Multiple Sclerosis

Question 1

Define Multiple Sclerosis

Answer 1

Multi factorial, autoimmune inflammatory disease of the CNS

Inflammation leads to degeneration of neuronal sheath surrounding axons in the CNS

Question 2

What are the 4 stages of MS?

Answer 2

1) Clinically isolated = first episode
2) Relapsing-remitting = symptoms worsen then improve in periods
3) Primary-progressive = steadily worsen between cycles
4) Symptoms get steadily worse, no more relapses

Question 3

What are some common symptoms of MS

Answer 3

Weakness
Fatigue
Spasticity
Mood
Memory
Visual/ speech problems
Gait/ balance impairments

Question 4

What is the prognosis for MS?

Answer 4

No cure but medical management can help to control symptoms

Question 5

Describe the relationship to ICF, psychometric properties and what is measured for the 9 Hole peg test?

Answer 5

Body structure and function

Observe and time how long pt takes to put nine pegs in 9 holes

Measures UL motor control and finger dexterity

Mixed findings for vailidty

Adequate- excellent reliability

Question 6

Describe the relationship to ICF, psychometric properties and what is measured for the Fatigue Severity Scale

Answer 6

Activity and participation

Measures general health and the effect of fatigue on activities and lifestyle

Adequate to excellent vailidty
Moderate reliability

Question 7

Describe the relationship to ICF, psychometric properties and what is measured for the MS impact scale

Answer 7

Participation focused

Measures physical and psychological impact of MS

Consistent vailidty compared to other scales
High reliability