Recognizing the positive benefactors of both warm water aquatic therapy and cold water aquatic therapy, I want to find which type of therapy most positively changes the heath related quality of life for MS patients. A balance between the positive effects of warm and cold water while integrating the fatigue factor of MS patients needs to be found so that the patients and families that are affected by this disease can find pleasure in their everyday lives. Many studies have been completed to show that aquatic therapy has been found to help MS patients in relation to land therapy because it offers them less strain on their bodies, keeps a cooling mechanism for their heat sensitivity, and supports their weaker muscles. I want to compare hot aquatic therapy and cold aquatic therapy directly, which was a needed area of further research in all previous experiments, …show more content…
Randomization of group and therapist will allow for unbiased results as well as a more uniform therapy program. Therapy will however pend on the patients capabilities, so the regimen may vary in repetitions or sets depending on the fatigue rate of each individual patient. The regimen will consist of three one hour sessions per week for a total of sixteen weeks. Patients will be tested for joint mobility, flexibility, and fatigue 1 week prior to the first therapy session and additionally every 2 weeks during the therapy regimen. Testing will continue for 6 weeks after the program in order to determine the duration of the results. Relapses can be common in MS patients, so if a relapse in a patient occurs during the 16 week period, or following 6 weeks of measurements, patients need to be traced in order to determine the results of how quickly they
This treatment involves one large group session, two small group sessions, three consultations, a theatre evening and an optional common activity at the start of the day (Jongen et al., 2016). Twelve months after the Can Do treatment was given to patients with RRMS and their support partners their self-efficacy, physical health-related quality of life had increased significantly (Jongen et al., 2016). Those patients also saw a significant reduction in depression and anxiety (Jongen et al., 2016). The Can Do treatment was given to patients with progressive MS and their support partners and no changes were found after twelve months (Jongen et al., 2016).
My patient was very active and attended the YMCA five days a week. I helped adjust her activities to balance her workout between circuit training, Yoga, and aquatic classes. It is incredibly important for an MS patient to get exercise to improve endurance and maintain or improve physical function. Setting a schedule to break apart similar activities helps to prevent fatigue and MS exacerbation. I also educated her on proper posture, proper set up and machine use, as well as proper form when completing free weight exercises. In addition, I educated the patient on proper stretching and treatment for her inflamed and overused
The ideal length of the treatment would be twelve weeks with weekly sessions lasting two to three hours depending on group size. Ideally the group would be coed with members that are 18 or older and at least six
In clinical practice, health care services are being delivered to patients with multiple sclerosis by reducing disease activity, managing symptoms, and maintaining quality of life (Halper & Harris, 2012). However, the domains of MS nursing and health insurance case management includes more than clinical practice. Equally important to clinical nursing practice domain in MS are the advocacy, education, and research domains (Halper & Harris, 2012).
MS is a disease that involves that demyelination of the neuromuscular system (cite). This autoimmune disease is characterized by extreme fatigue and limited mobility; this in turn affects his or her balance. In this study done by Dr. Jeffrey Herbert and company, thirty-eight subjects underwent a fourteen-week single-blinded, randomized controlled trial aimed to combat vestibular deficiency using a VR program and exercise protocol for endurance training. The subjects were then randomly allocated into three separate groups: experimental intervention (12), exercise intervention (13), and control (13). Additionally, the following weeks were organized into three phases: 1. Measuring the patient’s baselines (Week 1-4) 2. Performing the interventions in a human performance laboratory (Week 5-10) and 3. Measuring the outcomes (Week 11-14). The experimental group worked on a VR program that has clinical and literature based evidence that includes upright postural control and eye movement exercises (cite). A firm surface, foam cushion, and tiltboard were all used to change the base of support (BOS) during upright postural control, in addition, the investigators also challenged the subjects by closing/opening their eyes, tossing objects for them to catch, and changing their feet placement (shoulder width, heels together, partial heel to toe, and tandem). The eye movement exercises for the protocol
This study investigated the benefits of an exercise program for MS patients. Data for heart rate, fatigue, and quality of life were collected at the start, and after 3-months and 6-months. The changes were compared using the
Before treatment is possible, it’s important to get a proper diagnosis from a doctor. When symptoms fit the criteria for MS and neurological exams and MRI results show the abnormalities, a proper diagnosis can be formed. Nutritional therapy is very important for the patient as it gives the patient a low fat diet to follow to help slow down any progression of the disease. Any type of exercise is beneficial for MS patients, as well as movement therapy. For patients that are too weak for exercise, other options such as yoga or water aerobics would be helpful. Aromatherapy would also be very beneficial where the patient’s body can be massaged with essential oils to treat affected areas. It’s important for the patients to do research on the type of treatment that they would prefer to help become more confortable (Tran, 2014). As well as exercise, it’s important to change your diet in correlation with new medications that the patient would be receiving. Medications such as Avonex has been seen to help limit the progress of an disabilities from episodes, Betaseron also helped some patients with reducing the number and severity of relapses (Tran, 2014). All drugs are administered by injection, and also have significant side effects, which is why it is important to do research to figure out which is best for
The effects of 10-week core stability training on balance in female with Multiple Sclerosis with emphasis on Expanded Disability Status Scale: A Single Blinded Randomized Controlled Trial Study
The sample sizes would be large, in order to represent the large population of individuals in the United States that are affected by MS. The controls would be used as a comparison as well as to ensure no bias in data collection. The criteria for choosing MS patients would be individuals ranging from 20 to 60 years of age, having sufficient documentation of being diagnosed with MS, and having no documentation or suspicion of having any other inflammatory disease of the CNS. The criteria for choosing the control samples would be individuals ranging from 20 to 60 years of age, having no documentation of or suspicion of having any inflammatory diseases of the CNS, and having no documentation of or suspicion of having infections of the GI tract within the last 10 years. The age restraint was chosen based on the fact that development of MS begins between 20 to 40 years of age.
