Neuro Pathologies (ms)

Question 1

What is MS

Answer 1

A chronic demyelination disease of the central nervous system characterised by an inflammatory process and widespread degeneration of the central nervous system resulting in severe neurological deficit

Question 2

Some triggers of ms

Answer 2

Causes aren’t definite, triggers may include; pregnancy, infection, vaccination, trauma, whiplash, emotional stress, generic factors, environmental factors, diet deficiencies

Question 3

Patho of ms

Answer 3

Disruption of brain blood barrier leakage of inflammatory cells, destruction of ogliodendrocytes and myelin sheaf, signals of conducting nerve slowed down, sclerosis- refers to scarring, multiple- refers to the sites of scarring which can occur in different places

Question 4

What are the types of ms

Answer 4

Silent/benign
Relapsing
Primary progressive
Secondary progressive

Question 5

Signs and symptoms of ms

Answer 5

Visual problems, weakness, spasticity, hyperflexia, poor co ordination, parenthesis, sensory loss, poor balance, sphincter dysfunction, decreased intellectual function, fatigue

Question 6

What’s a ms relapse

Answer 6

An exacerbation of ms, clinical event of the type usually seen in ms
Must last more than 24 hours

Question 7

Medical treatment of ms

Answer 7

Anti spasticity and relaxants- baclofen, analgesia and anti cholingenic drugs for pain, bladder problems and depression

Question 8

Outcome measures

Answer 8

EDSS, expanded disability status scale, participation impact of ms on daily life, impact of ms of walking, mswsi2, impairments/activities e.g balance functional reach

Question 9

Physio treatment for ms

Answer 9

Specific stretches, specific strengthening exercises, balance exercise, gait re education, functional activity practice, pain management, fatigue management, education,