Managing the symptoms of multiple sclerosis: A multimodal approach

Crayton, Heidi; Rossman, Howard

doi:10.1016/j.clinthera.2006.04.005

Cited by 135 publications

(81 citation statements)

References 113 publications

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“…36 When evaluating test results, it is also important to consider possible cognitive side effects of medications. 37 Thus the neuropsychologist incorporates several aspects of the person's experience in interpreting test scores and preparing a report. The neuropsychologist may then meet with the patient to provide feedback.…”

Section: Interpretation Of Test Resultsmentioning

confidence: 99%

Neuropsychologist

Fuchs¹

2009

International Journal of MS Care

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32 Multiple sclerosis (MS) is a disease of the central nervous system with prominent physical symptoms such as muscle weakness and spasticity that lead to limitations in mobility. 1 Although MS care often focuses on the assessment and treatment of these physical symptoms, changes in cognition can be of greater concern to people with MS and their families. It is believed that at least half of people with MS eventually experience some degree of cognitive dysfunction, 2 which can occur early in the disease and progress over an interval as short as 2 years. 3 Cognitive impairment in MS is associated with loss of employment, 4 reduced driving skills, 5 diminished socialization, 6 and dependence on others for activities of daily living (ADLs). 4 Subtle changes in cognitive efficiency may be readily noticed by a person with MS but overlooked by health-care providers and misunderstood by family members and coworkers. For this reason, cognitive dysfunction is often referred to as an "invisible" symptom of MS. Because cognitive decline may not be readily apparent at bedside examination, 7 a neuropsychological evaluation can be invaluable in providing information about brain function to people with MS and their health-care teams. Additionally, test results can be used to support an application for disability benefits or school/work accommodation. Repeat testing can identify changes or stability over time, following relapses, or with treatment. Test results can also guide development of compensation strategies. In addition to conducting a cognitive evaluation, neuropsychologists can provide treatment in the form of individual psychotherapy, family counseling, behavior management, and cognitive rehabilitation. What Is Neuropsychology?A clinical neuropsychologist is a licensed psychologist with specialized training in the relationship between brain functioning and abilities such as memory, attention, language, and reasoning. Following completion of a doctoral program, neuropsychologists undergo further training and supervision in the practice of neuropsychology through a clinical internship and then a 2-year postdoctoral residency or fellowship. Clinical neuropsychology is a specialty recognized by the American and Canadian Psychological Associations. After completion of training and a period of independent practice, an individual can go through the examination process to be certified through the American Board of Professional Psychology.The primary clinical service provided by neuropsychologists to people with MS is assessment of cognitive functioning. While a magnetic resonance imaging or computed tomographic scan can provide information about the structural integrity of the brain, a neuropsychological evaluation documents functional capacity. Neuropsychologists typically administer a series of stan-

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Section: Interpretation Of Test Resultsmentioning

confidence: 99%

Neuropsychologist

Fuchs¹

2009

International Journal of MS Care

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“…Other nonpharmacologic interventions include timed voiding, regulation of fluid intake, and reduced intake of bladder irritants such as aspartame and caffeine along with physiotherapy and pelvic exercises [18]. Surgical solutions represent a last resort approach since MS is usually unpredictably progressive, rendering surgery as an impermanent solution [2].…”

Section: Treatment Of Voiding Dysfunctionmentioning

confidence: 99%

Urologic Problems in Multiple Sclerosis

Pentyala¹

2010

TOANDROJ

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Multiple sclerosis (MS) is a devastating neurologic disease that attacks young adults and affects all aspects of their lives. Genitourinary dysfunction in MS has a significant impact on quality of life with more than 80% of those with MS reporting genitourinary symptoms. Voiding dysfunction is a prominent problem affecting the majority of MS sufferers. Less commonly recognized, but of no less importance, is sexual dysfunction which affects both men and women with MS. At least 75% of men and 50% of women report sexual dysfunction and suspicions of under-reporting are strong. In this review, physiology of micturition, sexual functioning and disruptions in neural pathways occurring in MS that can result in the clinical syndromes of voiding dysfunction, sexual dysfunction and paraphilias will be discussed. Management of these disorders is also reviewed.

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“…Many researches have been reported on the positive effect of sport and exercise treatment in patients with MS; they indicate that these activities have had positive outcomes in terms of social relationships, mental issues, and motor disabilities in these patients, controlling and reducing the progression of disease (21). Nonetheless, some researches have reported the otherwise (16).…”

Section: Introductionmentioning

confidence: 99%

“…This number has been reported to be between 50000 and 60000 in Iran, and its most common age period is between 20 and 35 with an extent of spread in women as twice as men (15). Symptoms like lack of balance, myasthenia, spasm, fatigue, paresis, and abnormal walking are all included in factors which have caused to decrease mobility in these patients and resulted in negative effects on daily activities, quality of life, self-image, and social-physical anxiety (16)(17)(18). People with MS avoid sports and physical activities because of motor disabilities.…”

Section: Introductionmentioning

confidence: 99%

Effects of 8 Weeks Aerobic Training on the Social-Physical Anxiety in Women with Multiple Sclerosis

Rahmati

Zareian

2014

Ann. Appl. Sport Sci

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Nowadays, ailments which are known as specific diseases make the society we live in suffer, and scientific researches pay much attention to the effect of sport and physical activity on these diseases and introduce sports as treatment for them. The purpose of this study was to check the effect of an aerobic training course on social-physical anxiety in women with Multiple Sclerosis (MS). The study population consisted of all inactive women reported by MS community of Tehran in 2012. Of them, 24 ones have been chosen at random (age 32±11 years old) and selected in two groups of control and experimental at random. The social-physical anxiety scale (SPAS) was used to measure the social-physical anxiety in these patients. The findings indicated a noticeable decrease in the amount of social-physical anxiety in women with MS after 8 weeks of aerobic training (P<0.001). Eventually, we can conclude that aerobic training are effective on decreasing the socialphysical anxiety of patients suffering from MS, and it can, by its nature, decrease the social-physical anxiety in these people and promote health and participation in sports activities.

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Managing the symptoms of multiple sclerosis: A multimodal approach

Cited by 135 publications

References 113 publications

Neuropsychologist

Neuropsychologist

Urologic Problems in Multiple Sclerosis

Effects of 8 Weeks Aerobic Training on the Social-Physical Anxiety in Women with Multiple Sclerosis

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