Topic 19 (Multiple Sclerosis)

Question 1

Multiple Sclerosis (MS)
- Chronic, progressive __________ (body attacking itself) disorder that affects the mind and body
- Body is attacking myelin (impacting how fast the ______ signal can travel)
MS Classification
1) primary-progressive: roughly 15% of MS cases, highest ________ rate, symptom worsening from onset
2) secondary-progressive: disability gradually increasing over time
3) relapsing-remitting: most ______ classification of MS (85% prevalence), there is __ progression of symptoms between relapses.
- 2x more common in _______ than _____
- Remission referring to free of evolving symptoms
- Clinically-isolated syndrome: characteristic of MS, but does ___ meet the criteria of MS diagnosis

Answer 1

autoimmune
nerve
common
no
mortality
females than males
not

Question 2

Education
Thermosensitivity
- Increased neurologic signs associated with increased core temperature
- Can be very immediate and dramatic; may see an ________ in symptom presentation following exercise because of increase in core temperature
- Typically 30 minutes after exercise the symptoms will begin to _______
- Educate about fatigue: If the fatigue is due to a central neuro-system cause, then exercise can ___ help; conversely, if fatigue is due to inactivity, then exercise can help

Answer 2

increase
resolve
not

Question 3

Exercise
Goal: improved _______ of life, lessen fatigue, improve motor and cognitive function, reduce depression, avoid comorbidities (simultaneous presence or two or more diseases)
- Emphasize __________ first, then strength and aerobic (ex. yoga and Pilates) training

Answer 3

quality
flexibility

Question 4

Youssef et al.
- Testing the effects of high intensity interval training vs. moderate continuous training in rehabilitation of multiple sclerosis
- Found both types of training yielded _______ results in terms of fatigue, body composition, cognitive function, and blood biomarkers. However, VO2max of cardiorespiratory function and memory domain of cognitive function were in favor of (HITT or MCT?)

Answer 4

similar
HITT

Question 5

All of the following are possible signs or symptoms of MS, except:
A) Fatigue
B) Weakness
C) Tremors
D) Difficulty Swallowing

Answer 5

C