The effects of heat stress on physical functioning in persons with multiple sclerosis

Romberg, Anders; Ikonen, Anna; Ruutiainen, Juhani; Virtanen, Arja; Hämäläinen, Päivi

doi:10.1016/j.jns.2012.05.024

Cited by 29 publications

(34 citation statements)

References 38 publications

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“…People with MS have also reported that their symptoms worsen as the environmental temperature rises (Grahn, Murray & Heller 2008;Romberg et al 2012;Saaroni et al 2010;Tataru et al 2006). Aggravated symptoms and signs include nystagmus, muscle weakness, visual dysfunction and abnormal reflexes (Grahn et al 2008;Romberg et al 2012).…”

Section: Introductionmentioning

confidence: 99%

The experiences of individuals with Multiple Sclerosis in the Western Cape, South Africa

Pretorius

Joubert

2014

Health SA Gesondheid

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Background: Multiple Sclerosis (MS) is a debilitating and degenerative lifelong neurological disease that seems to be growing increasingly more prevalent in South Africa.Objectives: The aim of this qualitative study was to explore the personal experiences of individuals with MS in the South African context. The focus of this study was on the challenges faced by individuals with MS, as well as the resources that help them to cope with this debilitating, neurological condition.Method: Thematic analysis was used to explore the semi-structured interviews that were conducted with ten individuals with MS.Results: Several themes emerged that related to the participants’ experiences of living with MS. These themes included several challenges faced by the participants on a daily basis, such as the process of being diagnosed, daily life, invisible illness and medical aid schemes. Numerous resources that help these individuals to cope with MS also emerged from the data analysis and consisted of social support, mobility aids, religion and knowledge about MS.Conclusion: It is evident from the findings of this study that although individuals living with MS, which is a debilitating neurological condition, face several challenges on a daily basis, they often have several resources that help them to cope effectively with this condition. The findings of this study regarding knowledge of the challenges faced and the resources utilised by individuals with MS will hopefully create awareness of the disease and contribute to and inform the design and implementation of interventions for such individuals. Agtergrond: Veelvuldige Sklerose (VS) is ‘n aftakelende en degerenatiewe lewenslange neurologiese toestand wat blyk of dit toenemend meer algemeen in Suid-Afrika voorkom.Objektief: Die doel van hierdie kwalitatiewe studie was om die persoonlike ervarings van individue met VS binne die Suid-Afrikaanse konteks te ondersoek.Die fokus van hierdie studie was op die uitdagings wat individue met VS in die gesig staar, sowel as die hulpbronne wat hulle help met die hantering van hierdie ernstige neurologiese toestand.Metode: Tematiese analise is gebruik om die semi-gestruktureerde onderhoude te ondersoek, wat gevoer is met tien individue met VS.Resultate: Verskeie temas wat verband hou met die deelnemers se ervarings van ‘n lewe met VS het na vore gekom. Hierdie temas het verskeie uitdagingsingesluit wat die deelnemers op ‘n daaglikse basis in die gesig staar, soos die proses om korrek gediagnoseer te word, daaglikse lewe, onsigbare siekte en mediese fonds skemas. ‘n Aantal hulpbronne wat hierdie individue help om VS te hanteer het ook na vore gekom en bestaan uit sosiale ondersteuning, mobiliteit hulpmiddels, geloof en kennis oor VS.Gevolgtrekking: Dit is duidelik uit die bevindinge dat alhoewel individue wat lewe met VS, wat ‘n ernstige neurologiese toestand is, verskeie uitdaging op ‘n daaglikse basis in die gesig staar, hulle beskik oor verskeie hulpbronne wat hulle help om hierdie toestand effektief te hanteer. Die bevindinge van hierdiestudie rakende kennis van die uitdagings wat hierdie individue in die gesig staar en die hulpbronne wat individue met VS gebruik sal hopelik ‘n bewustheid skep en bydra tot die ontwerp en implimentering van intervensies vir sulke individue.

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Section: Introductionmentioning

confidence: 99%

The experiences of individuals with Multiple Sclerosis in the Western Cape, South Africa

Pretorius

Joubert

2014

Health SA Gesondheid

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“…In our previous publications we reported that the core body temperature of MS patients rises more during heat exposure than that of the HCs and that heat temporarily impairs the cognitive and physical performance of MS patients with heat sensitivity (1,2). In the present study, the data from our previous studies were further analyzed to determine whether the heat-induced decline is observed with the MSFC composite score.…”

Section: Discussionmentioning

confidence: 88%

“…The conditions as well as the food and liquid intake were controlled. The heat exposure took place in a Finnish sauna (for more information see Hamalainen et al, 2012 (1)) and lasted for approximately 45 minutes. During the assessments, the participants' core temperature was also monitored.…”

Section: Methodsmentioning

confidence: 99%

“…The study was conducted in Masku neurological rehabilitation center (Finland), and the study group used in the current analysis was the same as our previous studies (1,2). In total, 22 individuals with MS and 19 healthy controls were included in the analysis.…”

Section: Subjectsmentioning

confidence: 99%

“…Our previous studies have shown temporary decline of both cognitive and physical functioning after short-term heat exposure in a Finnish sauna (1,2). Assessment of such negative effects of heat can be laborious because it requires arrangements of heat exposure and versatile measurement tools as well as repeated testing sessions.…”

Section: Introductionmentioning

confidence: 99%

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