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In areas where demylination is occurring, the individual will awaken feeling fine but will experience fatigue by afternoon and will have a restoration of energy after rest. New muscle groups experience fatigue as the disease progresses to involve new areas of demylination. |
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Due to the weakness in certain muscle groups and no involvement in others, there is an imbalance in the muscles working in opposition to each other resulting in incoordinated movement. This is usually first seen in walking, with difficulty in working the two legs together and poor foot placement. |
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This is an involuntary movement resulting from alternating contractions of opposing muscles when attempting a voluntary movement, i.e., when they intend to do a motor act, the tremor shows up in that part during that effor |
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As sclerotic plaques are formed in the central nervous system tissue, the impulses are blocked from traveling to the muscles resulting in paralysis of the muscles beyond that point. As time passes, SPASTICITY usually emerges in the involved muscles. |
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DECREASED OR ABSENT TACTILE SENSATIONS |
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The nervous system involvement may result in impairment of any or all of the tactile sensations = touch, pain, and temperature. |
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A feeling of spontaneous warmth, coldness, or burnin |
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Aching of muscles with no identifiable cause for the soreness |
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IMPAIRED PROPRIOCEPTION AND VIBRATORY SENSE |
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“joint position sense” and vibratory sense (tested with tuning fork on bone) both give us information about our body in the environment. Vibration probides another cue about what is around us. |
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usually one of the first signs/symptoms, presents with pain behind one eye with blurring of vision. This can be episodic. |
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Double vision due to an imbalance of the muscles of the eyes. |
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The visual field deficit can occur as any of the forms possible depending on the area of the brain involved |
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This is the constant involuntary cyclical (back and forth) movement of the eyes. In the normal individual, it is a normal orienting response used to regain orientation to the world after spinning. It normally has a set excursion of movement and a set length of time. This is exaggerated in MS. |
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Slurring of words due to muscular incoordination, weakness, and paralysis of the structures contributing to the formation of speech. |
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BOWEL AND BLADDER DYSFUNCTION |
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It is an exaggerated sense of well being due to the brain involvement. |
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These may be related to the manner in which the individual is dealing with the disease in the early stages or they may be due to brain changes as the disease progresses. |
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This is particularly evident in the early stages as the person realizes they have a chronic progressive disease with no known cause and no known cure.- If cognitive problems do not appear, depression may persist. Think about what is going on in the life of a young adult that will be interfered with |
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Definition
This is particularly evident in the early stages as the person realizes they have a chronic progressive disease with no known cause and no known cure.- If cognitive problems do not appear, depression may persist. Think about what is going on in the life of a young adult that will be interfered with |
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