Validation of the serbian version of multiple sclerosis. Spasticity in multiple sclerosis can range from mild stiffness to painful and severe muscle spasms or sudden contractions that are beyond a persons control and can cause limbs to jerk. Spasticity is most commonly defined as an inappropriate, velocity dependent. Spasticity is one of the most common symptoms of multiple sclerosis ms. Tardieu scalemodified tardieu scale rehabmeasures database. Psychometric properties of the symptomscreen questionnaire.
Aug 06, 2019 mary ellen ciganovich has gotten very familiar with muscle spasticity in her more than 30 years of living with multiple sclerosis ms. We recruited participants from a regional multiple sclerosis clinic and by referral from specialists. But severe spasticity can interfere with your quality of life. Spasticity is a common and poorly controlled symptom of multiple sclerosis. Spasticity in multiple sclerosis multiple sclerosis news. Spasticity scales may be insufficient to reflect the actual benefits of sativex nabiximols treatment on spasticity symptoms in people with multiple sclerosis ms, according to a small case.
This study aimed to assess intrarater reliability of the mts in the assessment of lower limb spasticity in patients with ms. Pdf background in multiple sclerosis ms, the impact of spasticity on the patients life is a key issue, and it is fundamental that existing tools. A manual muscle test may assist in determining whether. Getting the measure of spasticity in multiple sclerosis. Muscle tone and spasticity multiple sclerosis medhelp. We recruited participants from a regional clinic or by referral from specialists. Recently, the multiple sclerosis spasticity scale msss88 has been. Jun 14, 2018 many people with multiple sclerosis have stiff muscles and spasms, a condition called spasticity. Find out more about spasticity and spasms, and new treatment strategies in this az entry. Results the range of cronbachs alpha for all scales and icc was. Specific symptoms can include double vision, blindness in one. Our eligibility criteria were spasticity and at least moderate increase in tone score. Although spasticity can occur in any limb, it is much more common in the legs.
Symptoms relating to spasticity are common in multiple sclerosis ms and can be difficult to treat. It also contributes to limited mobility and impaired sleep. It has the potential to advance outcomes measurement in clinical trials and clinical practice, and provides a new perspective in the clinical evaluation of spasticity. Participants were allowed to continue other treatments for spasticity, with the exception of benzodiazepines, if they. It has the potential to advance outcomes measurement in clinical trials and clinical practice. Although less common, some individuals may experience spasticity in their back. In both scales, the end points used were the same with 0 no problem from spasticity and 10 the worst problem i can imagine. Symptomatic treatment of spasticity in multiple sclerosis. Validation of the serbian version of multiple sclerosis spasticity. There is a strong association between spasticity and fatigue, depression, anxiety, pain and bladder problems. Qol 54 281 286 x x multiple sclerosis quality of life inventory 287 292 x x x multiple sclerosis spasticity scale msss 88 293 297 x x x neuropathic pain scale 298 303 x. Multiple sclerosis ms is an inflammatory disease where many of the patients suffer from spasticity impacting their qualityoflife.
The objective of this study was to validate msss88 and evaluate the psychometric properties in patients with ms in serbia. Because of this, multiple sclerosis lesions are sometimes said to be disseminated in. Ms spasticity is associated with other msrelated symptoms, having a severe impact on patients quality of life 2. Spasticity can range from relatively mild to quite severe, and treatment is approached in a stepwise fashion rehabilitative pt. In fact, 80% of people with ms develop some stiffness, or what doctors call spasticity.
Multiple sclerosis ms is an autoimmune disease of the central nervous system cns characterized by chronic inflammation, demyelination, gliosis, and neuronal loss. The scale is set up so that a higher score indicates greater problems with sexual satisfaction. The most recent versions of the scale use the following criteria. Spasticity is a symptom of multiple sclerosis where the muscles feel stiff, heavy and difficult to move. The influence of physiotherapy intervention on patients. May 23, 2008 the sexual satisfaction scale is a 4item scale developed to assess the impact of multiple sclerosis on sexual function and satisfaction.