The results suggest that the journey had a positive impact on bodily experience and the identity of the patients with MS. Despite the modern technologies for physical rehabilitation, there are a few agents to improve psychosocial status. This journey was not meant to be a therapy, but was more of a project to promote exercise. After studying the results, we can suggest that a journey like this can be a therapy on the psychosocial domain. Participating in a challenging hike, can be physically or emotionally difficult for the patient with MS. To complete this kind of journey in a peer-group, can positively affect the motivation of the participants and can also improve their interactions. The journey itself improved the bodily experience and thereby having MS becomes normal instead of being a patient with MS. Hereby, the participants gain back control over their own lives. Hiking in unfamiliar surroundings, far away from all the modern
Disrupted nerve signals cause the symptoms of MS, which vary from one person to another and over time for any given individual, depending on where the damage occurs. Heat or humidity can make patients with MS experiences temporary worsening of their symptoms. This is because the heat cause the nerves, (whose myelin covering has been destroyed from MS) to conduct electrical signals even less efficiently. By decreasing the temperature, the duration of the action potential is increased and therefore the electrical signal will be sent more faster and unlikely to be interrupted along the axon. Therefore, decreasing body temperature would decrease the severity of the symptoms of MS, helping the patient to function more
Multiple Sclerosis (MS) is a common neurological disorder and the most common non-traumatic causes of disability in young adults (WHO, 2008). MS is a debilitating disease of the central nervous system affecting 400,000 Americans, reaching 2.5 million individuals globally, with 200 new cases diagnosed every week. (Tullman, 2013). The prevalence of MS is third highest in the Americas, with the greatest number of afflicted individuals in Europe (WHO, 2008). The WHO also suggests that MS rates increase in countries with high income compared with their low income counterparts (2008). Worldwide, the mean age of disease onset is 29.2 years, with 2 women affected for every 1 man (WHO, 2008). Clinical presentation of MS usually begins with muscle
Recovery after exercise is crucial, whether it may be competitive athletics or amateur sports. The way in which a person recovers can affect how a person feels by reducing the negative post-exercise effects such as muscle soreness/stiffness and general muscle fatigue. Cold water immersion will be the first recovery modality reviewed. This method seems to be the most widely used recovery tool within athletics. A review of other recovery methods such as contrast water immersion stretching, self-myofascial release, and massage will be completed to show as comparison to cold water immersion.
However, those treatments differ based on MS patients needs. There are two main types of treatments, signs and symptoms treatments and modifying progression treatments. The first type, signs and symptoms treatment is also divided to two types, physical therapy and drugs. Furthermore, the physical therapy helps the affected patients learn how to live with MS disease. For example, the physical therapist will give a MS patient with muscle stiffness some exercises to strengthening and stretching the muscles, however, these exercises have to be associated with the muscles relaxation drugs, so the symptoms can be effectively controlled. Furthermore, MS medications can be used to reduce the symptoms or modify, limit the progression of it. The medications depend mainly on the symptoms and how severe they are. These medications include fatigue reducers, nerve inflammation reducer (Corticosteroids), and plasma exchange which are used when the symptoms are severe and do not respond to steroids. However, sometimes the patient has mild symptoms, so they will not need these
The new discoveries, quality improvements, and evidence-based care that has changed the course of multiple sclerosis diagnosis, treatment, and care since Jean Martin Charcot and Florence Nightingale’s time is encouraging and exciting for those that live with the disease. New technologies and critical milestones abound. For example, in 1981 the first MRI pictures of a brain affected by MS was produced ("Research News and Progress," 2016). Also, magnetic resonance imaging (MRI) has been instrumental in allowing more precise diagnosis and important biomarkers for determining the effect of treatments from clinical trials (Koutsouraki & Michmizos, 2014). These remarkable advances in