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Fatigue and MS

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https://www.readbyqxmd.com/read/27911284/different-types-of-exercise-in-multiple-sclerosis-aerobic-exercise-or-pilates-a-single-blind-clinical-study
#1
Bilge Kara, Fadime Küçük, Esra Coşkuner Poyraz, Melda Soysal Tomruk, Egemen İdıman
BACKROUND: The aim of our study is to examine effects of aerobic and Pilates exercises on disability, cognition, physical performance, balance, depression and fatigue in relapsing-remitting Multiple Sclerosis (MS) patients as compared to healthy controls. METHODS: The subjects were divided as aerobic exercise (n = 26), Pilates (n = 9), and the healthy control group (n = 21). We used MSFC, physical performance, Berg balance scale, Beck depression scale, fatique impact scale...
November 25, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27908883/association-between-cognitive-complaints-and-vulnerability-to-environmental-distraction-in-multiple-sclerosis
#2
John J Randolph, Jennifer S Randolph, Heather A Wishart
OBJECTIVE: Individuals with multiple sclerosis (MS) often report cognitive dysfunction, although neuropsychological evaluation findings may not correlate with subjective concerns. One factor that may explain this lack of correspondence is the controlled testing environment, which differs from busier settings where cognitive lapses are noted to occur. This study used a novel environmental manipulation to determine whether individuals with MS who report cognitive dysfunction are more vulnerable to the effects of auditory distraction during neuropsychological testing...
December 1, 2016: Archives of Clinical Neuropsychology: the Official Journal of the National Academy of Neuropsychologists
https://www.readbyqxmd.com/read/27904656/the-berlin-treatment-algorithm-recommendations-for-tailored-innovative-therapeutic-strategies-for-multiple-sclerosis-related-fatigue
#3
REVIEW
Christian Veauthier, Helge Hasselmann, Stefan M Gold, Friedemann Paul
More than 80% of multiple sclerosis (MS) patients suffer from fatigue. Despite this, there are few therapeutic options and evidence-based pharmacological treatments are lacking. The associated societal burden is substantial (MS fatigue is a major reason for part-time employment or early retirement), and at least one out of four MS patients view fatigue as the most burdensome symptom of their disease. The mechanisms underlying MS-related fatigue are poorly understood, and objective criteria for distinguishing and evaluating levels of fatigue and tiredness have not yet been developed...
2016: EPMA Journal
https://www.readbyqxmd.com/read/27903936/operationalising-cognitive-fatigability-in-multiple-sclerosis-a-gordian-knot-that-can-be-cut
#4
Anthony Mark Harrison, Roshan das Nair, Rona Moss-Morris
BACKGROUND: Researchers have attempted to operationalise objective measures of cognitive fatigability in multiple sclerosis (MS) to overcome the perceived subjectivity of patient-reported outcomes of fatigue (PROs). Measures of cognitive fatigability examine decrements in performance during sustained neurocognitive tasks. OBJECTIVE: This personal viewpoint briefly summarises available evidence for measures of cognitive fatigability in MS and considers their overall utility...
November 30, 2016: Multiple Sclerosis: Clinical and Laboratory Research
https://www.readbyqxmd.com/read/27903328/cognitive-and-behavioral-functioning-in-childhood-acquired-demyelinating-syndromes
#5
Christine Till, Austin Noguera, Leonard H Verhey, Julia O'Mahony, E Ann Yeh, Jean K Mah, Katia J Sinopoli, Brian L Brooks, Berengere Aubert-Broche, D Louis Collins, Sridar Narayanan, Douglas L Arnold, Brenda L Banwell
OBJECTIVES: The aim of this study was to describe cognitive, academic, and psychosocial outcomes after an incident demyelinating event (acquired demyelinating syndromes, ADS) in childhood and to investigate the contribution of brain lesions and confirmed MS diagnosis on outcome. METHODS: Thirty-six patients with ADS (mean age=12.2 years, SD=2.7, range: 7-16 years) underwent brain MRI scans at presentation and at 6-months follow-up. T2-weighted lesions on MRI were assessed using a binary classification...
