Diagnosis
Types of MS
Rehabilitation Goals/Outcome Measures
Interventions
Prognosis
100

Abnormal immune-mediated response attacks what in the CNS? 

What is myelin, oligodendrocytes and nerve fibers

100

Described as symptoms that onset without remission and gradually worsen over time 

What is Primary Progressive (PPMS) 15%

100

Remediate and improve impairments, limitations, and participations. Addressing the impairment directly 

what is restorative therapy 

100

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 

100

7-7.5 on the EDSS 

what is confined to a wheelchair 
200

Sharp shooting pain, spark like feelings down spine and into LEs with neck flexion 

What is Lhermitte's sign

200

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%

200

For exercise training what are the 2 things that are addressed the most 

what is muscular weakness and decreased endurance

200

Exercises need to be performed daily with 30-60 sec hold repeated a minimum of 2 reps 

what is flexibility 

200

absence or late onset of pyramidal and cerebellar signs 

What is favorable prognosis 

300

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 

300

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

300

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

300

cryotherapy, hydrotherapy, therapeutic exercise, stretching, positioning, and a combination of all. Medication management in conjunction

What is management of spasticity 

300

EDSS indicative to better function

lower scores

400

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

400

Describe what psuedo exacerbations are 

What is temporary appearance of signs and symptoms of a flare; transient usually resolves in 24 hours 

400

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 

400

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!

400

2-2.5 EDSS ability

what is disability is minimal
500

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

500

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

500

RPE, HR, BP, sweating, decreased performance; can resolve within 30 minutes post-exercise 

what is Monitoring effects of fatigue 
500

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

500

brainstem and cerebellar symptoms within 5 years prognosis

what is unfavorable prognosis