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Another review asserted that evidence from clinical trials supports the efficacy of physical exercise as a treatment for depression over a 2–4 month period. [5] These benefits have also been noted in old age, with a review conducted in 2019 finding that exercise is an effective treatment for clinically diagnosed depression in older adults. [102]
It consists of ordinal rating system ranging from 0 (normal neurological status) to 10 (death due to MS) in 0.5 increments interval (when reaching EDSS 1). The lower scale values of the EDSS measure impairments based on the neurological examination, while the upper range of the scale (> EDSS 6) measures handicaps of patients with MS.
Physiotherapists can help to maintain the patient's mobility and will help to prevent contractures. [30] Instructing patients in gait training will help to improve their mobility and decrease their risk of falls. [70] A physiotherapist may also prescribe mobility aids such as a cane or a walker to increase the patient's safety. [70]
Spinal and bulbar muscular atrophy (SBMA), popularly known as Kennedy's disease, is a rare, adult-onset, X-linked recessive lower motor neuron disease caused by trinucleotide CAG repeat expansions in exon 1 of the androgen receptor (AR) gene, which results in both loss of AR function and toxic gain of function.
Prior to the NIHSS, during the late 1980s, several stroke-deficit rating scales were in use (e.g., University of Cincinnati scale, Canadian neurological scale, the Edinburgh-2 coma scale, and the Oxbury initial severity scale). The NIHSS is composed of 11 items, each of which scores a specific ability between a 0 and 4.
Physical therapy addresses the illnesses or injuries that limit a person's abilities to move and perform functional activities in their daily lives. [3] PTs use an individual's history and physical examination to arrive at a diagnosis and establish a management plan and, when necessary, incorporate the results of laboratory and imaging studies like X-rays, CT-scan, or MRI findings.
Neurophysiotherapy, or neurological physiotherapy, is a branch of physiotherapy which treats motor deficits arising from pathology in the nervous system. [1] [2] [3]
A neurological examination is the assessment of sensory neuron and motor responses, especially reflexes, to determine whether the nervous system is impaired. This typically includes a physical examination and a review of the patient's medical history , [ 1 ] but not deeper investigation such as neuroimaging .