Objective multiple sclerosis spasticity scale msss88 has been developed for selfassessment of spasticity symptoms in patients with multiple sclerosis ms. Spasticity is a very frequent symptom in patients with multiple sclerosis ms and may appear at some point in up to 85% of all patients. Spasticity affects 6084% of people with ms, worsening as disability worsens and impacting activity, participation, and quality of life. Data from 30 patients with ms 18 women, mean age 41. This msrelated spasticity can range from mild to very severe. If you have multiple sclerosis ms, one common symptom you may experience is stiffness. All muscles cause some movement when they contract. Multiple sclerosis and spasticity cme friday, april 6, 2018 7. The holistic health and spirituality teacher tries to engage. Spasticity scales may not tell all about sativex benefits in. Intrarater reliability of the modified tardieu scale in.
Smoked cannabis for spasticity in multiple sclerosis. Spasticity can range from relatively mild to quite severe, and treatment is approached in a stepwise fashion. Spasticity may also produce feelings of pain or tightness in and around joints, and can cause low back pain. Placebo effects in a multiple sclerosis spasticity. Our objective was to determine the shortterm effect of smoked cannabis on this symptom. The first and best known scale for measuring the degree of spasticity was the ashworth scale, first developed in 1964 for use in a multiple sclerosis therapeutic trial. Msrelated spasticity can occur with active movement or be present at rest. This damage disrupts the ability of parts of the nervous system to transmit signals, resulting in a range of signs and symptoms, including physical, mental, and sometimes psychiatric problems. Objective multiple sclerosis spasticity scale msss88 has been developed. Ms spasticity is associated with other msrelated symptoms, having a severe impact on patients quality of life.
Because spasticity varies so much from person to person, it must be treated on an individual basis and demands a true partnership between the person with ms and his or her healthcare team e. Cold weather is one of the most common precipitating factors for worsening spasticity. The last section, which contains several new chapters, discusses evaluation of outcomes and management of patients with stroke, traumatic brain injury, spinal cord injuries, multiple sclerosis, cerebral palsy, and cancer, followed by chapters on spasticity management in longterm care facilities and economic considerations. Pdf evaluation of the multiple sclerosis spasticity. Pdf the 88item multiple sclerosis spasticity scale. Management of spasticity in multiple sclerosis ms ms alumni. Multiple sclerosis spasticity scale msss88 has been developed for selfassessment of spasticity symptoms in patients with multiple sclerosis ms. Spasticity and muscle tightness is commonly treated with medications, physical and occupational therapy. Correlations with other measures were consistent with predictions.
Clinical management of spasticity journal of neurology. The as assesses the effects of antispasticity drugs on spasticity in multiple sclerosis. For example, if your leg muscles are so weak that its hard to walk, a little spasticity may be helpful. Managing multiple sclerosis spasticity healthgrades. Methods the study comprised 65 ms patients with spasticity. Dec 17, 20 multiple sclerosis is a disease that causes disruption of neuronal signals due to demyelination of neuronal axons, and spasticity may result from an imbalance in neural signaling. Mary ellen ciganovich has gotten very familiar with muscle spasticity in her more than 30 years of living with multiple sclerosis ms. We conducted a placebocontrolled, crossover trial involving adult patients with multiple sclerosis and spasticity. Jul 10, 2012 spasticity is a common and poorly controlled symptom of multiple sclerosis. The course may be relapsingremitting or progressive in nature.
Qol 54 281 286 x x multiple sclerosis quality of life inventory 287 292 x x x multiple sclerosis spasticity scale msss 88 293 297 x. Recently, the scales that can be applied on patients with ms have been developed. Spasticity is a distressing and disabling symptom that many people with multiple sclerosis face daily because there is inadequate treatment. Modified ashworth scale for physical therapyspasticity evaluation. Tardieu is a scale for measuring spasticity that takes into account resistance to passive movement at both slow and fast speed. The purpose of this paper was to linguistically validate and psychometrically test the multiple sclerosis spasticity scale msss88 in german speaking ms patients. Not just a knot in the muscles lisa emrich patient advocate june 3, 2011 the topic of spasticity has been on my mind since ive been experiencing it more lately.
