSMC severe sum, cognitive, and physical scores
Sum= equal to or >63
Cognitive= equal to or > 34
Physical= equal to or >32
cryotherapy, hydrotherapy, therapeutic exercise, stretching, positioning, and a combination of all. Medication management in conjunction
What is management of spasticity
EDSS indicative to better function
lower scores
The common first affected areas for MS
BONUS: name the areas in the spinal cord that's damaged
What are Optic nerves, periventricular white matter (motor + sensory tract info), spinal cord, cerebellar peduncles
BONUS: corticospinal tracts + dorsal columns
Describe what psuedo exacerbations are
What is temporary appearance of signs and symptoms of a flare; transient usually resolves in 24 hours
The goals of middle/moderate therapy
-progressive course with increasing number and severity of impairments
-min to mod activity limitations, participation restrictions
-ADLs with mod dependence assistance
-Difficulty w/ balance and gait, postural stability
For coordination and balance deficits what are some interventions
what is exercises to promote steady-state postural control, PNF dynamic reversals (slow reversals) for ataxia, dynamic postural control, vestibular rehabilitation, SAFE and FUNCTIONAL BALANCE!
2-2.5 EDSS ability
80% of patients deal with visual changes like optic neuritis which has these symptoms
What is ice pick pain behind eye, blurring or greying vision, blindness in one eye, scotoma or dark spot in the center of the visual field
Relapses/Exacerbations time frame and causes
What is: -last more than 24 hours
-overall deterioration in health (ex: flu), stress (major/minor stresses), exhaustion, dehydration, malnutrition, sleep deprivation
RPE, HR, BP, sweating, decreased performance; can resolve within 30 minutes post-exercise
FITT principles of aerobic conditioning for MS
what is 3-5 days/week on alt. days for 60-85% peak HR for 30 minutes/session
brainstem and cerebellar symptoms within 5 years prognosis