Ocrelizumab for multiple sclerosis
Abstract Background Ocrelizumab is a humanised anti‐CD20 monoclonal antibody developed for the treatment of multiple sclerosis (MS). It was approved by the Food and Drug Administration (FDA) in March 2017 for using in adults with relapsing‐remitting multiple sclerosis (RRMS) and primary progressive multiple sclerosis (PPMS). Ocrelizumab is the only disease‐modifying therapy (DMT) approved for PPMS. […]
Cannabis and cannabinoids for symptomatic treatment for people with multiple sclerosis
Abstract Background Spasticity and chronic neuropathic pain are common and serious symptoms in people with multiple sclerosis (MS). These symptoms increase with disease progression and lead to worsening disability, impaired activities of daily living and quality of life. Anti‐spasticity medications and analgesics are of limited benefit or poorly tolerated. Cannabinoids may reduce spasticity and pain […]
Siponimod for multiple sclerosis
Abstract Background Multiple sclerosis (MS) is a chronic immune‐mediated disease of the central nervous system, with an unpredictable course. Current MS therapies such as disease‐modifying therapies focus on treating exacerbations, preventing new exacerbations and avoiding the progression of disability. Siponimod (BAF312) is an oral treatment, a selective sphingosine‐1‐phosphate (S1P) receptor modulator, for the treatment of […]
Memory Rehabilitation for people with multiple sclerosis
Abstract Background Problems with cognition, particularly memory, are common in people with multiple sclerosis (MS) and can affect their ability to complete daily activities and can negatively affect quality of life. Over the last few years, there has been considerable growth in the number of randomised controlled trials (RCTs) of memory rehabilitation in MS. To […]
Dietary interventions for multiple sclerosis‐related outcomes
Abstract Background Multiple sclerosis (MS) is a common demyelinating disease of the central nervous system. Although the exact pathogenesis remains unknown, the leading theory is that it results from immune system dysregulation. Approved disease‐modifying therapy appears to modulate the immune system to improve MS‐related outcomes. There is substantial interest in the ability of dietary interventions […]
Interventions for preventing falls in people with multiple sclerosis
Abstract Background Multiple sclerosis (MS) is one of the most prevalent diseases of the central nervous system with recent prevalence estimates indicating that MS directly affects 2.3 million people worldwide. Fall rates of 56% have been reported among people with MS in a recent meta‐analysis. Clinical guidelines do not outline an evidence‐based approach to falls […]
Palliative care interventions for people with multiple sclerosis
Abstract Background People with multiple sclerosis (MS) have complex symptoms and different types of needs. These demands include how to manage the burden of physical disability as well as how to organise daily life, restructure social roles in the family and at work, preserve personal identity and community roles, keep self‐sufficiency in personal care, and […]
Percutaneous transluminal angioplasty for treatment of chronic cerebrospinal venous insufficiency (CCSVI) in multiple sclerosis patients
Abstract Background Multiple sclerosis (MS) is a leading cause of neurological disability in young adults. The most widely accepted hypothesis regarding its pathogenesis is that it is an immune‐mediated disease. It has been hypothesised that intraluminal defects, compression, or hypoplasia in the internal jugular or azygos veins may be important factors in the pathogenesis of […]
Rehabilitation for people with multiple sclerosis: an overview of Cochrane Reviews
Abstract Background Multiple sclerosis (MS) is a major cause of chronic, neurological disability, with a significant long‐term disability burden, often requiring comprehensive rehabilitation. Objectives To systematically evaluate evidence from published Cochrane Reviews of clinical trials to summarise the evidence regarding the effectiveness and safety of rehabilitation interventions for people with MS (pwMS), to improve patient […]
Non-pharmacological interventions for chronic pain in multiple sclerosis
Abstract Background Chronic pain is common and significantly impacts on the lives of persons with multiple sclerosis (pwMS). Various types ofnon‐pharmacological interventions are widely used, both in hospital and ambulatory/mobility settings to improve pain control in pwMS, but the effectiveness and safety of many non‐pharmacologicalmodalities is still unknown. Objectives This review aimed to investigate the […]