uvpediatrics.com
Children globally are suffering daily from a neurological disorder that often goes ignored, because it is not “fatal” enough. Only recently have efforts been made to better understand the effects of Multiple Sclerosis on children and young adults. Much is known about the disease when the patient is a fully developed adult, however, far too little is currently available for younger invalids. A compilation of studies have been done since the discovery of Multiple Sclerosis (MS), a neurological disorder in which the body attacks its own Central Nervous System (i.e. brain, optic nerve, spinal cord). This disease effectively causes the damaging and overall destruction of myelin, a protective coating that encircles nerves. With the destruction of this “myelin sheath” comes the gradual and diminutive effect on message transmission throughout the body. Thus, causing reduced bodily function and eventual complete paralysis. A majority of these studies however, are focused on the effects of MS on adults, and not on the infant and pediatric population. “Fatigue and quality of life in pediatric multiple sclerosis” addresses this very issue. While studying the effects of MS on a child’s everyday life, these authors published their findings. The basis of the research found in this scholarly journal can be centralized as the various levels of fatigue and the overall quality of life of pediatric Multiple Sclerosis patients. Because of the severe fatigue and lowered quality of life experienced by children with the disease, it is imperative that researchers devote more time and resources to understanding pediatric MS.
Now that I’m sure that you understood everything I just said, let’s delve into the heart of this research, shall we? Little research has been done on the prevalence or even the severity of the development of multiple sclerosis. Multiple Sclerosis usually affects young adults, but as of late, more and more children have been diagnosed with the disease. The focus of this journal is whether children who have the disease show any signs of increased fatigue, as opposed to children who don’t have MS, or even in comparison with adults who have the disease.
A study was run for subjects ages 17 and below who are afflicted with the disease with no other neurological illnesses. Scientists used a scale known as the Expanded Disability Status Scale which measured the “neurological impairment according to the impact of the disease on functional systems.” This scale runs from 0 to 10, 0 meaning no neurological impact and 10 indicating death due to MS. The overall fatigue factor was measured by determining the amount of sleep disturbance in the participants. Quality of life in the patients was assessed considering physical, mental, and social aspects. The scale measures the functioning of physical activity, emotional response, social ability, and school performance. This study, in which the average age of participants was 13, demonstrates the vulnerability of young adolescents to this neurological disorder.
The pediatric MS patients displayed greater levels of general fatigue, sleep problems, evaluation problems, physical impairments, and academic disabilities than the normally documented degrees. These participants however, did not report any emotional or social difficulties. This study shows that although common belief is that young MS patients do not experience the same levels of fatigue as adult patients, nothing could be farther from the truth. Of the patients polled, almost 60 percent self-reported at least mild levels of fatigue, with more than half of those being cases of severe fatigue. These statistics alone prove that fatigue in MS patients is a very prevalent issue.
These findings show the increasing concern of fatigue among pediatric Multiple Sclerosis patients. Previously thought of as an excuse for children to avoid physical activities, this neurological disorder and its relationship with fatigue now has concrete evidence indicating its severity. The authors of this journal illustrate the need for further research and public awareness of this misjudged illness, especially when concerning pediatric patients. The obvious effect on the physical and mental aspects of the body should no longer be ignored. Childhood Multiple Sclerosis is a serious issue facing the youth of today’s generation. As the rate of early childhood diseases is dramatically rising, more resources should be expended towards research on early detection, diagnosis, treatment and possible prevention methods.
Citation: William S MacAllister, Christopher Christodoulou,
Regina Troxell, Maria Milazzo, Pamela Block, Thomas E Preston, Heidi A Bender, Anita Belman,
Lauren B Krupp; “Fatigue and quality of life in pediatric multiple sclerosis”; http://ehis.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=4&hid=118&sid=b17fe6e8-1db8-47bc-b9ee-9a9351376b12%40sessionmgr112




