Question | Answer |
Symptoms of MS | Sensory Impairments,skin care:
Lhermitte's Sing:Sensation like electric shock running down spine and into extremities.
Parasthesias: pins an needles sensation.
Dysesthesias: abnormal burning/aching
Trigeminal Neuralgia:short attacks of facial pain. |
SYMPTOMS MS | Visual:
Nygstagmus:involuntary movement of the eye
Scotoma: dark spot in the center of visual field |
Motor impairments | Upper motor neuron syndrome
Spasticity, increased DTR,+babisnki.
motor weakness, fatigue. |
Cerebellum disturbances | Ataxia, intention tremor,vertigo.
Communication disturbances: Dysarthria, dysphagia |
Treatment | Ther. ex. supine,sitting,prone,stand: stretch tight muscles, strengthen weak muscles,coordination ex, aquatic ex., breathing. Transfers: rolling to both sides, supine to sit. Gait: with or without AD in different surfaces. |
Other Issues that affect MS pts. | Heat: Uthoff syndrome
stress, hyperventilation, trauma,Don't exercise to point of fatigue. |
Modification of Activities | exercise in the AM, keep skin clear and dry,memory aids,timing devices, Frenkel's exercises. |
Adjunts to Treatment | PNF, NDT, hydrotherapy,Cryotheraphy, FES, Frenkel's exercises,US, pressure stockings. |