Persons with Multiple Sclerosis Exhibit Strength Asymmetries in both Upper and Lower Extremities
| Autor: | Lara A. Pilutti, John W. Farrell, Robert W. Motl, Yvonne C. Learmonth |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty Multiple Sclerosis medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation 03 medical and health sciences Grip strength 0302 clinical medicine Physical medicine and rehabilitation Quality of life medicine Humans Muscle Strength 030212 general & internal medicine Muscle Skeletal Severe disability Rehabilitation Expanded Disability Status Scale business.industry Multiple sclerosis Muscle weakness medicine.disease Cross-Sectional Studies medicine.anatomical_structure Lower Extremity Quality of Life Ankle medicine.symptom 0305 other medical science business |
| Zdroj: | Physiotherapy. 111:83-91 |
| ISSN: | 0031-9406 |
| DOI: | 10.1016/j.physio.2020.07.006 |
| Popis: | To characterize strength asymmetries in the upper and lower extremities in persons with multiple sclerosis (PwMS) with severe disability, and examine associations between asymmetries and functional, symptomatic, and participatory outcomes.Cross-sectional.University research laboratory.25 PwMS with Expanded Disability Status Scale scores between 6.0-8.0.Bilateral strength and asymmetry scores for muscle groups at the ankle, knee, and shoulder joints in addition to grip strength.Significant differences were observed between all contralateral strength measures, with asymmetry scores ranging between 20-32%. A high prevalence of asymmetry (i.e., score10%) was observed for all strength measures, with 92% of participants having four or more affected measures. Significant associations were observed between dorsiflexion asymmetry and physical health-related quality of life (ρ= -0.69; p0.001), and between shoulder flexion asymmetry and lower extremity function (ρ= -0.62; p=0.001). Plantarflexion (ρ= 0.61; p=0.003) and knee flexion (ρ= 0.63; p=0.002) asymmetry were significantly associated with lower extremity functional asymmetry.A high prevalence of asymmetry in the upper and lower extremities was observed, with asymmetry scores exceeding those previously reported in PwMS with mild-to-moderate disability. Rehabilitation strategies should consider a full body approach to address strength asymmetries. |
| Databáze: | OpenAIRE |
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