11- MS

Question 1

systems involved w MS

Answer 1

Neuro & immune

Question 2

incidence for MS (age)

Answer 2

20-40 y/o

Question 3

define MS

Answer 3

chronic, progressive disease that leads to increasing disability

Question 4

“multiple”

Answer 4

many scattered areas of the brain and spinal cord affected

Question 5

“sclerosis”

Answer 5

hardened tissue in damaged area

Question 6

physiological happenings of MS

Answer 6

immune system attacked the myelin sheath causing communication problems btw the brain and body

Question 7

how can meds help MS

Answer 7

• speed recovery AFTER attacks
• modify the course of the disease and symptoms

Question 8

what parts does MS lesions affect

Answer 8

brain & spinal cord

Question 9

S/S of MS

Answer 9

• motor control loss
• numbness
• pain or tingling in parts

Question 10

what happens to the myelin in MS

Answer 10

gets detached & eventually destroyed

Question 11

how many people w MS

Answer 11

90 000 canadians

Question 12

ave age of onset w MS

Answer 12

30-33

Question 13

ave. age of diagnosis of MS

Answer 13

37

Question 14

why is the age of diagnosis for MS later

Answer 14

(all of the above)
- symptoms come & go
- MS gets mixed w other conditions
- symptoms vary

Question 15

why do people w MS live a life of normal length (minus 7 years)

Answer 15

• better treatment & drugs
• better knowledge of the disease

NOT nutrition

Question 16

cause of MS

Answer 16

unknown

Question 17

what destroys the myelin sheath in MS

Answer 17

• T- cell
• monocytes

Question 18

MS is considered an ____________ disease in which the bodys immune system attackes ____________

Answer 18

autoimmune disease where immune system attaches own tissue by mistake

Question 19

factors that increase risk of developing MS

Answer 19

• age (20-40)
• sex (women>men)
• family history
• certain infections
• climate
• autoimmune diseases
• smoking
• race

Question 20

who are more likely to get MS

Answer 20

women (2x)

Question 21

LOOK AT SYMTPMS TABLE

Question 22

S/S of optic N lesion

Answer 22

blurred vision

Question 23

S/S of brain stem lesion

Answer 23

dizziness and double vision

Question 24

S/S of cerebellum lesions

Answer 24

• balance problems
• speech problems
• uncoordinated movements
• tremors

Question 25

S/S of motor nerve tract lesion

Answer 25

- muscle weakness - spasticity paralysis - bladder & bower impairment

Question 26

S/S of sensory nerve tract lesion

Answer 26

- altered sensation - numbness - prickling - burning sensation

Question 27

role of brainstem

Answer 27

crucial role in controlling eye movement & transmiting visual info

Question 28

synonyms of exacerbation

Answer 28

- flare up - attack - relapse

Question 29

exacerbation of symptoms can lead to...

Answer 29

remission or myelin inflammation

Question 30

myelin inflammation can lead to...

Answer 30

no scar formation or yes scar formation

Question 31

no scar formation leads to....

Answer 31

complete recovery & no loss of function

Question 32

scar formation can lead to...

Answer 32

permanent myelin damage & loss of function

Question 33

what determines MS functionability

Answer 33

scar formation

Question 34

MS classification is based on what

Answer 34

1. rate of disease progression 2. frequency of flare ups

Question 35

4 types of MS

Answer 35

- relapsing/remitting MS - secondary progressive MS - primary progressive MS - progressive relapsing MS

Question 36

most common type of MS

Answer 36

relapsing/remitting MS

Question 37

characteristics of relapsing/remitting MS

Answer 37

- **clearly defined relapses** with periods of **complete/almost complete recovery**

Question 38

characteristics of secondary progressive MS

Answer 38

- **less distinct** relapses & disease progresses **steadily**

Question 39

half of people with secondary progressive MS start to worsen within...

Answer 39

10 -20 years of diagnosis often w **increasing levels of disability**

Question 40

most severe type of MS

Answer 40

primary progressive MS (10%)

Question 41

characteristics of primary progressive MS

Answer 41

- **slow accumulation of diability** WITHOUT defined relapses **no periods of remission**

Question 42

rarest type of MS

Answer 42

progressive relapsing MS (5%)

Question 43

characteristics of progressive relapsing MS

Answer 43

steadily worsening disease **WITH or WITHOUT** periods of relief **FROM THE BEGINNING**

Question 44

which type of MS **CANNOT** be helped by meds

Answer 44

primary progressive MS (more severe)

Question 45

aerobic acitivty duration & intensity recommended for people w MS

Answer 45

- 30 mins of MOD intensity 2x week - RPE 5-6

Question 45

strength training duration & intensity for MS people

Answer 45

- 2x a week major muscle groups - **2x 10-15 reps**

Question 46

examples of aerobic activity for MS

Answer 46

- arm cycling - walking/leg cycling - elliptical trainer

Question 47

examples of resistance exercises for MS

Answer 47

- weight machines - free - cable

Question 48

effects of meeting exercise guidelines for people w MS

Answer 48

- reduced fatigue - improved mobility - quality of life!

Question 49

the exercise guidelines are appropriate for whom (MS)

Answer 49

minimal to mod disability resulting from either **relapsing remitting or progressive forms of MS**

Question 50

.are KCEPS qaulified to train MS clients

Answer 50

YES

Question 51

in addition to exercise program, people w MS shoudl also...

Answer 51

do **daily stretch & balance exercises**

Question 52

special consideratins for MS & exercise

Answer 52

- lower endurance & muscular strength & balance - **Fatigue** - bad heat intolerance - depression

Question 53

T or F exercise triggers periods of exacerbation w MS

Answer 53

FALSE

Question 54

effect of exercise on MS

Answer 54

- inc aerobic capacity - inc strength & endurance - inc quality of life - **inc independence in ADLs**