Friday, July 1, 2022
Friday, July 1, 2022
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Which Is Worse Ms Or Parkinson’s

Who Is Most Likely To Get Parkinson’s Disease

Alternative Treatment for Multiple Sclerosis (MS) / Parkinson’s – Dr. Franco, Sunridge Medical

However, the disease affects about 50 percent more men than women. One clear risk factor for Parkinson’s is age. Although most people with Parkinson’s first develop the disease at about age 60, about 5 to 10 percent of people with Parkinson’s have “early-onset” disease, which begins before the age of 50.

Which Is Worse Als Or Ms

Multiple sclerosis is an autoimmune disease, while ALS is hereditary in 1 out of 10 people due to a mutated protein. MS has more mental impairment and ALS has more physical impairment. Late stage MS rarely is debilitating or fatal, while ALS is completely debilitating leading to paralysis and death.

What Is The Prognosis And Life Expectancy For Parkinson’s Disease

    The severity of Parkinson’s disease symptoms and signs vary greatly from person to peson, and it is not possible to predict how quickly the disease will progress. Parkinson’s disease itself is not a fatal disease, and the average life expectancy is similar to that of people without the disease. Secondary complications, such as pneumonia, falling-related injuries, and choking can lead to death. Many treatment options can reduce some of the symptoms and prolong the quality of life.

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    Ethics Approval And Consent To Participate

    The study was carried out in accordance with the recommendations of the Oregon Health & Science University institutional review board with written informed consent from all subjects. All subjects gave written informed consent in accordance with the Declaration of Helsinki. The protocols were approved by the OHSU IRB .

    What Is Parkinson’s Disease

    What is worse MS or Parkinson

    Parkinson’s disease is the second most common neurodegenerative disorder and the most common movement disorder. Characteristics of Parkinsons disease are progressive loss of muscle control, which leads to trembling of the limbs and head while at rest, stiffness, slowness, and impaired balance. As symptoms worsen, it may become difficult to walk, talk, and complete simple tasks.

    The progression of Parkinson’s disease and the degree of impairment vary from person to person. Many people with Parkinson’s disease live long productive lives, whereas others become disabled much more quickly. Complications of Parkinsons such as falling-related injuries or pneumonia. However, studies of patent populations with and without Parkinsons Disease suggest the life expectancy for people with the disease is about the same as the general population.

    Most people who develop Parkinson’s disease are 60 years of age or older. Since overall life expectancy is rising, the number of individuals with Parkinson’s disease will increase in the future. Adult-onset Parkinson’s disease is most common, but early-onset Parkinson’s disease , and juvenile-onset Parkinson’s disease can occur.

      Read Also: Parkinson Non Motor Symptoms

      Myth : Parkinsons Disease Is Fatal

      Fact: Although a diagnosis of Parkinsons is devastating, it is not as some people may still believe a death sentence. Parkinsons disease is not a direct killer, like stroke or heart attack. That said, much depends on the quality of your care, both from your medical team and yourself.

      As the disease progresses, you may become more vulnerable to falls, which can be dangerous. Thats why exercise and physical therapy are so important.

      Infection is another problem. In later stages of Parkinsons, people often miss those signals and may not notice somethings up until its too late. That can be, literally, a killer so be sure to stay up to date with checkups.

      What Is The Treatment For Parkinson’s Disease

        There is currently no treatment to cure Parkinson’s disease. Several therapies are available to delay the onset of motor symptoms and to ameliorate motor symptoms. All of these therapies are designed to increase the amount of dopamine in the brain either by replacing dopamine, mimicking dopamine, or prolonging the effect of dopamine by inhibiting its breakdown. Studies have shown that early therapy in the non-motor stage can delay the onset of motor symptoms, thereby extending quality of life.

        The most effective therapy for Parkinson’s disease is levodopa , which is converted to dopamine in the brain. However, because long-term treatment with levodopa can lead to unpleasant side effects , its use is often delayed until motor impairment is more severe. Levodopa is frequently prescribed together with carbidopa , which prevents levodopa from being broken down before it reaches the brain. Co-treatment with carbidopa allows for a lower levodopa dose, thereby reducing side effects.

