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What are the different symptoms of multiple sclerosis?

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Patient's Query

Hi doctor,

My sister was diagnosed with MS and struggles with gestural memory loss. She suddenly forgets standard signs mid-conversation. These momentary lapses in movement memory are affecting her ability to work as a sign language interpreter. Are these motor memory issues normal?

Please help me.

Thanks.

Hi,

Welcome to icliniq.com.

I can understand your concern.

Yes, motor memory issues like the ones your sister is experiencing can be a known symptom of multiple sclerosis (MS). MS can impact the brain's ability to store, retrieve, and execute learned movements, resulting in difficulties with tasks that rely on motor memory such as signing in sign language. This phenomenon is often linked to how MS affects the central nervous system, particularly the brain and spinal cord, where the transmission of motor signals can become disrupted.

This can be particularly challenging for a sign language interpreter since sign language relies heavily on precise hand movements, facial expressions, and gestures that must be performed fluidly and consistently. The lapse in memory for specific signs, especially in the middle of a conversation, is a sign of how MS might be affecting her motor coordination and cognitive recall of gestures.

  1. MS can slow down cognitive functions, including the processing and recall of information, which in turn can affect the memory of motor patterns like signs. Fatigue: MS-related fatigue is common and can impair concentration and memory, making it harder to perform tasks that require quick recall, like signing.
  2. Motor Coordination: MS can cause issues with muscle control, coordination, and timing, which are crucial for accurate and fluid sign language interpretation.
  3. What Might Help: Working with a therapist specialized in motor and cognitive aspects of MS could help. An occupational therapist might assist with improving motor coordination, while a speech-language pathologist could focus on cognitive aspects of memory, including motor recall.
  4. Repeated practice of specific signs and movements could help your sister strengthen the motor memory associated with those signs. She could also break down more complex signs into smaller, manageable movements and gradually build them up.

  5. Since fatigue and stress can exacerbate cognitive and motor symptoms, she might benefit from strategies that promote relaxation and help manage her workload effectively. Scheduling breaks and prioritizing rest could improve her ability to recall signs when needed.

  6. In the absence of fluid motor memory, using visual aids (such as flashcards with signs) or written reminders of signs before interpreting could provide helpful reinforcement.

  7. If possible, letting her colleagues or clients know about her condition (if she feels comfortable) might create a more understanding environment. They might be able to adjust expectations or offer support if there are occasional lapses in her sign language performance.

Motor memory lapses are unfortunately common with MS, but with support, therapy, and adaptive strategies, she can continue to work effectively as a sign language interpreter. If she has not already, she might want to consult her neurologist or a specialist in neurocognitive rehabilitation for personalized advice and treatment options.

Feel free to follow up with any further questions or concerns.

I hope this information helps you.

Thank you.

Medically reviewed byiCliniq medical review team

Published At February 28, 2025
Reviewed AtDecember 3, 2025

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