effects induced by swim on a patient with multiple sclerosis case report

by Kylie Cronin PhD 5 min read

Effects induced by swim on a patiente with multiple …

31 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


Is aquatic exercise effective in multiple sclerosis?

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.

What are the key clinical findings of relapsing remitting multiple sclerosis (RRMS)?

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.

What is the research on the QoL of MS patients?

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.

Can physiotherapy help relapsing remitting multiple sclerosis?

This case study examines a young female patient with a typical presentation of Relapsing Remitting Multiple Sclerosis. The patient sought treatment from physiotherapy after her most recent attack left her with symptoms of fatigue, lower extremity weakness, loss of coordination and balance.

How old is the patient with relapsing remitting multiple sclerosis?

Patient is a 27 year-old caucasian female diagnosed with Relapsing Remitting Multiple Sclerosis that began two years ago. The patient is a current smoker and has a history of depression. The patient self referred herself to physiotherapy to help manage her weakness, coordination and fatigue. Additionally, the patient is looking to learn how to self manage her symptoms.

What is the most common form of MS?

There are a few different classifications of MS based on occurrence of relapses or progression. The most common form is Relapsing Remitting Multiple Sclerosis (RRMS) whereby the patient will have new symptoms emerge or a worsening of past symptoms, followed by full, or near full recovery . The majority of RRMS cases eventually transition to a progressive form called Secondary Progressive Multiple Sclerosis (SPMS) . About 15% of MS cases are Primary Progressive (PPMS) where function continues to decline from onset .

Do aerobic exercises help with MS?

Although there is a need for specific balance exercises in MS patients, there is evidence that suggests progressive aerobic and resistance exercises have positive effects on balance in patients who present with mild to moderate symptoms.

In this case, there was a causal relationship between comorbid diseases

Andrea P. Lee, MD; Giulietta M. Riboldi, MD; Ilya Kister, MD; Jonathan E. Howard, MD; and Ritesh A. Ramdhani, MD

Case

Mr L is age 41 with a history of multiple sclerosis (MS), bipolar disorder, and parkinsonism that has persisted despite being off neuroleptics for 1.5 years (Figures 1 and 2).

Discussion

Multiple sclerosis (MS) is an autoimmune demyelinating disease that commonly causes white matter plaques, but deep grey matter nuclei can also be affected. MS manifests with a wide range of neurologic symptoms depending on the location of lesions. Parkinsonism is rarely comorbid with MS.

Abstract

Introduction

Client Characteristics

  • Patient is a 27 year-old caucasian female diagnosed with Relapsing Remitting Multiple Sclerosis that began two years ago. The patient is a current smoker and has a history of depression. The patient self referred herself to physiotherapy to help manage her weakness, coordination and fatigue. Additionally, the patient is looking to learn how to self manage her symptoms.
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Examination Findings

  • Objective Assessment
    1. Timed Up and Go (TUG):10.5 seconds = just above the norm of < or equal to 10 seconds 2. Berg:46/56 = 42-56% at an increased risk of falling 3. Cranial nerve function tests:WNL except CNXII had decrease sensation and motor control over V1 4. Babinski: positive 5. Clonus:positive …
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Clinical Impression

  • Physiotherapy Diagnosis
    Patient was a previously active 27 year-old female diagnosed with Relapsing Remitting Multiple Sclerosis two years ago when she first started showing signs of the disease. Three months within that year, the patient experienced her first relapse of the disease which ultimately lead to chroni…
  • Problem List
    1. Fatigue impacting overall quality of life 2. Lower limb weakness impairing functional mobility 3. Impaired coordination affecting activities of daily living 4. Current smoke (1 pack every 2 days)
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Intervention

  • Approaches/Techniques
    Adults with MS should engage in at least 30 minutes of moderate intensity aerobic activity two times per week and strength training of major muscle groups two times per week to achieve important fitness benefits .
  • Self Management
    1. Keep an activity and symptom diary to track symptoms and discover patterns. 2. Education on energy conservation strategies: 2.1. Forming a mental map of resting spots/benches for outings 2.2. Have a set plan for the day to avoid fatigue (ex. doing more fatiguing exercises at the end o…
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Outcomes

  • 12 Week Re-Assessment
    1. The patient has been partaking in Tai Chi classes for 30 minutes per week. 1.1. Patients PHQ-9 score decreased from 10 to 8. 1.2. Coordination was re-evaluated using finger to nose test and heel knee shin test which both showed improvements, however, the improvements are not yet cl…
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Discussion

  • This case study examines a young female patient with a typical presentation of Relapsing Remitting Multiple Sclerosis. The patient sought treatment from physiotherapy after her most recent attack left her with symptoms of fatigue, lower extremity weakness, loss of coordination and balance. Through objective measures, the physiotherapists working with this patient were a…
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