Upper Limbs Intervention in Multiple Sclerosis
Upper Limbs Intervention in Multiple Sclerosis
Multiple sclerosis is a chronic and highly disabling disorder with considerable social impact
 and economic consequences. It is caused by damage to the myelin sheath, the protective
 covering that surrounds nerve cells. Different areas are affected, including manual
 dexterity, strength, coordination and function. The objective of this study is to evaluate
 the improvement in these variables in patients with multiple sclerosis after a 8-weeks
 intervention focused on upper limbs.
The total estimated prevalence rate of multiple sclerosis has been reported to be 83 per 100
 000 for the past three decades. It is also higher in northern countries and between females
 with a male ratio around 2.0. The highest prevalence rates have been estimated for the age
 group 35-64 years. The estimated European mean annual Multiple Sclerosis incidence rate is
 4.3 cases per 100 000.

 Multiple sclerosis can cause a variety of symptoms: hypoesthesia, muscle weakness, abnormal
 muscle spasms, or difficulty moving; difficulties with coordination and balance; dysarthria,
 dysphagia, visual problems fatigue and acute or chronic pain syndromes, bladder and bowel
 difficulties,cognitive impairment, or emotional symptomatology. The investigators focus on
 the benefits of an intervention on dexterity, strength, coordination and functionality.
Inclusion Criteria:

 -  Patients diagnosed with multiple sclerosis.

 -  Subjects who can complete the assessment battery of tests at the beginning and at the
 end of the study

 Exclusion Criteria:

 -  Auditive and visual disturbances.

 -  Cognitive problems.

 -  Psychiatric pathology.

 -  Sensorial disturbances.

 -  Traumatic pathology of the hand.

 -  Concomitant neurological conditions