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The Multiple Sclerosis Performance Test MSPT: An iPad-Based Disability Assessment Tool

The Multiple Sclerosis Performance Test MSPT: An iPad-Based Disability Assessment Tool

Published on: June 30, 2014

Cognitive function predicts work disability among multiple sclerosis patients.

Andrius Kavaliunas¹, Petter Tinghög^1,2, Emilie Friberg¹

¹Department of Clinical Neuroscience, Karolinska Institutet, Sweden.

Multiple Sclerosis Journal - Experimental, Translational and Clinical

|February 8, 2019

Summary

Cognitive impairment in multiple sclerosis (MS) patients, measured by the Symbol Digit Modalities Test (SDMT), predicts future work disability. Lower SDMT scores indicate a higher risk of sickness absence or disability pension.

Keywords:

Multiple sclerosis cognition employment prognosis socioeconomic factors work

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Eye-Tracking Control to Assess Cognitive Functions in Patients with Amyotrophic Lateral Sclerosis

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Area of Science:

Neurology
Neuropsychology
Rehabilitation Medicine

Background:

Multiple sclerosis (MS) frequently impacts cognitive functions, affecting patients' employment and social lives.
Cognitive deficits in MS can lead to significant challenges in maintaining professional activities.

Purpose of the Study:

To investigate the predictive value of the Symbol Digit Modalities Test (SDMT) for work disability in multiple sclerosis (MS) patients.
To assess the relationship between cognitive performance and future employment status in individuals with MS.

Main Methods:

A register-based cohort study involving 903 MS patients.
Work disability (sickness absence/disability pension) data collected at baseline, 1-year, and 3-year follow-ups.
Statistical analysis using general estimating equations adjusted for demographic and clinical factors.

Main Results:

Patients with the lowest SDMT scores showed a 73% higher rate of work disability after one year compared to those with the highest scores (IRR 1.73).
This association remained consistent at the 3-year follow-up (IRR 1.68).

Conclusions:

Cognitive function, as assessed by the SDMT, is a significant predictor of future work disability in MS.
The findings highlight the importance of cognitive assessment in managing MS and its impact on employment.