
vistaarit akshamta sthiti paimana

kurtzke vistaarit akshamta sthiti paimana (adss) multiple sclerosis mein akshamta kii matra nirdhaarit karane kii ack vidhi haye. iss paimaane koo johnn aff dwara vikasit kiya gayaa haye. kurtazke. addus ack chikitsak dwara kii gaee tantrika sambandhi pariksha parr adharit haye. haalaanki, kaee sanskaran vikasit kiye gaye hain joe rogi koo aatm-prashaasan mein saksham banaate hain.
adss inn karyatmak pranaliyon mein seey pratyek mein ack karyatmak pranali score (fss) nirdhaarit karke aathh karyatmak pranaliyon (fs) mein akshamta kii matra nirdhaarit kartaa haye. isamen 0 (samanya tantrika sthiti) seey laker 10 (ms key kaaran mrityu) taka kii kramik mulyankan pranali hoti haye, joe 0.5 vriddhi antaral (jaba adss 1 taka pahunchati haye) mein hoti haye. tantrika sambandhi pariksha key aadhar parr addus key nimn paimaane key maan haani koo maapate hain, jabaki paimaane kii oopari seema (> addus 6) ms key saath rogiyon kii vikalangata koo maapati haye. addus 4-6 kaa nirdhaaran chalane kii kshamata key pahaluon parr bahut adhik nirbhar kartaa haye.
ms vaale rogiyon mein roga kii pragati kaa varnan karane aur naidaanik parikshanon mein chikitsiya hastakshepon kii prabhavsheelta kaa aaklan karane key liye addus sabse vyaapak roop seey upayog kiya jaane vaalaa maap upkaran haye. phir bhee, isaki kaee aalochanaaen hain, jisamen yeh tathya bhee shamil haye kii isaki madhyam antar-ratter vishvasaniyata haye (vyaktigat fss key liye 0.32 aur 0.76 key beach aur 0.13 aur 0.58 key beach key addus kappa maan report kiye gaye they), oopari anga aur sangyanatmak kaary kaa kharaab mulyankan pradaan kartaa haye, aur score antar aur naidaanik gambhirta key beach raikhikta kaa abhaav haye. addus kii anya seemaon mein shamil haye kii yeh motor kaary key mulyankan aur chalane kii kshamata parr bahut adhik nirbhar kartaa haye; jaise, ack rogi joe chalane mein saksham naheen hoe sakata haye lekin poorna nipunata banaae rakhta haye, usey paimaane key gambhir anta kii or vargeekrit kiya jaataa haye.
ms parikshanon mein upayog kiye jaane vaale anya maanya mulyankan upaayon mein samaybaddh 25-phut chalana, multiple sclerosis karyatmak samagr, aur laghu roop (36) swaasthya sarvekshan shamil hain.
karyatmak pranaaliyan.
kurtzke karyatmak pranaliyon koo nimnanusar paribhaashit kartaa haih
parinam aur naidaanik arth.
adss charan 1 seey 4.5 ms vaale logon koo sandarbhit karate hain joe poori tarah seey ambulatory hain. 5 seey 9.5 taka key kadmon koo ghaat kii haani dwara paribhaashit kiya jaataa haye.
pratyek sambhaavit parinam kaa naidaanik arth nimnalikhit haih

