Self-Reported Fatigue and Energy Cost During Walking Are Not Related in Patients With Multiple Sclerosis
Autor: | H. Beckerman, J.C.E. Kempen, G.J. Lankhorst, Dirk L. Knol, V. de Groot |
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Přispěvatelé: | Rehabilitation medicine, Epidemiology and Data Science, EMGO - Musculoskeletal health, NCA - Multiple Sclerosis and Other Neuroinflammatory Diseases, MOVE Research Institute, EMGO+ - Musculoskeletal Health, Research Institute MOVE, Neuroscience Campus Amsterdam - Multiple Sclerosis and Other Neuroinflammatory Diseases |
Rok vydání: | 2012 |
Předmět: |
Adult
Male medicine.medical_specialty Longitudinal study Multiple Sclerosis SF-36 Visual analogue scale medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Walking Models Biological Severity of Illness Index Physical medicine and rehabilitation medicine Humans Prospective Studies SDG 7 - Affordable and Clean Energy Fatigue Aged Chi-Square Distribution Expanded Disability Status Scale Rehabilitation Middle Aged Confidence interval Preferred walking speed Cross-Sectional Studies Physical therapy Female Self Report Energy Metabolism Psychology Cohort study |
Zdroj: | Archives of Physical Medicine and Rehabilitation, 93(5), 889-895. W.B. Saunders Ltd Kempen, J C E, de Groot, V, Knol, D L, Lankhorst, G J & Beckerman, H 2012, ' Self-Reported Fatigue and Energy Cost During Walking Are Not Related in Patients With Multiple Sclerosis ', Archives of Physical Medicine and Rehabilitation, vol. 93, no. 5, pp. 889-895 . https://doi.org/10.1016/j.apmr.2011.12.013 |
ISSN: | 0003-9993 |
DOI: | 10.1016/j.apmr.2011.12.013 |
Popis: | Kempen JCE, de Groot V, Knol DL, Lankhorst GJ, Beckerman H. Self-reported fatigue and energy cost during walking are not related in patients with multiple sclerosis. Objectives To determine whether there is a relationship between self-reported fatigue and the energy cost of walking (ECw), and how self-reported fatigue and ECw relate to physical functioning in patients with multiple sclerosis (MS). Design Cross-sectional cohort study, using structural equation modeling. Setting Home environment and at a university medical center. Participants Patients (N=75) were obtained from a longitudinal study on outcome measurement and functional prognosis in early MS. Patients were included if they were able to walk for 6 minutes without being assisted by a person. The age range was between 28.0 and 69.7 years and the median Expanded Disability Status Scale was 2.5 (range, 1.0–6.5). Interventions Not applicable. Main Outcome Measures Self-reported fatigue was measured with the Fatigue Severity Scale, the vitality subscale of the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36), and a visual analog scale. Physical functioning was determined with the physical functioning subscale of the SF-36, fast walking speed, and comfortable walking speed. The ECw (J·kg −1 ·m −1 ) was measured with the energy cost of the walking test. Results The relationship between ECw and latent variable fatigue had a β=−.188 ( P =.236), that between ECw and physical functioning (SF-36 physical functioning) had a β=−.344 ( P =.001), and that between fatigue and physical functioning had a β=−.448 ( P =.000). Conclusions Fatigue and ECw are not related in patients with MS with mild to moderate walking problems. ECw and fatigue are independent determinants of physical functioning. |
Databáze: | OpenAIRE |
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