November 2016: Journal of the International Neuropsychological Society: JINS
https://www.readbyqxmd.com/read/27900800/effects-of-partial-sleep-deprivation-on-reaction-time-in-anesthesiologists
#6
Haleh Saadat, Bruno Bissonnette, Dmitry Tumin, Vidya Raman, Julie Rice, N'Diris Barry, Joseph Tobias
BACKGROUND: Fatigue in anesthesiologists may have implications that extend beyond individual well-being. AIM: The aim of the present study was to evaluate the impact of sleep deprivation on the reaction time in anesthesiologists either after an overnight call or regular working hours. Moderation of this effect by coping strategies was observed. METHODS: Psychomotor vigilance test was used to assess reaction time in 23 anesthesiologists at two time-points: (i) on a regular non-call day and (ii) after a 17-h in-house call...
November 30, 2016: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/27881065/lipids-at-the-cross-road-of-autoimmunity-in-multiple-sclerosis
#7
Marcella Reale, Silvia Sánchez-Ramón
Multiple sclerosis (MS) is a chronic autoimmune disease that affects the central nervous system (CNS) characterized by demyelination and neurodegeneration, driven by a Th17/Th1-immune response, which afflicts mainly young women. Although MS causes are not completely known, it is notorious that the disease is characterized by an extended focal degradation of the myelin sheath, with ulterior axon and neuronal damage. Lipid molecules play a main dual role in MS, both as target molecules of myelin destruction and as mediators of inflammation...
November 22, 2016: Current Medicinal Chemistry
https://www.readbyqxmd.com/read/27874495/evolution-of-multiple-sclerosis-spasticity-associated-symptoms-latest-data
#8
Peter Flachenecker
In addition to muscle stiffness and increasing mobility restrictions, symptoms commonly associated with multiple sclerosis (MS) spasticity are spasms, sleep disturbances, pain, fatigue and bladder dysfunction. Treatment options include trigger factor avoidance, physiotherapy and antispasticity medication. Oral antispasticity agents commonly used in Germany are baclofen, tizanidine and gabapentin, but physician and patient satisfaction with their effectiveness is low. Over the past few years, randomized controlled trials, observational studies and registry data have demonstrated the positive risk:benefit profile of add-on 9-delta-tetra-hydrocannabinol:cannabidiol oromucosal spray for moderate-to-severe resistant MS spasticity...
December 2016: Neurodegenerative Disease Management
https://www.readbyqxmd.com/read/27863602/effect-of-fordyce-happiness-model-on-depression-stress-anxiety-and%C3%A2-fatigue-in-patients-with-multiple-sclerosis
#9
Fereydoon Khayeri, Leili Rabiei, Abbas Shamsalinia, Reza Masoudi
PURPOSE: This study was conducted to investigate the effect of Fordyce Happiness Model (FHM) on depression, stress, anxiety, and fatigue in MS patients. METHODS: In this clinical trial, 140 MS patients assigned to experimental and control groups. Depression, anxiety, stress, and fatigue were measured by Depression Anxiety Stress Scale-21 and Piper Standard Scale before and immediately and three months after the implementation of FHM. The data were analyzed by SPSS 18...
November 2016: Complementary Therapies in Clinical Practice
https://www.readbyqxmd.com/read/27858153/changes-in-the-electromechanical-delay-components-during-a-fatiguing-stimulation-in-human-skeletal-muscle-an-emg-mmg-and-force-combined-approach
#10
Emiliano Cè, Susanna Rampichini, Elena Monti, Massimo Venturelli, Eloisa Limonta, Fabio Esposito
PURPOSE: Peripheral fatigue involves electrochemical and mechanical mechanisms. An electromyographic, mechanomyographic and force combined approach may permit a kinetic evaluation of the changes at the synaptic, skeletal muscle fiber, and muscle-tendon unit level during a fatiguing stimulation. METHODS: Surface electromyogram, mechanomyogram, force and stimulation current were detected from the gastrocnemius medialis muscle in twenty male participants during a fatiguing stimulation (twelve blocks of 35 Hz stimulations, duty cycle 9 s on/1 s off, duration 120 s)...
