Multiple Sclerosis Clinical Trial
Official title:
Rehabilitation Protocol for Disorders on Hand Sensitivity in Multiple Sclerosis Patients.
Sensory disorders in patients with multiple sclerosis are among the most common symptoms
encountered.
A functional impairment based on sensory disorders of the hand. The hand is a sensory organ
that transmits the cerebral cortex protopathic sensitive information, proprioceptive or
epicritiques. The view-hand association plays an important role in the understanding of the
environment. Its exploratory use remains an essential and voluntary basis. The process of
recognition of the object passes through manipulation, but operates instantaneously. The
brain is able to do a quick summary of the information it receives to determine the nature of
the manipulated object. The exploration takes a posteriori, the brain can then determine the
details component object (texture, shape, composition, temperature and weight).
Neurophysiological mechanisms that would explain the analgesic effects of transcutaneous
electrical nerve stimulation (TENS) are not fully understood. Several theories underlying its
use as a neuromodulator of pain. The gate control theory has led to the development of TENS
devices. Recruitment of myelinated, large caliber, by the TENS electrodes afferent fibers
increases the control exerted on spinal level, thereby inhibiting the action of afferent
fibers of small caliber related to nociception. This stimulation strengthens the blocking of
"gate" at the corresponding cell bodies of spinothalamic tract and reduces the transmission
of nociceptive impulses to the spinal cord dorsal horn. This is segmental presynaptic
inhibition depends on the area and stimulated.
The objective of this study is to improve the quality of life through improved sensitivity
disorders of the hand in patients with MS, thanks to reeducation of the hand.
n/a
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