[Multidisciplinary and multimodal rehabilitation care for patients suffering from multiple sclerosis].

The support provided at the Germaine-Revel medical center in the Rhône region involves assessing the patient as a whole, which is a key aspect of implementing personalized rehabilitation focused on one or more objectives. The team offers multidisciplinary and multimodal care, because the clinical symptoms of people with multiple sclerosis are very varied: they can include neuromotor, neurosensory, neurosensory and cognitive disorders, as well as bladder and bowel and genital disorders.

Phrenic nerve conduction study to diagnose unilateral diaphragmatic paralysis.

Background: Unilateral diaphragmatic paralysis (UDP) has major clinical and etiological implications and, therefore, is important to diagnose. Lung function tests and invasive transdiaphragmatic pressure (Pdi) measurements are widely used to this end but, contrary to phrenic nerve conduction study (NCS), they require volitional maneuvers and/or may be poorly tolerated by patients. The purpose of this study was to compare the diagnostic accuracy of Pdi and phrenic NCS for UDP.

Use of the ice water test as an early predictor of recovery of erectile function in patients with spinal cord injury.

Study Design: Retrospective, cross-sectional.

Objectives: To determine the capacity of the ice water test (IWT) to predict erectile function during the early phase of spinal cord injury (SCI).

Setting: France.

[Is there any obstruction other than prostatic obstruction in Idiopathic Parkinson's Disease?].

Objective: To highlight the existence of pseudo-dyssynergia in Idiopathic Parkinson's Disease (IPD) constituting a functional bladder outlet obstruction.

Materials And Methods: A retrospective study was conducted by including men with a confirmed diagnose of IPD who participated in the SIROCCO rehabilitation program. Patients included clinically exhibited overactive bladder and voiding dysfunction without prostatic hypertrophy ultrasounded.

Effects of preference and sensory modality on behavioural reaction in patients with disorders of consciousness.

Background: Reliable evaluation of patients with unresponsive wakefulness syndrome (UWS) or in a minimally conscious state (MCS) remains a major challenge. It has been suggested that the expression of residual cerebral function could be improved by allowing patients to listen to their favourite music. However, the potential effect of music on behavioural responsiveness, as well as the effect of preferred stimuli in other sensory modalities (e.

Pain-related mood influences pain perception differently in fibromyalgia and multiple sclerosis.

In patients, the perception of pain intensity may be influenced by the subjective representation of their disease. Although both multiple sclerosis (MS) and fibromyalgia (FM) possibly include chronic pain, they seem to elicit different disease representations because of the difference in their respective etiology, the former presenting evidence of underlying lesions as opposed to the latter. Thus, we investigated whether patients with FM differed from patients with MS with respect to their perception of "own" pain as well as others' pain.

[The medical treatment of overactive bladder].

Overactive bladder, very frequent in neurological disorders, leads to very distressing symptoms such as urgency, frequency and incontinence which may dramatically impair the patient's quality of life. The medical approach is essentially pharmacological but the management of the nociceptive factors must not be neglected. In the mild urinary dysfunctions, bladder training can be advised.

[Social and economic impact of multiple sclerosis].

The evolution of multiple sclerosis is unforeseeable; it can induce disability and fatigue; thus, it has a socio-economical impact. Married and family life, relationships and work are the most affected areas. Financial problems can also occur.