. effects induced by swim on a patient with multiple sclerosis. case report.

Swimming exercise alleviated multiple sclerosis-in- duced short-term memory impairment by suppressing apoptotic neuro- nal cell death in the hippocampus. These effects of swimming exercise may aid symptom relief in the incurable neurodegenerative diseases. Keywords:Multiple sclerosis, Swimming, Apoptotic neuronal cell death, Short-term memory

Full Answer

What are the key clinical findings of relapsing remitting multiple sclerosis (RRMS)?

The purpose of this fictional case study is to highlight key clinical findings in a patient diagnosed with Relapsing Remitting Multiple Sclerosis (RRMS). The patient discussed throughout the case study presents with chronic fatigue, lower extremity weakness, impaired balance, lack of coordination and psychosocial characteristics.

Can adalimumab cause multiple sclerosis (MS)?

We report the case of a 68-year-old female with a 33-year history of RA that developed multiple sclerosis (MS) during adalimumab (ADM) treatment at 22 months after the initial administration. Her first neurological symptom was mild dizziness, which progressed to severe dizziness with gait disturbance within 2 weeks.

Can physiotherapy help relapsing remitting multiple sclerosis?

This case study examines a young female patient with a typical presentation of Relapsing Remitting Multiple Sclerosis. The patient sought treatment from physiotherapy after her most recent attack left her with symptoms of fatigue, lower extremity weakness, loss of coordination and balance.

What are the symptoms of multiple sclerosis?

It is an autoimmune disease with periods of exacerbation and remission. Types of MS include relapsing-remitting, acute progressive, chronic progressive attack-remitting, and benign. Symptoms vary from patient to patient. Common symptoms include fatigue, spasticity, swelling, and altered gait.

Is swimming good for multiple sclerosis?

Swimming can also improve your coordination, flexibility, strength, and balance. A 2020 review of research suggested that aquatic therapy may delay the progression of MS and improve depression, balance, and walking ability. Swimming can additionally reduce fatigue, which affects around 80 percent of people with MS.

Why is it not advised to put a patient with multiple sclerosis in a heated pool for aquatic therapy?

Heat sensitivity results in an increase of neurological symptoms. Common neurological symptoms include worsened oculomotor or visual disturbances, increased ataxia in the lower extremities,6 and weakness. About 80% of patients with MS deteriorate when heated.

How does aquatic exercise help with multiple sclerosis?

The aquatic program for people with MS provides an opportunity to maintain mobility, prevent secondary symptoms of MS, maintain or improve flexibility, maximize muscle strength, and maintain or increase endurance potential. The recommended pool temperature for an aquatics program for people with MS is 80–84 degrees.

How do you cope with MS diagnosis?

Lifestyle and home remediesGet plenty of rest. Look at your sleep habits to make sure you're getting the best possible sleep. ... Exercise. If you have mild to moderate MS , regular exercise can help improve your strength, muscle tone, balance and coordination. ... Cool down. ... Eat a balanced diet. ... Relieve stress.

Can someone with MS use a hot tub?

Exercising and Keeping Cool Swimming is a great exercise because the water dissipates heat. It is recommended that the pool not be heated to more than about 85 degrees. In general, persons with Multiple Sclerosis should avoid hot tubs and saunas.

Can cold water swimming help MS?

For starters, the combination of specific breathing exercises and cold showers is known to strengthen the body's immune response, which has a positive effect on the reduction of inflammation associated with the development and progression of multiple sclerosis.

How do body water and limb inertia affect intensity in aquatic exercise?

In water exercise, there are three ways to overcome inertia with movement. Limb inertia increases intensity with changes in arm and leg patterns. The more frequent the changes, the more intensity. Total-body inertia increases intensity with travel.

What is an aquatic program?

Aquatic Fitness is defined as activities performed in the water that promote and enhance physical and mental fitness. Aquatic Fitness is typically performed in a vertical position in shallow and/or deep water. There are numerous applications to appeal to a wide variety of participants.

How is swimming good for you?

Health benefits of swimming builds endurance, muscle strength and cardiovascular fitness. helps you maintain a healthy weight, healthy heart and lungs. tones muscles and builds strength. provides an all-over body workout, as nearly all of your muscles are used during swimming.

What causes death in MS patients?

MS can weaken the muscles that control the lungs. Such respiratory issues are the major cause of sickness and death in people in the final stages of MS. Spasticity or an increase in stiffness and resistance as a muscle is moved can impair movement and cause pain and other problems.

