MULTIPLE SCLEROSIS-INCOORDINATION

SUMMARY

1. Umbrella term for motor dysfunction that does not stem from weakness.
2. Causes: decreased dexterity from corticospinal tract involvement, sensory proprioceptive deficits, apraxia, ataxia.
3. Tremors are common in MS.

MANAGEMENT
4. Weighted cuffs to dampen tremor.
5. Visualising activity with a mirror and other sensory cues.
6. Frenkel's exercises: require high degree of concentration and frequent repetition.
7. Carbamazepine, propanolol, isoniazid, gabapentin for tremors.
8. Stereotactic ventrolateral thalamotomy for tremors.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].