Rehabilitation in Multiple Sclerosis

Erickson, Holland P.; Lie, Margaret R.; Wineinger, Mark A.

doi:10.1016/s0025-6196(12)61755-8

Cited by 28 publications

(10 citation statements)

References 27 publications

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“…In the absence of any specific disease-related treatment, the objectives of therapy and overall management are to enable patients with MS to function at the highest possible levels in their day-to-day lives, at home, at work and at play (Erickson et al, 1989). The data from this study highlight that Australians living with MS have a high incidence of sexual difficulties.…”

Section: Resultsmentioning

confidence: 92%

Sexual difficulties for persons with multiple sclerosis in New South Wales, Australia

Redelman

2009

International Journal of Rehabilitation Research

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This 1992 study was conducted to ascertain the incidence of sexual difficulties in individuals diagnosed with multiple sclerosis (MS) living in New South Wales, Australia. New South Wales is a state lying roughly 29-36 degrees south of the equator. This is currently the largest study conducted. The anonymous questionnaire completed by 283 respondents included questions on sexual difficulties, relationship satisfaction and the ability to communicate about and seek help for the sexual difficulties. In this study, 30% of respondents claimed to have sexual difficulties attributable to MS. Sexual difficulties were experienced by 51% of female and 74% of male respondents. For females, the most frequently occurring sexual symptoms were difficulty with achieving orgasm, lowered libido, dissatisfaction with sexual performance, dissatisfaction with frequency of intercourse, arousal difficulties and decreased vaginal lubrication. For males, by far the most common problem was decreased frequency of intercourse, followed by dissatisfaction with sexual performance, masturbation difficulties, difficulty with achieving vaginal orgasms, erectile dysfunctions, retarded ejaculation and premature ejaculation. Overall, females rated their sexual difficulties as 10th in order of importance of disabilities from MS and males ranked sexual difficulties as fourth in importance. For both males and females, sexual disability increased with age, relationship unhappiness and disease disability. Communicating about sexual difficulties was an issue for both males and females. Fifty five percent of males and 39% of females had been able to talk about their sexual difficulties and of these, only 29% of males and 36% of females had been able to access help for their sexual difficulty. Educational level did not predict ability to talk about, or ability to access help. There was a very low satisfaction rate for the sexual help received. The study highlights areas of need for the MS population.

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Section: Resultsmentioning

confidence: 92%

Sexual difficulties for persons with multiple sclerosis in New South Wales, Australia

Redelman

2009

International Journal of Rehabilitation Research

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“…That is probably due to the belief that the chronic progressive nature of MS makes the patients poor candidates for rehabilitation. However, a number of publications have described comprehensive care and neurorehabilitation in MS [1,3,4,6,7,9,14,26,29]. More recently several controlled studies have demonstrated the effectiveness of rehabilitation on disability and quality of life [12,28].…”

Section: Introductionmentioning

confidence: 99%

Effects of a short outpatient rehabilitation treatment on disability of multiple sclerosis patients

et al. 2003

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It is well known that neurorehabilitation can reduce disability or improve handicap of people with multiple sclerosis (MS). The aim of this study was to evaluate the effectiveness of a short period (6 weeks) of a tailored, individualised outpatient rehabilitation program in people with progressive MS. A randomised-controlled trial was undertaken in patients with primary and secondary progressive MS referred to the Centro Sclerosi Multipla of Catania. One hundred and eleven patients were assessed at baseline and at 12 weeks with validated measures of disability (Functional Independence Measure (FIM)) and impairment (Expanded Disability Status Scale (EDSS) and Functional Systems Scale). Of the 111, 58 were randomly assigned to the treatment group and 53 to the control group. All patients had been previously trained in a home exercise program. Both groups were well matched for age, sex, disease duration and severity, disability and quality of life (Short Form-36). At the end of 6 weeks patients allocated to the rehabilitation treatment group showed significant improvement in their level of disability compared with the control group,while the level of impairment did not change. Thirty-two patients of the treatment group and four of the control group improved on the FIM by two or more steps at 12 weeks (p<0.0001). An improvement by 1 EDSS step occurred in only two patients of the treatment group and in one patient of the control group. Benefits were maintained for a further six weeks. This study demonstrates that a short outpatient rehabilitation treatment improves disability of MS patients, without changing their impairment and confirms the effectiveness of rehabilitation in people with MS.

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“…Suas causas ainda são desconhecidas e sua principal característica é a atrofia progressiva dos músculos do corpo, atingindo membros superiores e inferiores, fala e deglutição (FRANCIS et al, 1999;FESTOFF, 1996;ERICKSON, 1989).…”

Section: Introductionunclassified

“…Com esta pesquisa, espera-se propor um norteamento adaptativo do ambiente da cozinha com o intuito de otimizar a qualidade de vida do paciente, promovendo a autonomia no uso do ambiente e redução de sensação de dependência. FRANCIS et al, 1999;FESTOFF, 1996;ERICKSON, 1989).…”

Section: Introductionunclassified

Esclerose Lateral Amiotrófica: Um Estudo Teórico Sobre Cozinhas Domésticas Visando a Promoção Da Autonomia De Pacientes

Amorim¹,

Barros²

2016

Anais Do VI Encontro Nacional De Ergonomia Do Ambiente Construído &Amp; VII Seminário Brasileiro De Acessibilidade Integral

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RESUMOA Esclerose Lateral Amiotrófica (ELA) é uma grave patologia neurodegenerativa de causa desconhecida e sem tratamento curativo. Sua principal característica é a perda progressiva da força e atrofia dos músculos do paciente. O ambiente da cozinha é essencialmente um espaço dotado de seções e nichos cuja disposição e sistemas de abertura se configuram como elementos dificultadores da utilização por parte de pacientes portadores de ELA. Dentro deste contexto, visando a promoção da autonomia do paciente, este estudo teórico objetivou a análise da sintomatologia da doença, identificando necessidades e limitações, para, a partir de então, propor recomendações para adaptação de cozinhas.Palavras chave: Esclerose Lateral Amiotrófica (ELA); ambiente construído; cozinha. ABSTRACT The Amyotrophic Lateral Sclerosis (ALS) is

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Rehabilitation in Multiple Sclerosis

Cited by 28 publications

References 27 publications

Sexual difficulties for persons with multiple sclerosis in New South Wales, Australia

Sexual difficulties for persons with multiple sclerosis in New South Wales, Australia

Effects of a short outpatient rehabilitation treatment on disability of multiple sclerosis patients

Esclerose Lateral Amiotrófica: Um Estudo Teórico Sobre Cozinhas Domésticas Visando a Promoção Da Autonomia De Pacientes

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