Slide 1

1 1391

2

3

(MS)( )

() .

() .

1-Multiple sclerosis

44MS

. .

MS .

5MS

5/2 . 20 40 . 50000 MS .

6 MS

MS MS . 1849 MS . 1857 . 1877 Sclerosis En Plaques .

7MS

MS : . Demyelination .

MS .

8MS .

.

9 MS . MS .

10BRAIN ATROPHY

MS

MS . MS 20 40 . : 3-

12

3.

... ...

MS

13

: MS .

: 15 MS MS MS ( ) .

: MS .

1414: . . 15 . . . ( ) . . . . .

: 2 1 .

: .

: MS 3% .

15 MS . MS MS .

16MS

.. (MRI)

- CSF

. . :

17 . MS MS .

18

MS . .

19(MRI .. (MRI MS . .

20

. . MS . .

21CSF - MS . .. MS . - MS : IgG.

2222MS (EDSS)

1-Expanded Disability Status Scale22 MS

- ((RRMS

( (SPMS

( (PPMS

( (PRMS

1- Relapsing Remitting Multiple sclerosis 2- Secondary-progressive Multiple sclerosis 3- Primary-progressive Multiple sclerosis 4- Progressive-relapsing Multiple sclerosis 24(RRMS( - . . . (%55)

25(SPMS ( . 20-15 (%31).

26(PPMS ( . . 1020% (%9)

27(PRMS ( (%5) .

28 :

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-

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29 :- .

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30

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31

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32

MS . .

33

MS . . .

34 () .

35

.

. . . .

36

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37

. MS ( 75 %90 ) .

38

MS . MS .

39MS . :1- -- (Beta seron)2- -- (Avonex) (Rebif). .

40 MS . . 30 MS .

MS ( ....).MS

41 MS :

1- MS MS .2- MS .3- 18 50 4- EDSS 6 .5- .

42MS IvIg . MS MS MS . - MS 2 30 50 . MS .

43MS MS : , , ...

. 5 7 . .

44

45MS ( )

46 MS

47 MS .

48 ( 2 ) , .

49 MS

()

50 . . . ( ). .

516- .7- .8- .9- .

52MS ( )

( )

( )

( )

53 : .

:50 75%VO2 Peak 11 14 .: 20 40 10 20 . 2 3 .

54 VO2 Peak . . . . . . .

55MS

. . . : . . . .

56 .

.

57

: 60 80% .: 8 15 .: 1 3.2 3 ( 3 5 ).: 25% 12 15 .

58 .

59

75% . .45 6 .

60

3 10 30 .

61

62

....

63 ( ) ...

64MS . . . . ...

65MS ...

Basic Stances

and Steps66 .

67 Finch, Paul, Becker, Pauline (2006). Changes in the Self-efficacy of Multiple Sclerosis Clients Following Massage Therapy, Journal of Bodywork and Movement Therapies, 11, 267-272.http://www.mssociety.org.uk/http://www.msaustralia.org.au/http://www.healthcentral.com/multiple-sclerosis/drug-information-148819-73.htmlhttp://intelihealth.com/IH/ihtIH/WSIHW000/8320/21151/195415.html?d=dmtcontent68 69