November 17, 2016: European Journal of Applied Physiology
https://www.readbyqxmd.com/read/27823835/sleep-and-fatigue-in-multiple-sclerosis-a-questionnaire-based-cross-sectional-cohort-study
#11
Viviana Nociti, Francesco Antonio Losavio, Valentina Gnoni, Anna Losurdo, Elisa Testani, Catello Vollono, Giovanni Frisullo, Valerio Brunetti, Massimiliano Mirabella, Giacomo Della Marca
INTRODUCTION: Fatigue and sleep disorders are frequently reported in patients affected by Multiple Sclerosis (MS) but the causes and the relationship are not yet fully understood. This study aimed at evaluating their prevalence, at determining the relationships between clinical findings of MS and the occurrence of sleep disorders and at investigating the relations between sleep disorders and fatigue. METHODS: One hundred and two MS patients were enrolled in the study...
October 27, 2016: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/27822290/dietary-selenium-augments-sarcoplasmic-calcium-release-and-mechanical-performance-in-mice
#12
Dóra Bodnár, Olga Ruzsnavszky, Tamás Oláh, Beatrix Dienes, Ildikó Balatoni, Éva Ungvári, Ilona Benkő, Beáta Babka, József Prokisch, László Csernoch, Péter Szentesi
BACKGROUND: As an essential trace element selenium plays a significant role in many physiological functions of the organs. It is found within muscles as selenocystein in selenoprotein N, which is involved in redox-modulated calcium homeostasis and in protection against oxidative stress. METHODS: The effects of two different selenium compounds (selenate and NanoSe in 0.5 and 5 ppm concentration for two weeks) on muscle properties of mice were examined by measuring in vivo muscle performance, in vitro force in soleus (SOL) and extensor digitorum longus (EDL) muscles and changes in intracellular Ca(2+) concentration in single fibers from flexor digitorum brevis (FDB) muscle...
2016: Nutrition & Metabolism
https://www.readbyqxmd.com/read/27814947/symptom-variability-affect-and-physical-activity-in-ambulatory-persons-with-multiple-sclerosis-understanding-patterns-and-time-bound-relationships
#13
Susan L Kasser, Amanda Goldstein, Phillip K Wood, Jeremy Sibold
BACKGROUND: Individuals with multiple sclerosis (MS) experience a clinical course that is highly variable with daily fluctuations in symptoms significantly affecting functional ability and quality of life. Yet, understanding how MS symptoms co-vary and associate with physical and psychological health is unclear. OBJECTIVE: The purpose of the study was to explore variability patterns and time-bound relationships across symptoms, affect, and physical activity in individuals with MS...
October 17, 2016: Disability and Health Journal
https://www.readbyqxmd.com/read/27814701/sexual-function-in-multiple-sclerosis-and-associations-with-demographic-disease-and-lifestyle-characteristics-an-international-cross-sectional-study
#14
Claudia H Marck, Pia L Jelinek, Tracey J Weiland, Jane S Hocking, Alysha M De Livera, Keryn L Taylor, Sandra L Neate, Naresh G Pereira, George A Jelinek
BACKGROUND: Sexual dysfunction (SD) is very common in people with multiple sclerosis (PwMS) and contributes a significant burden of disease, particularly for young people. SD has direct neurological contributions from depression and fatigue, which occur commonly in PwMS. Modifiable factors may represent potential targets for treatment and prevention of SD. We aimed to assess the prevalence of SD and explore associations between SD and demographic and modifiable risk factors, as well as depression and fatigue in a large cohort of PwMS...
November 4, 2016: BMC Neurology
https://www.readbyqxmd.com/read/27806483/the-effectiveness-of-dohsa-psycho-motor-rehabilitation-method-on-fatigue-severity-sleep-quality-and-resilience-promotion-of-patients-with-multiple-sclerosis-ms
#15
Azam Azari, Hamid Kazemi-Zahrani, Masoumeh Mohammadi Khashouei
Because of multiple psychological-physical symptoms and failure to accept the reality, multiple sclerosis (MS), patients are suffering from negative mood disorders and fatigue which affects their life quality negatively. Therefore this study has been conducted to determine the effect of Dohsa Psycho-Motor Rehabilitation Method on fatigue severity, sleep quality, and Resilience promotion of Patients with Multiple Sclerosis in Isfahan, Iran. A quasi-experimental study with pre-test, post-test and follow up was administered on both the experimental and control groups...