Spasticity affects up to 85% of patients with multiple sclerosis. In any coordinated movement, some muscles relax while others contract. It was generated through a series of two postal surveys, facetoface interviews with people with ms, and focus groups of ms specialists, patients, and other health professionals involved in the care of this treatment population. Ashworth scale modified ashworth scale rehabmeasures. Spasticity, which consists in an increase in muscular tone, is one of the most frequent symptoms associated with multiple sclerosis ms, occurring in up to 80% of ms patients to some degree. Ashworth scale modified ashworth scale rehabmeasures database. Spasticity, mobility problems and multiple sclerosis. The sexual satisfaction scale is a 4item scale developed to assess the impact of multiple sclerosis on sexual function and satisfaction. We have investigated the efficacy, safety and tolerability of a standardized oromucosal whole plant cannabis. Oral cannabinoids for spasticity in multiple sclerosis. Evaluation of the multiple sclerosis spasticity scale 88. A further problemparticularly in children with spasticity, which is often secondary to cerebral palsyis the failure of normal muscle growth, resulting in torsion of long bones and consequent joint instability and degeneration.
Symptoms range from moderate to very severe in 40% of the cases. Introduction upper motor neuron umn syndrome occurs in multiple sclerosis ms, stroke, spinal cord injuries, and cerebral palsy and can cause spasticity, which is common, complex, and disabling in many patients with these conditions. Ms practice spasticity and multiple sclerosis ms 01 contents page 1. Possible goals of treatment are improving movement and functions, reducing functionally impairing malposition, improving mobility and independence, reducing spasticity related pain and painful spasms, avoiding longterm complications i.
Multiple sclerosis ms is a demyelinating disease in which the insulating covers of nerve cells in the brain and spinal cord are damaged. Management of spasticity in multiple sclerosis ms ms. Clinical experiences with cannabinoids in spasticity. These are all muscles that help people to stand and balance in an upright position. The word spasticity refers to involuntary muscle stiffness or spasms sudden muscle contractions.
Lesions in the cns occur at different times and in different cns locations. Muscle tone and spasticity muscles are capable of complete relaxation and of great contraction. The 88item multiple sclerosis spasticity scale msss88 is a reliable and. The mas measures spasticity in patients with lesions of the central nervous system. Pdf evaluation of the multiple sclerosis spasticity scale 88. Spasticity manifests in many ways, including spasms, resistance to passive stretch, pain, and perception of. The last 10 years has witnessed a dramatic increase in the diversity of available therapies for the management of ms. May 26, 2016 the as assesses the effects of antispasticity drugs on spasticity in multiple sclerosis. Spasticity manifests in many ways, including spasms, resistance to passive stretch, pain, and. This item pool was administered, in the form of a questionnaire, to a sample of people with multiple sclerosis and spasticity. Pdf the multiple sclerosis spasticity scale 88 msss88 is designed to capture the patient experience and impact of spasticity, but there is limited. After adjusting for confounders spasticity was found to be an independent determinant of worse quality of life in multiple sclerosis. The majority of muscles start on one side of a joint and end via a tendon or ligament. The influence of physiotherapy intervention on patients with.
Recommended firstline medications for generalized spasticity such as. It is a tightness or stiffness of the muscles occurring typically in the legs calf or thigh, groin, and buttocks. Spasticity in multiple sclerosis ms is common, complex, and disabling with few measures capturing the complexity of this phenomenon. Linguistic and psychometric validation of the msss88 questionnaire for patients with multiple sclerosis and spasticity in germany. As one part of an upper motorneuron syndrome, spasticity manifests as muscle stiffness, spasms, and pain. The reliability of the modified tardieu scale mts has not been examined in patients with multiple sclerosis ms.
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