Measures of Physical Functioning Predict Self-Reported Performance in Self-Care, Mobility, and Domestic Life in Ambulatory Persons With Multiple Sclerosis
Autor: | Esko Mälkiä, Jaana Paltamaa, Juhani Wikström, Esko Leskinen, Taneli Sarasoja |
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Rok vydání: | 2007 |
Předmět: |
Adult
Male Gerontology 030506 rehabilitation medicine.medical_specialty Multiple Sclerosis Activities of daily living Cross-sectional study Population Physical Therapy Sports Therapy and Rehabilitation Logistic regression 03 medical and health sciences 0302 clinical medicine International Classification of Functioning Disability and Health Surveys and Questionnaires Activities of Daily Living Humans Medicine 10. No inequality education Aged education.field_of_study Expanded Disability Status Scale business.industry Rehabilitation Middle Aged Self Care Cross-Sectional Studies Logistic Models Berg Balance Scale Cohort Physical therapy Female 0305 other medical science business 030217 neurology & neurosurgery |
Zdroj: | Archives of Physical Medicine and Rehabilitation. 88:1649-1657 |
ISSN: | 0003-9993 |
Popis: | Paltamaa J, Sarasoja T, Leskinen E, Wikstrom J, Malkia E. Measures of physical functioning predict self-reported performance in self-care, mobility, and domestic life in ambulatory persons with multiple sclerosis. Objective To determine the associations between clinically measured physical functioning variables and self-reported performance in mobility, self-care, and domestic life in ambulatory persons with multiple sclerosis (MS), using the International Classification of Functioning, Disability and Health (ICF) as a framework. Design Survey study. Setting Community setting in Finland. Participants A population-based sample of 120 ambulatory persons with MS (30 men, 90 women) with mean age 45.0±10.8 years (range, 20–71y), mean disease duration from symptom onset 12.3±8.8 years (range, 1–39y), and mean Expanded Disability Status Scale 2.8±2.0 (range, 0–6.5). Interventions Not applicable. Main Outcome Measures The primary dependent variables were self-reported performance in self-care, mobility, and domestic life from the Functional Status Questionnaire. The physical functioning variables were drawn from the ICF activities (n=9) and body functions (n=14) categories. Age- and sex-adjusted odds ratios from multinomial logistic regression were estimated for the physical functioning variables associated with activities of daily living (ADL) performance. Results Overall, of this cohort 31% reported difficulties or dependence in self-care, 52% in mobility, and 68% in domestic life. The most significant predictors of perceived difficulties or dependence in ADL performance were: (1) lower scores in the Box and Block Test; (2) lower Berg Balance Scale scores; (3) greater velocity moment when standing with eyes open; (4) slower ten-meter walk test times and shorter stride length at normal speed; and (5) shorter distance in the six-minute walk test. Conclusions Perceived difficulties and dependence were most prominent in domestic life. In particular, measures of activities predicted difficulties in ADL performance. Monitoring of physical functioning should be extended to those independent MS persons reporting difficulties in ADL performance. |
Databáze: | OpenAIRE |
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