Multiple sclerosis tertiary prevention: Difference between revisions
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===Tremors and ataxia=== | ===Tremors and ataxia=== | ||
[[Physical therapy]] is not indicated as a treatment for tremor or ataxia; however, the use of different [[Orthotics|orthese]] devices can help. An example is the use of wrist bandages with weights, which can be useful to increase the [[inertia]] of movement and therefore reduce tremor.<ref>{{cite journal |author=Aisen ML, Arnold A, Baiges I, Maxwell S, Rosen M |title=The effect of mechanical damping loads on disabling action tremor |journal=Neurology |volume=43 |issue=7 |pages=1346-50 |year=1993 |pmid=8327136|doi=}}</ref> Daily use objects have also to be adapted so they are easier to grab and use. | |||
[[Physical therapy]] is not indicated as a treatment for tremor or ataxia; however, the use of different [[Orthotics|orthese]]devices can help. An example is the use of wrist bandages with weights, which can be useful to increase the [[inertia]] of movement and therefore reduce tremor.<ref>{{cite journal |author=Aisen ML, Arnold A, Baiges I, Maxwell S, Rosen M |title=The effect of mechanical damping loads on disabling action tremor |journal=Neurology |volume=43 |issue=7 |pages=1346-50 |year=1993 |pmid=8327136|doi=}}</ref> Daily use objects have also to be adapted so they are easier to grab and use. | |||
==References== | ==References== | ||
Revision as of 19:10, 27 August 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Tertiary prevention
Disease-modifying treatments only reduce the progression rate of the disease but do not stop it. As multiple sclerosis progresses, the symptomatology tends to increase. The disease is associated with a variety of symptoms and functional deficits that result in a range of progressive impairments and handicap. Management of these deficits is therefore very important. Both drug therapy and neuro-rehabilitation have shown to ease the burden of some symptoms, even though neither influence disease progression.[1] As for any patient with neurologic deficits, a multidisciplinary approach is key to limiting and overcoming disability; however there are particular difficulties in specifying a ‘core team’ because people with MS may need help from almost any health profession or service at some point.[2]Similarly for each symptom there are different treatment options. Treatments should therefore be individualized depending both on the patient and the physician
Mobility restrictions
Interventions may be aimed at the level of the impairments that reduce mobility; or at the level of disability. At this second level interventions include provision, education and instruction in use of equipment such as walking aids, wheelchairs, motorized scooters and car adaptations; and instruction about compensatory strategies to accomplish an activity, (for example,undertaking safe transfers by pivoting in a flexed posture rather than standing up and stepping around).
Spasticity
There are also palliative measures like castings, splints or customised seatings.[2]
Tremors and ataxia
Physical therapy is not indicated as a treatment for tremor or ataxia; however, the use of different orthese devices can help. An example is the use of wrist bandages with weights, which can be useful to increase the inertia of movement and therefore reduce tremor.[3] Daily use objects have also to be adapted so they are easier to grab and use.
References
- ↑ Kesselring J, Beer S (2005). "Symptomatic therapy and neurorehabilitation in multiple sclerosis". Lancet neurology. 4 (10): 643–52. doi:10.1016/S1474-4422(05)70193-9. PMID 16168933.
- ↑ 2.0 2.1 The Royal College of Physicians (2004). Multiple Sclerosis. National clinical guideline for diagnosis and management in primary and secondary care. Salisbury, Wiltshire: Sarum ColourView Group. ISBN 1 86016 182 0.Free full text (2004-08-13). Retrieved on 2007-10-01.
- ↑ Aisen ML, Arnold A, Baiges I, Maxwell S, Rosen M (1993). "The effect of mechanical damping loads on disabling action tremor". Neurology. 43 (7): 1346–50. PMID 8327136.