What famous person has MS?

Famous Faces of Multiple SclerosisChristina Applegate. 1/17. ... Selma Blair. 2/17. ... Art Alexakis. 3/17. ... Montel Williams. 4/17. ... Jamie-Lynn Sigler. 5/17. ... Jack Osbourne. 6/17. ... Trevor Bayne. 7/17. ... Ann Romney. 8/17.More items...

What should MS patients avoid?

It's recommended that people with MS avoid certain foods, including processed meats, refined carbs, junk foods, trans fats, and sugar-sweetened beverages.

Do you ever feel normal with MS?

Some people with MS live symptom-free for long periods of time. Others with severe MS symptoms may need special accommodations just to go out to a restaurant, especially if they have physical limitations.

Can you live a happy life with MS?

You may have to adapt your daily life if you're diagnosed with multiple sclerosis (MS), but with the right care and support many people can lead long, active and healthy lives.

What to do when MS flares up?

Severe MS flares are usually treated with several days of high-dose, intravenous steroids, which can be administered at a medical facility or self-administered at home. Steroids reduce inflammation and speed recovery from a flare, although they don't correct the damage to the nervous system.

What is the average age to be diagnosed with MS?

MS can occur at any age, but onset usually occurs around 20 and 40 years of age. However, younger and older people can be affected. Sex.

How does physical therapy help with MS?

The purpose of this fictional case study is to present the patients symptoms of MS (fatigue, balance and lower limb weakness) and their response to physical therapy treatment. Similar cases of moderate to severe MS presenting with fatigue and weakness have shown significant improvements through physical therapy treatment . In general, both strength and endurance training result in fatigue reduction; however, evidence is insufficient in specifying which training modality has the strongest effect . Although there is a need for specific balance exercises in MS patients, there is evidence that suggests progressive aerobic and resistance exercises have positive effects on balance in patients who present with mild to moderate symptoms.

How old is the patient with relapsing remitting multiple sclerosis?

Patient is a 27 year-old caucasian female diagnosed with Relapsing Remitting Multiple Sclerosis that began two years ago. The patient is a current smoker and has a history of depression. The patient self referred herself to physiotherapy to help manage her weakness, coordination and fatigue. Additionally, the patient is looking to learn how to self manage her symptoms.

What is the most common form of MS?

There are a few different classifications of MS based on occurrence of relapses or progression. The most common form is Relapsing Remitting Multiple Sclerosis (RRMS) whereby the patient will have new symptoms emerge or a worsening of past symptoms, followed by full, or near full recovery . The majority of RRMS cases eventually transition to a progressive form called Secondary Progressive Multiple Sclerosis (SPMS) . About 15% of MS cases are Primary Progressive (PPMS) where function continues to decline from onset .

What are the symptoms of RRMS?

The patient discussed throughout the case study presents with chronic fatigue, lower extremity weakness, impaired balance, lack of coordination and psychosocial characteristics. In turn, these symptoms combined have led to the patient experiencing an overall decreased quality of life. Interventions such as Tai Chi, moderate intensity aerobics, strength training and self management techniques were introduced to the patient upon initial assessment. Baseline scores for patients overall function, balance, coordination, depression and fatigue were obtained during the initial assessment using outcome measures. Outcome measures were then used to reassess patients progress over a 12 week treatment period. Outcome measures used throughout this case study include BERG, Lower Extremity Functional Scale (LEFS), Patient Health Questionnaire (PHQ-9) heel knee shin test, finger to nose test and Fatigue Severity Scale (FSS).

What is LEFS score?

The lower the score, the greater the disability. The patient scored 43/80 seen in the figure below .

Is rehabilitation HX a previous intervention?

Rehabilitation Hx: no previous physiotherapy intervention used for current symptoms

Do aerobic exercises help with MS?

Although there is a need for specific balance exercises in MS patients, there is evidence that suggests progressive aerobic and resistance exercises have positive effects on balance in patients who present with mild to moderate symptoms.

Is MS a relapsing disease?

It is an autoimmune disease with periods of exacerbation and remission. Types of MS include relapsing-remitting, acute progressive, chronic progressive attack-remitting, and benign. Symptoms vary from patient to patient. Common symptoms include fatigue, spasticity, swelling, and altered gait.

Is MT good for MS patients?