        In earlier stages of Parkinson’s disease, substances that mimic the action of dopamine , and substances that reduce the breakdown of dopamine inhibitors) can be very efficacious in relieving motor symptoms. Unpleasant side effects of these preparations are quite common, including swelling caused by fluid accumulation in body tissues, drowsiness, constipation, dizziness, hallucinations, and nausea.

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        Summary Parkinsons Vs Myasthenia Gravis

        Parkinsons and myasthenia gravis are neurological disorders that have a very deteriorating impact on the quality of life of the patient. The main difference between Parkinsons and myasthenia gravis is their autoimmune component.

        Reference:

        1. Kumar, Parveen J., and Michael L. Clark. Kumar & Clark clinical medicine. Edinburgh: W.B. Saunders, 2009.

        Image courtesy:

        1. Sir William Richard Gowers Parkinson Disease sketch 1886 2 By Sir_William_Richard_Gowers_Parkinson_Disease_sketch_1886.jpg:derivative work: Malyszkz Sir_William_Richard_Gowers_Parkinson_Disease_sketch_1886.jpg via Commons Wikimedia2. DiplopiaMG1 By James Heilman, MD Own work via Commons Wikimedia

        The Impact Of Remotely Supervised Tdcs On Parkinsons Disease And Other Neurological Conditions

        Poss CURE for MS, Neuropathy, & Parkinson’s results a coincidence?

        NYU Langone researchers are also looking into the benefits of RS-tDCS for other neurological conditions in several open-label studies.

        A study conducted in collaboration with researchers at the , slated for publication in the Journal of NeuroEngineering and Rehabilitation, demonstrated the applicability of this methodology in Parkinsons disease, with improvements in fatigue and cognition similar to those seen in MS. Further, as published in 2018 in the Journal of Clinical Neuroscience, patients with moderate Parkinsons disease experienced a notable reduction in symptoms from using RS-tDCS in combination with cognitive training.

        The use of telemedicine to supervise at-home tDCS will allow us to reach more patients and also to bypass common obstacles that prevent populations with mobility impairment or other accessibility barriers from participating in clinical trials and receiving health services, says Milton C. Biagioni, MD, assistant professor of neurology and coinvestigator on the study. This is the first time an RS-tDCS protocol has been designed for and tested in these patients.

        According to study coinvestigator Milton C. Biagioni, MD, telemedicine allows people who have mobility impairments to access healthcare services and clinical trials.

        Although studies currently focus on patients with moderate Parkinsons disease, researchers at the Fresco Institute anticipate expanding these investigations in the near future to include patients with advanced disease.

        Also Check: What Is The Life Expectancy Of Someone With Parkinson’s Disease

        Gait In People With Pd

        Slow gait speed and small foot strike angle were significantly different daily life gait measures in the PD group compared to the PD-Ctl group. Previous studies of gait in daily life agree that foot strike angle , and gait speed discriminated gait in PD from healthy control groups. Surprisingly, none of the laboratory gait measures discriminated gait characteristics in mild-moderate PD , from the PD-Ctl group, after Bonferronis correction, suggesting that monitoring gait during daily life is more sensitive to impairments from PD than gait test in the laboratory. The participants with PD showed much larger changes in their gait parameters between the laboratory and daily life than the controls or people with MS. This difference in performance in a laboratory test and daily life in people with PD may be due to their reliance on less automatic, more attention demanding gait mechanisms that would make gait in daily life more challenging . The difference could also be due to people with PD being more prone to placebo effects and white coat effects than the other groups, so they perform better when their performance is observed. Alternatively, it might be that we picked up the ON and OFF fluctuations during daily life that influenced the averaged gait measures over a week. Nevertheless, assessing mobility during daily life resulted in more sensitive and specific differences in gait characteristics than laboratory gait between the PD and control groups.

        How Therapy Helps Ms And Parkinsons

        While there are differences in Parkinsons and MS, physical, occupational and speech therapy can help both MS and PD patients improve their independence and safety, as well as achieve and maintain optimal function and cognition. Therapy can help prevent complications such as de-conditioning, muscle weakness from lack of mobility and muscle contractures related to spasticity. Training in energy conservation techniques and the use of adaptive tools and devices can help simplify everyday tasks. Therapists can even recommend strategic modifications to your home to ensure accessibility and safety even as the disease progresses.

