Davide Cattaneo1, Ilse Lamers2, Rita Bertoni3, Peter Feys2, Johanna Jonsdottir3. 1. LaRiCE Lab: Gait and Balance Disorders Laboratory; Don Gnocchi Foundation IRCCS, Rome, Italy. Electronic address: dcattaneo@dongnocchi.it. 2. REVAL-Rehabilitation Research Institute, BIOMED-Biomedical Research Institute, Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium. 3. LaRiCE Lab: Gait and Balance Disorders Laboratory; Don Gnocchi Foundation IRCCS, Rome, Italy.
Abstract
OBJECTIVES: To calculate the percentage of participation restrictions according to disability level in multiple sclerosis (MS), and to assess the relationship between participation restrictions and cognitive, gait, balance, and upper limb deficits. DESIGN: Cross-sectional study. SETTING: Rehabilitation unit. PARTICIPANTS: Participants (N=125) consisted of people with MS (n=105) and healthy subjects (HS; n=20). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The Community integration Questionnaire was used to assess participation in home, social, and productive activities. Percentages of people with MS having Community Integration Questionnaire scores lower than the 10th percentile of those of HS were calculated for each subscale to categorize the persons with participation restrictions. Cognitive deficits (Symbol Digit Modalities Test), walking disability (25-ft walking test/Expanded Disability Status Scale [EDSS]), balance disorders (Bohannon Standing Balance Test), and manual dexterity (Nine Hole Peg Test) were recorded. RESULTS: Seventy-seven percent of participants showed participation restrictions, which increased with higher EDSS scores from 40% (EDSS<4) to 82% (EDSS>5.5). Social participation was more restricted than home integration, with <20% of participants shopping for groceries alone. Cognitive deficits were more highly associated (r=.60) with participation restrictions than balance (r=.47), gait (r=-.45), and hand dexterity (r=.45) limitations. CONCLUSIONS: Participation restrictions are present in MS and increase with disability level. However, the results also show that MS does not restrict participation in all domains. Participation restrictions at home are less restricted compared with social participation. Cognitive disorders are more associated with participation restrictions than physical limitations.
OBJECTIVES: To calculate the percentage of participation restrictions according to disability level in multiple sclerosis (MS), and to assess the relationship between participation restrictions and cognitive, gait, balance, and upper limb deficits. DESIGN: Cross-sectional study. SETTING: Rehabilitation unit. PARTICIPANTS: Participants (N=125) consisted of people with MS (n=105) and healthy subjects (HS; n=20). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The Community integration Questionnaire was used to assess participation in home, social, and productive activities. Percentages of people with MS having Community Integration Questionnaire scores lower than the 10th percentile of those of HS were calculated for each subscale to categorize the persons with participation restrictions. Cognitive deficits (Symbol Digit Modalities Test), walking disability (25-ft walking test/Expanded Disability Status Scale [EDSS]), balance disorders (Bohannon Standing Balance Test), and manual dexterity (Nine Hole Peg Test) were recorded. RESULTS: Seventy-seven percent of participants showed participation restrictions, which increased with higher EDSS scores from 40% (EDSS<4) to 82% (EDSS>5.5). Social participation was more restricted than home integration, with <20% of participants shopping for groceries alone. Cognitive deficits were more highly associated (r=.60) with participation restrictions than balance (r=.47), gait (r=-.45), and hand dexterity (r=.45) limitations. CONCLUSIONS: Participation restrictions are present in MS and increase with disability level. However, the results also show that MS does not restrict participation in all domains. Participation restrictions at home are less restricted compared with social participation. Cognitive disorders are more associated with participation restrictions than physical limitations.
Authors: Rosa M Martínez-Piédrola; Cristina García-Bravo; Elisabet Huertas-Hoyas; Patricia Sánchez-Herrera Baeza; Jorge Pérez-Corrales; Carlos Sánchez-Camarero; Marta Pérez-de-Heredia-Torres Journal: Occup Ther Int Date: 2021-08-16 Impact factor: 1.448
Authors: Ricardo N Alonso; Maria B Eizaguirre; Leila Cohen; Cecilia Quarracino; Berenice Silva; Maria C Pita; Cecilia Yastremiz; Sandra Vanotti; Orlando Garcea Journal: Int J MS Care Date: 2020-05-15
Authors: Stijn Denissen; Alexander De Cock; Tom Meurrens; Luc Vleugels; Ann Van Remoortel; Benoit Gebara; Miguel D'Haeseleer; Marie B D'Hooghe; Jeroen Van Schependom; Guy Nagels Journal: J Cent Nerv Syst Dis Date: 2019-11-06
Authors: Rosalind Kalb; Meghan Beier; Ralph Hb Benedict; Leigh Charvet; Kathleen Costello; Anthony Feinstein; Jeffrey Gingold; Yael Goverover; June Halper; Colleen Harris; Lori Kostich; Lauren Krupp; Ellen Lathi; Nicholas LaRocca; Ben Thrower; John DeLuca Journal: Mult Scler Date: 2018-10-10 Impact factor: 6.312