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Although cognitive impairment is common in multiple sclerosis (MS) patients, language difficulties are controversy and little information is available on nonEnglish languages. Therefore, the present cross-sectional study was conducted to assess the naming accuracy in Persian relapsing-remitting MS (RRMS) patients. Materials and Methods: Thirty RRMS patients were recruited from Kashani Comprehensive MS Center, Isfahan, Iran. Their performance on measures of mini mental state examination (MMSE), Expanded Disability Status Scale, and Naming Test was compared with control participants. Results: MS patients were found to have much more naming errors than the control group (2.1 ± 1.8 vs. 0.54 ± 1.1 P = 0.02). Average MMSE score of MS patients was 27.23 (range = 18–30, standard deviation [SD] = 2) versus 28.96 (range = 19–30, SD = 3.2) in controls. Conclusion: The present study suggests that naming ability can be impaired in RRMS regardless of disability score. Specific language function tests including naming should be considered in the process of evaluating and rehabilitating patients with MS.

Although cognitive impairment is common in multiple sclerosis (MS) patients, language difficulties are controversy and little information is available on nonEnglish languages. Therefore, the present cross-sectional study was conducted to assess the naming accuracy in Persian relapsing-remitting MS (RRMS) patients. Materials and Methods: Thirty RRMS patients were recruited from Kashani Comprehensive MS Center, Isfahan, Iran. Their performance on measures of mini mental state examination (MMSE), Expanded Disability Status Scale, and Naming Test was compared with control participants. Results: MS patients were found to have much more naming errors than the control group (2.1 ± 1.8 vs. 0.54 ± 1.1 P = 0.02). Average MMSE score of MS patients was 27.23 (range = 18–30, standard deviation [SD] = 2) versus 28.96 (range = 19–30, SD = 3.2) in controls. Conclusion: The present study suggests that naming ability can be impaired in RRMS regardless of disability score. Specific language function tests including naming should be considered in the process of evaluating and rehabilitating patients with MS.. proteomics level [2,3]. During those past periods, biochemistry had.

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The NTT was performed in the same position, with the patient seated and the same examiner standing behind the patient, as in the Spurling test. Light vertical pressure is applied by the examiner's one hand on the patient's vertex while the neck is relaxed. The body of patient is fixed by the other hand and cannot be influenced by the NTT. During the NTT, light vertical pressure is applied to the cervical spine continuously. Rotation of the neck is initiated, with the patient's neck flexed maximally from the vertical axis. The neck is rotated toward the direction of the pain site, progressing to full lateral bending and full extension of 180°, in a tornadic pattern (Figure 3). The results of both the Spurling test and the NTT were scored as either positive or negative, with reproduced or aggravated radicular pain or tingling in the ipsilateral shoulder or upper extremity indicating a positive sign [7]. Reproduced or aggravated signs in the contralateral side of the physical examination were ignored and recorded as negative.. Injuries are often categorized by type of structure that is damaged:

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