        Clinicians certified in LSVT ® and PWR! therapeutic programs can provide Parkinsons-specific exercises to target weight shifting, posture, trunk rotation and stepping strategies to overcome rigidity and slowness of movement. Education on specific exercises and strategies helps increase safety and slow the progression of the disease.

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        Myth : Parkinsons Medications Cause Symptoms

        Parkinson

        Fact: Even though the myth that Parkinsons disease medicines are toxic and make the condition progress faster was completely debunked, it persists. Levodopa is the main drug therapy for Parkinsons disease. Its a potent drug that helps patients with motor symptoms. But many people got the idea that over time, it makes the disease progress faster. The myth was that levodopa is somehow toxic and is somehow making the Parkinsons progression faster, hurting patients.

        This misconception was debunked decades ago with a large clinical trial, where it was found that people exposed to levodopa versus a placebo werent worse. In fact, they were better at the end of the study.

        Its true that levodopa isnt a cure as yet, there is no cure for Parkinsons disease but its not toxic.

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        How Do Treatments Differ

        MS treatments can ease your symptoms during an attack or slow down the diseaseâs effects on your body.

        Steroids like prednisone calm the inflammation that damages your nerves.

        Plasma exchange is another therapy if steroids donât work. Your doctor will use a machine to remove the plasma portion of your blood. The plasma gets mixed with a protein solution and put back into your body.

        Some people with both diseases who take anti-inflammatory medicines like steroids see their Parkinsonâs symptoms get better.

        Disease-modifying treatments slow down MS nerve damage and disability. They include:

        National Institute for Neurological Disorders and Stroke: âTremor Fact Sheet.â

        Neurology: âParkinsonâs Disease in Multiple Sclerosis – A Population-Based, Nationwide Study in Denmark .â

        Mayo Clinic: âMultiple Sclerosis: Overview,â âMultiple Sclerosis: Symptoms and Causes,â âMultiple Sclerosis: Treatment,â âParkinsonâs Disease: Causes,â âParkinsonâs Disease: Definition,â âParkinsonâs Disease: Risk Factors,â âParkinsonâs Disease: Symptoms.â

        Christopher Reeve Foundation: âHow the spinal cord works.â

        National Association for Continence: âParkinsonâs Disease.â

        National Multiple Sclerosis Society: âMS Symptoms,â âWho Gets MS? .â

        National Parkinson Foundation: âNon-Motor Symptoms.â

        Multiple Sclerosis Trust: âLhermitteâs sign.â

        Johns Hopkins Medicine: âPlasmapheresis.â

        FDA.

        Trunk Control During Gait

        Interestingly, the lumbar coronal range of motion was one of the top gait measures discriminating both the MS and PD groups from their age-matched controls in the laboratory, but not in daily life. The inability of lumbar motion to discriminate during daily life might be due to lumbar sensor measures being affected by the exact location of the sensor. In the laboratory, the researchers make sure the lumbar sensor location is consistent and stays securely attached throughout the testing, for all subjects, but it is hard to maintain a consistent sensor location placed by the subject in daily life conditions, and thus might not a reliable measure during daily life. Reduced lumbar range of motion while walking may reflect axial rigidity and loss of arm swing in the PD group , and may reflect the compensatory strategy to truncal ataxia in the MS group. In contrast to the reduced lumbar range of motion in the MS group here, our previous study found an excessive lumbar motion in people with very early MS who had normal gait speed .

        Read Also: What Are The Four Cardinal Signs Of Parkinson’s Disease

        So What Is It Is It Parkinsons Disease Or Is It Something Else

        The answer is not easy, but many who feel they have more than Parkinsons may in fact have multiple system atrophy .MSA is a very rare disorder that has similarities and features of Parkinsonism.However, it is so rare that many physicians are unfamiliar with it and so the diagnosis is not considered. As a result, a likely diagnosis of MSA might be delayed by years and even missed all together. Whats more, due to many symptoms that could possibly be attributed to other conditions diagnosing MSA can be challenging, even to the most experienced doctors. This can be very frustrating to those who know it is more than PD.

        What Organs Are Affected By Parkinsons

        Physio Can Help: Neurological Conditions & Parkinson’s

        Parkinsons disease is a degenerative, progressive disorder that affects nerve cells in deep parts of the brain called the basal ganglia and the substantia nigra. Nerve cells in the substantia nigra produce the neurotransmitter dopamine and are responsible for relaying messages that plan and control body movement.