Conclusion: The results suggest that MT is effective in reducing fatigue and edema in a patient with MS. Future studies are needed to evaluate the correlation between mobility and massage.

How does physical therapy help with MS?from physio-pedia.com

The purpose of this fictional case study is to present the patients symptoms of MS (fatigue, balance and lower limb weakness) and their response to physical therapy treatment. Similar cases of moderate to severe MS presenting with fatigue and weakness have shown significant improvements through physical therapy treatment . In general, both strength and endurance training result in fatigue reduction; however, evidence is insufficient in specifying which training modality has the strongest effect . Although there is a need for specific balance exercises in MS patients, there is evidence that suggests progressive aerobic and resistance exercises have positive effects on balance in patients who present with mild to moderate symptoms.

How old is the patient with relapsing remitting multiple sclerosis?from physio-pedia.com

Patient is a 27 year-old caucasian female diagnosed with Relapsing Remitting Multiple Sclerosis that began two years ago. The patient is a current smoker and has a history of depression. The patient self referred herself to physiotherapy to help manage her weakness, coordination and fatigue. Additionally, the patient is looking to learn how to self manage her symptoms.

What is the role of OCT in MS?from journal.opted.org

The educator’s guide includes the information necessary for discussing the case. This teaching case report is appropriate for optometry students, residents and practicing optometrists. Optometrists serve a crucial role in co-managing patients with MS with and without a history of optic neuritis and can prevent permanent vision loss with prompt diagnosis and immediate referral for treatment. OCT of the RNFL is used routinely to detect and manage retinal and optic nerve disorders, but is also useful in the management of neurological conditions such as MS. This case report discusses the role of OCT in monitoring MS, which is relevant to the clinical training of optometry students and residents.

What is the name of the inflammation of the optic nerve that is typically monocular and presents with sudden vision loss and eye?from journal.opted.org

Optic neuritis is an acute inflammation of the optic nerve that is typically monocular and presents with sudden vision loss and eye pain

What is the most common form of MS?from physio-pedia.com

There are a few different classifications of MS based on occurrence of relapses or progression. The most common form is Relapsing Remitting Multiple Sclerosis (RRMS) whereby the patient will have new symptoms emerge or a worsening of past symptoms, followed by full, or near full recovery . The majority of RRMS cases eventually transition to a progressive form called Secondary Progressive Multiple Sclerosis (SPMS) . About 15% of MS cases are Primary Progressive (PPMS) where function continues to decline from onset .

What is the role of eye doctors in reducing the risk of permanent vision impairment associated with optic neuritis?from journal.opted.org

With prompt and appropriate detection, treatment and referral , eye physicians can play a significant role in reducing the risk of permanent vision impairment associated with optic neuritis

What are the symptoms of RRMS?from physio-pedia.com

The patient discussed throughout the case study presents with chronic fatigue, lower extremity weakness, impaired balance, lack of coordination and psychosocial characteristics. In turn, these symptoms combined have led to the patient experiencing an overall decreased quality of life. Interventions such as Tai Chi, moderate intensity aerobics, strength training and self management techniques were introduced to the patient upon initial assessment. Baseline scores for patients overall function, balance, coordination, depression and fatigue were obtained during the initial assessment using outcome measures. Outcome measures were then used to reassess patients progress over a 12 week treatment period. Outcome measures used throughout this case study include BERG, Lower Extremity Functional Scale (LEFS), Patient Health Questionnaire (PHQ-9) heel knee shin test, finger to nose test and Fatigue Severity Scale (FSS).

How does physical therapy help with MS?from physio-pedia.com

The purpose of this fictional case study is to present the patients symptoms of MS (fatigue, balance and lower limb weakness) and their response to physical therapy treatment. Similar cases of moderate to severe MS presenting with fatigue and weakness have shown significant improvements through physical therapy treatment . In general, both strength and endurance training result in fatigue reduction; however, evidence is insufficient in specifying which training modality has the strongest effect . Although there is a need for specific balance exercises in MS patients, there is evidence that suggests progressive aerobic and resistance exercises have positive effects on balance in patients who present with mild to moderate symptoms.

How old is the patient with relapsing remitting multiple sclerosis?from physio-pedia.com

Patient is a 27 year-old caucasian female diagnosed with Relapsing Remitting Multiple Sclerosis that began two years ago. The patient is a current smoker and has a history of depression. The patient self referred herself to physiotherapy to help manage her weakness, coordination and fatigue. Additionally, the patient is looking to learn how to self manage her symptoms.

