3 hours ago Request PDF | Effects induced by swim on a patiente with multiple sclerosis. Case report | Multiple Sclerosis (MS) is the most common demyelinating disease of … >> Go To The Portal
The appearance of a new innovation in medical science named aquatic exercise has faded the effects of other preventive exercises in patients with multiple sclerosis to a large extent.
DOI: 10.23736/S1973-9087.17.04570-1 Abstract Introduction: Multiple sclerosis (MS) is a chronic, inflammatory, progressive, disabling autoimmune disease affecting the central nervous system. Symptoms and signs of MS vary widely and patients may lose their ability to walk.
This experiment also confirmed the present research. Another research was done in 2000 by Kirsch on the MS patients’ QOL in France, Germany and England. The QOL of MS patients was compared with control groups. The research was done with cross sectional method in three mentioned countries.
The purpose of this fictional case study is to highlight key clinical findings in a patient diagnosed with Relapsing Remitting Multiple Sclerosis (RRMS). The patient discussed throughout the case study presents with chronic fatigue, lower extremity weakness, impaired balance, lack of coordination and psychosocial characteristics.
Multiple sclerosis (MS) is a neurological condition characterized by inflammatory demyelination over multiple episodes and locations in the central nervous system. The complex nature of MS, its variance among patients, unpredictability, and potential to create a heavy social and emotional burden on patients can make appropriate, effective management challenging for community physiotherapists. The debilitating symptoms (fatigue, arm movement and/or vision problems, ambulatory impairment, etc) can considerably impact patients’ ability to fulfill their occupational, familial, and community roles.
The patient scored 23.75/100 in the physical impact scale and 30.56/100 in the psychological scale where higher scores indicate greater impact of MS on the patient’s daily well being. The MCID for the physical impact scale has been estimated to be 8 points, whereas the psychological impact scale MCID has yet to be agreed upon in in current literature.
Fatigue is of great importance to Betty’s participation as a worker and a parent. Regular exercise has been cited widely in the literature as beneficial for promoting restful sleep and reducing fatigue in individuals with MS. Therefore, education on and implementation of regular safe exercise should play a central role in Betty’s treatment plan. As for addressing Betty’s gait concerns, the National Multiple Sclerosis Society’s recommendations for managing gait impairment provide pertinent information to inform gait education and potential management of further impairment. They recommend addressing multiple aspects of gait including vision, fatigue, foot wear, and balance impairment.
Upon completing her route, she felt excessively fatigued. These symptoms persisted for a few days, eventually affecting her productivity at work, prompting a visit to her family physician. MRI findings revealed demyelination and plaques in the corpus callosum; the physician classified her event as a “clinically isolated syndrome” of MS. Approximately 10 months later, Betty’s symptoms resurfaced: she experienced the same fatigue, vision disturbances and arm issues. A secondary MRI revealed more distal demyelination & plaques; prompting a diagnoses of relapsing-remitting MS (RRMS ). The physician referred her to a private physiotherapy clinic in the community for motor control training and gait safety education.Betty's recent diagnosis has caused her considerable stress and she is fearful of losing her job, or becoming unable to support her children because of considerable fatigue and/or potential progression of gait impairment in the future.
These clinical characteristics have led to decreased participation in her hobbies as well as occupational productivity, having substantial impact on her physical and mental state. The interventions suggested included balance training, coordination and dexterity training, and self-management. Baseline measures of her functional capacity were taken during initial assessment using self-reported and clinician-reported outcome measures. The outcome measures used included UEFS, FSMC, MSIS-29, six-minute walk test, and the nine hole peg test, which were reassessed 8 weeks later.
Primary Complaints: Patient reports following her last relapse-remission episode, she has experienced uncoordinated, difficult arm and hand movements especially with her right arm which is her dominant side. In addition, the patient complains of occasional experiences of unsteadiness when taking a step, greater than normal fatigue following a work day and/or ADLs, and feeling “clumsier than usual”. Patient also reported occasional difficulty focusing on tasks at work.
The purpose of the present fictional case is to illustrate the clinical presentation of MS and propose appropriate, evidence-based management interventions that effectively address participation restrictions of an active patient.
It is an autoimmune disease with periods of exacerbation and remission. Types of MS include relapsing-remitting, acute progressive, chronic progressive attack-remitting, and benign. Symptoms vary from patient to patient. Common symptoms include fatigue, spasticity, swelling, and altered gait.
Conclusion: The results suggest that MT is effective in reducing fatigue and edema in a patient with MS. Future studies are needed to evaluate the correlation between mobility and massage.