Multiple Sclerosis Flashcards

1
Q

What is multiple sclerosis?(4)

A

Auto-immune disease
Characterised by demyelination and inflammation
Thus interrupts the action potential

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2
Q

What are the different types of MS?

A

Relapse-remitting
Primary progressive
Secondary progressive

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3
Q

What is the most common form of MS?

A

Relapse-remitting

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4
Q

How can MS be diagnosed?(4)

A

MRI
Evoked potential test
Lumbar function
Expanded disability status scale

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5
Q

What are the symptoms of MS?(6)

A
Cognitive impairment 
Poor balance
Tremor 
Pain 
Fatigue 
Disability
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6
Q

What are the benefits of PA in MS (5)

A
Walking mobility 
Quality of life
Fatigue
Cognitive function
Depression
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7
Q

What did Ranadive 2013 atherosclerosis study show?(2)

A

Markers of atherosclerosis are higher in those with MS

Increased markers accounted for by low PA in MS individuals

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8
Q

What are the mechanisms behind fatigue in MS?(2)

A

Decreased central motor activation

This then leads to muscle atrophy

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9
Q

What did a study by Golzari 2010 combination (6)

A

Found that a combination of resistance and aerobic training for 8 weeks
There was an increase in muscle strength and balance
Also decreased IL-17 and IFN-y

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10
Q

What did the study by Dodd 2011 on resistance training find?(6)

A

After a 10 weeks of resistance training
There was an increase in muscle strength and endurance
There were also improvements in fatigue and quality of life
However it did not improve walking performance

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11
Q

What did a aerobic training study by Rampello 2007 find?(3)

A

Found that after an 8 weeks of aerobic training
There was an increase in walking distances and speed
There was also an improvement in cardiorespiratory fitness

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12
Q

According to Florindo 2014, which inflammatory cytokines are associated with remission in MS?(2)

A

IL-6 and IL-10

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13
Q

According to Flarindo 2014, what are the inflammatory cytokine are associated with MS?(3)

A

High levels of IFN-y, TNF-a and IL-17

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14
Q

How may regular PA reduce inflammation?(2)

A

Increases IL6 and IL10

Decreases TNF-a (pro-inflammatory)

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15
Q

Castellano 2008 endurance training cytokine study (2)

A

After endurance training both resting levels of IFN-y and TNF-a were elevated in MS patients
Whereas no differences in healthy matched controls

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16
Q

Compston 2008 MS pathogenesis cytokines

A

Interferon (IFN)-y and tumour necrosis factor alpha play a role in demyelination

17
Q

Motl 2008 cross-sectional study cross-sectional impairment and disability (2)

A

Study showed that exercise capacity is inversely related to cognitive impairment and functional ability

17
Q

Prakash MRI cross-sectional study (3)

A

Greater VO2 max was associated with grey matter volume
Indicates exercise preserve neuronal integrity
Reduce disease activity

18
Q

How can functional mobility he assessed?

A

Walking test