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The Multiple Sclerosis Performance Test MSPT: An iPad-Based Disability Assessment Tool
Published on: June 30, 2014
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Modified Functional Walking Categories and participation in people with multiple sclerosis
Rita Bertoni1, Johanna Jonsdottir1, Peter Feys2
1IRCCS Fondazione Don Carlo Gnocchi, Italy.
Multiple Sclerosis and Related Disorders
|September 14, 2018
Summary
Walking aid use, being male, and older age significantly increase participation restrictions in persons with multiple sclerosis (PwMS). These factors also impact home and productive participation, highlighting mobility
Area of Science:
- Neurology and Rehabilitation Science
- Mobility and Gait Analysis
- Disability and Participation Studies
Background:
- Gait velocity, categorized by Modified Functional Walking Categories (MFWC), is crucial for diverse mobility contexts.
- Community ambulation in persons with multiple sclerosis (PwMS) reflects their societal engagement and daily living independence.
Purpose of the Study:
- To identify factors linked to walking and mobility restrictions using the MFWC.
- To analyze how disease characteristics, demographics, and gait influence participation in PwMS.
Main Methods:
- 155 PwMS were assessed for community ambulation using MFWC and participation via the Community Integration Questionnaire (CIQ).
- A multivariate logistic model analyzed MFWC and significant CIQ-associated variables to determine relationships.
Main Results:
- Progressive MS, longer disease duration, and walking aid use correlated with poorer MFWC classifications.
- Participation restrictions were highest in Limited Household (72.3%) and Physiological Walkers (93.7%).
- Walking aid use (OR=2.59), male sex (OR=2.94), and older age (OR=1.06) significantly predicted participation restrictions.
Conclusions:
- MFWC are associated with MS type, duration, disability, and walking aid use.
- Walking aids are the strongest clinical predictor of participation restriction, while MFWC specifically predicts productive participation.
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