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Per you addition

[edit]

It is important that the patient is cautious when their core temperature elevates above normal levels due to the resulting transient increase in symptoms. An elevated core temperature, leading to increased symptom presentation has been noted during exercise, due to variations in circadian body temperature throughout the day, and due to heat exposure including warm temperatures, warm showers, sun bathing, ect. The interaction between an elevated core temperature and the pathological demyelination can cause a transient nerve conduction block that leads to temporarily impaired physical and cognitive function. These effects translate to reduced patient safety and performance of ADLs, however there are viable prevention strategies. Behavioural strategies include minimizing heat exposure: performing outdoor physical activity when temperatures are cooler, or installing an air conditioner. Some studies have found other cooling strategies to be beneficial: cold showers, cold water limb immersion, applying ice packs, and drinking cold beverages. These strategies are effective when attempting to decrease core temperature post-exercise, and as a method of pre-cooling prior to physical activity or heat exposure. [1] Despite the preceding suggestions it must be noted that the long term benefits from physical activity far outweigh abstaining from activity to reduce the occurrence of these transient effects. [2]

much of this was already covered in what was already there

Historically, individuals with MS were advised against participation in physical activity due to worsening symptoms.[3] However, under the direction of a physiotherapist, participation in physical activity can be safe and has been proven beneficial for patients with MS.[4] Research has supported the rehabilitative role of physical activity in improving muscle power,[5] mobility,[5]mood,[6] bowel health,[7] general conditioning and quality of life.[5] Care should be taken not to overheating a person with MS during the course of exercise. Physiotherapists have the expertise needed to adequately prescribe exercise programs that are suitable for the individual. The FITT equation (frequency of exercise, intensity of exercise, type of exercise and time/duration of exercise) is typically used to prescribe exercises.[4] Depending on the patient, activities may include resistance training,[8] walking, swimming, yoga, tai chi, and others.[7] Determining an appropriate and safe exercise program is challenging and must be carefully individualized to each patient being sure to account for allcontraindications and precautions.[4]

Please keep in mind that the main articles are typically an overview of the subject matter at hand. I have added a sentence summarizing what you have added "There is some evidence that cooling measures are effective in allowing a greater degree of exercise.[9]" There is a subpage here Treatment of multiple sclerosis where more detail can be added. Doc James (talk · contribs · email) 20:16, 6 May 2012 (UTC)[reply]

Queens University

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Welcome to Wikipedia. I am wondering if you class is aware of the Wikipedia Education Program for classes who are editing [1]. If you are registered we are than able to better provide feedback and support to your class as a whole. Does your prof. edit here as well? Wondering if you could put me in touch with him or her. Many thanks. --Doc James (talk · contribs · email) 21:34, 6 May 2012 (UTC)[reply]

  1. ^ Davis, S.L.,; Frohman, E.M.; White, A.T.; Wilson, T.E. (2010). "Thermoregulation in multiple sclerosis". J Appl Physiol. 109: 1531–1537.{{cite journal}}: CS1 maint: extra punctuation (link) CS1 maint: multiple names: authors list (link)
  2. ^ Petajan, J.H.,; White, A.T. (1999). "Recommendations for physical activity in patients with multiple sclerosis". Sports Medicine. 27 (3): 719–191.{{cite journal}}: CS1 maint: extra punctuation (link) CS1 maint: multiple names: authors list (link)
  3. ^ Smith, Cath (2009). "How does exercise influence fatigue in people with multiple sclerosis?". Disability and Rehabilitation. 31 (9): 685–692. doi:10.1080/09638280802273473. PMID 18841515. {{cite journal}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)
  4. ^ a b c O'Sullivan, Susan (2007). Physical Rehabilitation Fifth Edition. Philadelphia: F.A. Davis Company. pp. 136–146. ISBN 978- 0-8036-1247-1.
  5. ^ a b c Stroud NM, Minahan CL (2009). "The impact of regular physical activity on fatigue, depression and quality of life in persons with multiple sclerosis". Health and Quality of Life Outcomes. 7: 68. doi:10.1186/1477-7525-7-68. PMC 2717927. PMID 19619337.{{cite journal}}: CS1 maint: unflagged free DOI (link)
  6. ^ Rietberg MB, Brooks D, Uitdehaag BMJ, Kwakkel G (2005). Kwakkel, Gert (ed.). "Exercise therapy for multiple sclerosis". Cochrane Database of Systematic Reviews. CD003980 (1): CD003980. doi:10.1002/14651858.CD003980.pub2. PMID 15674920.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  7. ^ a b "Multiple sclerosis: its effects on you and those you love" (pdf). Multiple Sclerosis Society of Canada. 2008. Retrieved 2011-05-11.
  8. ^ Dalgas U, Stenager E, Jakobsen J; et al. (2009). "Resistance training improves muscle strength and functional capacity in multiple sclerosis". Neurology. 73 (18): 1478–1484. doi:10.1212/WNL.0b013e3181bf98b4. PMID 19884575. {{cite journal}}: Explicit use of et al. in: |author= (help)CS1 maint: multiple names: authors list (link)
  9. ^ Davis, SL (2010 Nov). "Thermoregulation in multiple sclerosis". Journal of applied physiology (Bethesda, Md. : 1985). 109 (5): 1531–7. PMID 20671034. {{cite journal}}: Check date values in: |date= (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)
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