July 5, 2016: Global Journal of Health Science
https://www.readbyqxmd.com/read/27803640/a-qualitative-study-of-multiple-health-behaviors-in-adults-with-multiple-sclerosis
#16
Matthew A Plow, Meghan Golding
Background: Evidence regarding inflammatory pathways, elevated cardiovascular risk, and negative effects of secondary conditions on disability progression provide a strong rationale for promoting multiple health behaviors in adults with multiple sclerosis (MS). However, many unanswered questions remain about the best ways to design multiple behavior change interventions for adults with MS. We sought to identify facilitators and barriers to engaging in multiple health behaviors (physical activity, nutrition, and sleep) and to gain further insights into how to develop multiple health behavior change interventions based on preferences of adults with MS...
September 2016: International Journal of MS Care
https://www.readbyqxmd.com/read/27803637/exercise-training-in-progressive-multiple-sclerosis-a-comparison-of-recumbent-stepping-and-body-weight-supported-treadmill-training
#17
Lara A Pilutti, John E Paulseth, Carin Dove, Shucui Jiang, Michel P Rathbone, Audrey L Hicks
Background: There is evidence of the benefits of exercise training in multiple sclerosis (MS); however, few studies have been conducted in individuals with progressive MS and severe mobility impairment. A potential exercise rehabilitation approach is total-body recumbent stepper training (TBRST). We evaluated the safety and participant-reported experience of TBRST in people with progressive MS and compared the efficacy of TBRST with that of body weight-supported treadmill training (BWSTT) on outcomes of function, fatigue, and health-related quality of life (HRQOL)...
September 2016: International Journal of MS Care
https://www.readbyqxmd.com/read/27796033/baseline-predictors-of-persistence-to-first-disease-modifying-treatment-in-multiple-sclerosis
#18
U K Zettl, H Schreiber, U Bauer-Steinhusen, T Glaser, K Hechenbichler, M Hecker
OBJECTIVES: Patients with multiple sclerosis (MS) require lifelong therapy. However, success of disease-modifying therapies is dependent on patients' persistence and adherence to treatment schedules. In the setting of a large multicenter observational study, we aimed at assessing multiple parameters for their predictive power with respect to discontinuation of therapy. MATERIALS AND METHODS: We analyzed 13 parameters to predict discontinuation of interferon beta-1b treatment during a 2-year follow-up period based on data from 395 patients with MS who were treatment-naïve at study onset...
October 30, 2016: Acta Neurologica Scandinavica
https://www.readbyqxmd.com/read/27791389/the-montreal-cognitive-assessment-moca-as-a-screening-test-for-cognitive-dysfunction-in-multiple-sclerosis
#19
Sandra Freitas, Sónia Batista, Ana Cristina Afonso, Mário R Simões, Lívia de Sousa, Luís Cunha, Isabel Santana
This study investigates the utility of the Portuguese version of Montreal Cognitive Assessment (MoCA) as a screening-method for identifying cognitive dysfunction (CD) in multiple sclerosis (MS). The 118 participants with comprehensive neuropsychological assessment were divided into two subgroups: (I) MS group (n = 59) and (II) control group (n = 59). The MS patients were classified as cognitively intact (n = 26) or impaired (n = 33, 56%). The results indicated that the MoCA is a psychometrically valid instrument in assessment of MS patients...
October 28, 2016: Applied Neuropsychology. Adult
https://www.readbyqxmd.com/read/27789238/resilience-mediates-the-longitudinal-relationships-between-social-support-and-mental-health-outcomes-in-multiple-sclerosis
#20
Emily Koelmel, Abbey J Hughes, Kevin N Alschuler, Dawn M Ehde
OBJECTIVE: To investigate the longitudinal relationships between social support and subsequent mental health outcomes in individuals with multiple sclerosis (MS); and to examine resilience as a mediator between social support and subsequent mental health outcomes in this population. DESIGN: Observational, longitudinal cohort study. Participants were assessed at four time points over 12 months in the context of a previously-reported randomized controlled trial. SETTING: Telephone-based measures administered to community-based participants across the United States...
October 24, 2016: Archives of Physical Medicine and Rehabilitation
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