Exercise Interventions for Multiple Sclerosis Quiz

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Questions and Answers

What percentage of people with Parkinson’s disease are diagnosed younger than 45 years old?

10%

What is the gender distribution among people diagnosed with Parkinson’s disease?

2/3 men and 1/3 women

By what year is the global number of people with Parkinson’s disease expected to double, reaching 17.5 million?

2040

Which part of the brain experiences death and depletion of dopaminergic neurons in Parkinson’s disease?

<p>Substantia nigra pars compacta</p> Signup and view all the answers

What are the primary motor symptoms associated with Parkinson’s disease?

<p>Bradykinesia, resting tremor, and rigidity</p> Signup and view all the answers

What is the primary outcome measure for assessing the impact of exercise on motor examination in Parkinson's disease?

<p>MDS-UPDRS part III (motor examination)</p> Signup and view all the answers

What is one of the most disabling symptoms of Parkinson's disease that increases with disease progression and usually occurs during turning, gait initiation, and narrow pathways?

<p>Freezing of gait (FoG)</p> Signup and view all the answers

What is the main reason for people with Parkinson's disease PIGD (postural instability and gait difficulty) to be more likely to fall?

<p>Freezing of gait (FoG)</p> Signup and view all the answers

What is the primary outcome measure for falls prevention in Parkinson's disease?

<p>Rate of falls (falls/month)</p> Signup and view all the answers

What is the main outcome of virtual reality intervention for Parkinson's disease?

<p>Reduction in freezing of gait (FoG)</p> Signup and view all the answers

Study Notes

Exercise Interventions for Multiple Sclerosis

  • Study conducted by Hoang et al in 2014 focuses on exercise interventions for multiple sclerosis (MS)
  • Preliminary results showed changes in passive and active range of motion after 12 weeks of eccentric training
  • Foot drop and knee hyper-extension are common consequences of muscle weakness in MS
  • Falls are highly prevalent in MS, with about 60% of people with MS expected to fall in the next 3 months
  • A study on interventions to reduce falls in MS found that a home-based Smart Stepping Mat significantly reduced the rate of falls
  • Impaired mobility and walking gait in MS can be improved through exercise, especially when treatments are initiated early
  • Exercise for people with MS should address multifactorial problems including joint contractures, foot drop, and knee hyperextension
  • Recommended exercise interventions for people with MS with EDSS ≤ 6.5 include aerobic exercise training, resistance exercise training, and stretching
  • Exercise intensity should be adjusted to accommodate fatigue and reduced during acute exacerbation of symptoms
  • Resistance exercise should be initiated and continued under supervision by clinical exercise professionals
  • Stretching is recommended for individuals with MS with EDSS 6.5 or over, those with spasticity, or joint contractures
  • Regular review and adjustments to exercise difficulty levels are recommended to accommodate individual needs and progress

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