Restless Legs Syndrome In Multiple Sclerosis Patients – Patient Experience Atlipik Special Hospital For Medical Rehabilitation

Abstract

SUMMARY -Th e study included 60 patients with multiple sclerosis (MS) hospitalized at our institution from September 1 to December 31, 2014. Th e aim of the study was to assess the prevalence of restless legs syndrome (RLS) in MS patients and RLS relationship with patient age, sex, degree of disability, form of MS, time elapsed from MS diagnosis and use of antidepressants. Th e diagnosis of RLS was made according to the criteria set by the International Restless Legs Syndrome Study Group. Of the 60 patients, 24 (40%) met the criteria for the existence of RLS. In the group of patients with RLS, there was a signifi cantly higher proportion of women and those that were taking antidepressants. Th ere were no statistically signifi cant between-group diff erences according to age, duration of illness, degree of disability and clinical course of MS. In the study, 37.5% of patients that met the criteria for RLS diagnosis had not informed the neurologists about their diffi culties. Th e high prevalence of RLS and the fact that a large proportion of patients did not inform the neurologists about their diffi culties related to RLS point to the need of an active approach to diagnosis and treatment.

Lumbar Pain in Patients with Multiple Sclerosis and Knowledge about Physiotherapeutic Methods for Combating Pain

“…The authors' research results are in a similar age range (42.4 ± 12.6). Most of the studies included numerous groups of patients, most of whom were women, which is very similar to the authors' study (75.56% of the participants were women) [21][22][23][24][25][26][27]. The most common participants in research were people with relapsing-remitting multiple sclerosis, which accounted for 23.7% to 93% of the participants across studies [21,23,[26][27][28].…”

“…The smallest group included patients with primary progressive multiple sclerosis (7.8%). In previous studies, the mean EDSS score ranged from 2.0 to 6.0 [23,[25][26][27][28], and the mean duration of disease ranged from 2.2 to 19.3 years [21][22][23][24][25][26][27][28]. In this study, the mean duration of disease was 9.5 ± 4.9 years, and the mean EDSS was 3.5 ± 1.6.…”

“…Authors and researchers most often used numerical scales, questionnaires, and proprietary questionnaires to assess lumbar spine pain in people with multiple sclerosis. A Visual Analogue Scale was used in this study, as used by the authors of the abovementioned studies [23,26,28]. In addition, this study was extended to include the EDSS scale [22,23,25,26,28].…”

“…A Visual Analogue Scale was used in this study, as used by the authors of the abovementioned studies [23,26,28]. In addition, this study was extended to include the EDSS scale [22,23,25,26,28]. Previous studies had used the Nordic Musculoskeletal Questionnaire [24,27], painDETECT [27], and a Numerical Rating Scale [22,24,25].…”

Is restless legs syndrome associated with Helicobacter pylori infection?

“…Helicobacter pylori (HP) is a microorganism primarily associated with the gastrointestinal tract, but it has also numerous extra-intestinal manifestations. Although it was previously associated with many neurological diseases such as Alzheimer's, multiple sclerosis and Parkinson's [12][13][14] , there is only one study investigating the relationship between HP and RLS 15 . In this study, the use of serological tests instead of the pathological Sydney classification for HP positivity and the low number of patients constitute important disadvantages for the study 16 .…”