        Also Check: Do You Die From Parkinson’s Disease

        Is Parkinson’s Disease An Autoimmune Disorder

        Scientists link immune cells to Parkinson’s disease onset. Summary: A new study adds increasing evidence that Parkinson’s disease is partly an autoimmune disease. In fact, the researchers report that signs of autoimmunity can appear in Parkinson’s disease patients years before their official diagnosis.

        What Causes Multiple Sclerosis

        Experts don’t yet know what causes MS. They suspect it is a complex combination of factors. For example, an infection may trigger a genetic predisposition to MS. Or MS could be linked to an immune system problem or an environmental cause.

        Some studies indicate that the risk of MS increases with:

        • Low vitamin D levels
        • Obesity in childhood and adolescence
        • Smoking

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        Parkinsons Disease Vs Als: Us Prevalence

        One million Americans live with Parkinsons disease. The average cost of Parkinsons disease including treatment, lost work wages, and social security payments is $25 billion annually in the U.S.

        It is not clear how many people are affected by ALS, but the estimates range between 12,000 and 15,000. Doctors tell roughly 5,000 patients annually that they have ALS. Records on ALS have not been well kept across the country, so estimates may fall way below the actual rates. Common age of ALS diagnosis is between 55 and 75, and life expectancy is anywhere between two and five years after the onset of symptoms. Longevity in ALS is strongly linked to a persons age. Younger individuals with ALS tend to live longer than those diagnosed at an older age.

        Key Difference Parkinsons Vs Huntingtons Disease

        Drugs That Cause Parkinson Like Symptoms

        The key difference between Parkinsons and Huntingtons disease is that Parkinson disease is a disorder with rigidity, tremors, slowing of movements, postural instability and gait disturbances usually occurring in old age due to degeneration of the substantia nigra of the midbrain while Huntingtons disease is a familial neurodegenerative disorder usually occurring in a younger population, characterized by emotional problems, loss of thinking ability and abnormal choreiform movements .

        Recommended Reading: Als Parkinsonism Dementia Complex

        Exercise Advice For People With Parkinsons:

        Exercise is good for everyone and is particularly important for people with Parkinsons disease. Muscles and joints tend to get stiff and rigid, but exercising regularly can help. The options of doing exercise either sitting, standing and/or lying down means that anyone can take part. Its about finding the right exercises for each person.

        Our local exercise instructors are here to help you keep moving and enjoying life to the full.

        Months Of Reduced And Cancelled Care Having Devastating Impact On Abandoned Parkinsons And Ms Communities

        People with two of the most prevalent neurodegenerative conditions in England are suffering the consequences of having their vital social care slashed during the Covid-19 lockdown.

        In a survey of more than 2000 people affected by Parkinsons, nearly half who received formal care from a local authority before the pandemic said they were now receiving a reduced amount of care. A separate survey of people living with multiple sclerosis during the peak of the pandemic, meanwhile, revealed that nearly 1 in 5 had their care and support reduced or cancelled.

        Furthermore, more than two-thirds of families, friends and unpaid carers of people with Parkinsons said they have taken on more caring responsibilities since the Covid-19 restrictions started. Of those, 42% said the coronavirus restrictions were negatively affecting their mental health, while more than a third said at least one of their debilitating symptoms got worse.

        Claire Hovey and her husband Chris have moved in with Chriss mother, Denise, in Winchester for the duration of lock down.

        Steve Ford, Chief Executive of Parkinsons UK, said: This pandemic has revealed an under-funded social care system, with staff trying to deliver care. However it has fallen short at a time when people need it most.

        To ensure no one is forgotten, the Government needs to establish a post-lockdown recovery plan, as it has done for health services.

        ENDS

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        Exercise Advice For People With Ms:

        In the past, people with multiple sclerosis were advised to avoid exertion. However, it is now known that regular moderate exercise is important to maintain general health and wellbeing. Many people with MS experience fatigue but this will not be made worse with the right type of exercise. Exercise builds up endurance and strength in muscles without increasing fatigue.

        The attitude of no pain, no gain does not apply in MS. Our local exercise classes will not push you to exhaustion, the exercises are adapted to your own fitness levels and capabilities.

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