Multiple Sclerosis: Management of Fatigue and Spasticity, Energy Conservation

Question 1

How does MS-Related fatigue during exercise occur? How can it be offsetted?

Answer 1

Often occurs due to Thermal Stress

Offset by:
- Adequate rest
- Use of cooling and pre-cooling treatment during exercise

Question 2

Examples of utilizing Energy Conservation techniques in patients with MS.

Answer 2

Modifying the environment or the task to ensure successful completion

Breaking down difficult activities in component parts

Pacing of activities

Question 3

Patients with MS typically have spasticity stronger in the UE or LE?

Answer 3

LE spasticity generally greater

Question 4

What general muscle groups are typically involved with spasticity? What muscles LE and UE?

Answer 4

Antigravity muscles

LE: Quadriceps, hip adductors, plantar flexors

UE: Shoulder adductors, Elbow, Wrist and finger flexors

Question 5

Are heat or cold modalities better at reducing spasticity?

Answer 5

Cold modalities can temporarily reduce spasticity by decreasing tendon reflex excitability and clonus by slowing down conduction of impulses in nerves and muscles