What is the most common form of MS?from physio-pedia.com

There are a few different classifications of MS based on occurrence of relapses or progression. The most common form is Relapsing Remitting Multiple Sclerosis (RRMS) whereby the patient will have new symptoms emerge or a worsening of past symptoms, followed by full, or near full recovery . The majority of RRMS cases eventually transition to a progressive form called Secondary Progressive Multiple Sclerosis (SPMS) . About 15% of MS cases are Primary Progressive (PPMS) where function continues to decline from onset .

What are the symptoms of RRMS?from physio-pedia.com

The patient discussed throughout the case study presents with chronic fatigue, lower extremity weakness, impaired balance, lack of coordination and psychosocial characteristics. In turn, these symptoms combined have led to the patient experiencing an overall decreased quality of life. Interventions such as Tai Chi, moderate intensity aerobics, strength training and self management techniques were introduced to the patient upon initial assessment. Baseline scores for patients overall function, balance, coordination, depression and fatigue were obtained during the initial assessment using outcome measures. Outcome measures were then used to reassess patients progress over a 12 week treatment period. Outcome measures used throughout this case study include BERG, Lower Extremity Functional Scale (LEFS), Patient Health Questionnaire (PHQ-9) heel knee shin test, finger to nose test and Fatigue Severity Scale (FSS).

How long has Janet been diagnosed with a disease?from weber.edu

Janet has experienced periodic episodes of tingling in her extremities, dizziness, and even episodes of blindness. After 12 years, doctors have finally given her a diagnosis. Follow Janet through her journey and find out why her disease is so difficult to diagnose.

What is LEFS score?from physio-pedia.com

The lower the score, the greater the disability. The patient scored 43/80 seen in the figure below .

When is MS uncommon in children?from pubmed.ncbi.nlm.nih.gov

Introduction: Multiple sclerosis (MS) usually presents in young adults and is uncommon in children, especially when less than 10 years of age. Diagnosis is difficult in this age group, and we consider that Poser's diagnostic criteria should be used.

How to report side effects of prescription drugs?from humira.com

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

How to report a negative side effect of Humira?from humira.com

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. If you are having difficulty paying for your medicine, AbbVie may be able to help.

What is the most important information I should know about HUMIRA?from humira.com

HUMIRA is a TNF blocker medicine that can lower the ability of your immune system to fight infections. You should not start taking HUMIRA if you have any kind of infection unless your doctor says it is okay.

Is MS correlated with Humira?from crohnsforum.com

The correlation between MS and Humira is becoming noticeable lately, and with your 5 years experience it seems all was fine.

Can biologics cause disease?from crohnsforum.com

The biologics don’t cause the disease .

Does MRI show MS?from crohnsforum.com

The availability of magnetic resonance imaging (MRI) has led to an increase in the detection of abnormal brain findings even in cases when there are no outward symptoms. When these findings are similar to what is seen in patients with multiple sclerosis (MS), but the patient is not experiencing...

Does Humira have brain complications?from crohnsforum.com

thanks for your valuable input, however, My Neurologist confirms that Humira have strong link with brain complications and must be monitored closely !

Background

Lithium carbonate is most commonly used in the treatment of bipolar disorder. According to National Ambulatory Medical Care Survey (NAMCS), 17.6% of patients with bipolar disorder in the 2013- 2016 period were treated with lithium [ 1 ].

Discussion and conclusion

Nephrogenic diabetes insipidus is the most common adverse effect associated with lithium therapy and may occur in up to 40% of the patients [ 2 ]; however, development of nephrotic syndrome is rare.

Availability of data and materials

The data and patient medical information used during the current case report are available from the corresponding author upon reasonable request.

Rights and permissions

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author (s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.

Abstract

Introduction

Client Characteristics

Examination Findings

Clinical Impression

• Physiotherapy Diagnosis
  Patient was a previously active 27 year-old female diagnosed with Relapsing Remitting Multiple Sclerosis two years ago when she first started showing signs of the disease. Three months within that year, the patient experienced her first relapse of the disease which ultimately lead to chroni…
• Problem List
  1. Fatigue impacting overall quality of life 2. Lower limb weakness impairing functional mobility 3. Impaired coordination affecting activities of daily living 4. Current smoke (1 pack every 2 days)

See more on physio-pedia.com

Intervention

Outcomes

Discussion