Optimizing sensorimotor function, physical activity and employment for people with MS – a feasibility study

Autor: Hanne Kristin Fikke, Britt Normann, Marianne Sivertsen, Stine Susanne Haakonsen Dahl, Ellen Christin Arntzen
Jazyk: Danish<br />English<br />Bokmål, Norwegian; Norwegian Bokmål<br />Norwegian Nynorsk; Nynorsk, Norwegian<br />Swedish
Rok vydání: 2023
Předmět:
Zdroj: Fysioterapeuten, Vol 90, Iss 1, Pp 32-42 (2023)
Druh dokumentu: article
ISSN: 0016-3384
0807-9277
Popis: Objectives: Investigate the feasibility and preliminary results of a new multidisciplinary intervention (CoreDISTparticipation) for people with multiple sclerosis (PwMS) delivered across healthcare levels targeting balance, walking, physical activity and employment. Methods: A baseline-, 6- and 11 weeks pre-posttest-design, including 15 PwMS, EDSS 0-4.5, receiving CoreDISTparticipation: a) MS-outpatient clinic; MS-nurse digital work-focused session and physiotherapist (PT) exploring balance b) Municipality; a digital meeting with the PwMS, employer, MS-nurse and PT addressing employment and physical activity, 4 weeks indoor-training + 4 weeks outdoor-training 2 day/week for 60 min. Structured interviews with PwMS and employers where conducted. Primary outcome: MS work difficulties questionnaire-Norwegian Version (MSWDQ-23NV). Secondary outcomes: 6 Minute Walk Test (6MWT), Mini-Balance Evaluation Systems Test (MiniBESTest), Trunk Impairment Scale modified Norwegian Version (TIS-modNV), MS Walking Scale-12 (MSWS-12), MS Impact Scale-29 Norwegian version (MSIS-29NV), EQ-5D-3L, ActiGraph wGT3x-BT monitors, AccuGait Optimized forceplatform. Descriptive statistics and paired sample t-test were used for analysis. Results: MSWDQ-23NV, 5.33 points (p=0.091) demonstrated a tendency though no significant within-group change. 6MWT changed 46.41 meters (p=0.001), Mini-BESTest 1.69 points (p=
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