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Central Vestibular Functions Correlate With Fatigue and Walking Capacity in People With Multiple Sclerosis
Graham D Cochrane1,2, Jennifer B Christy1, Robert W Motl1
1Department of Physical Therapy, School of Health Professions, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Physical Therapy
|June 26, 2021
Summary
Central vestibular integration, crucial for balance in multiple sclerosis (MS), is linked to fatigue. This study found that impaired vestibular function correlates with increased fatigue and reduced walking capacity in MS patients.
Area of Science:
- Neurology
- Rehabilitation Science
- Vestibular System
Background:
- Multiple Sclerosis (MS) is characterized by debilitating symptoms like imbalance and fatigue.
- Vestibular rehabilitation has shown promise in improving both balance and fatigue, suggesting a link between central vestibular processing and fatigue levels.
Purpose of the Study:
- To investigate the relationship between various measures of central vestibular integration and fatigue in individuals with MS.
- To explore how different central vestibular integration measures correlate with each other and with fatigue and walking capacity.
Main Methods:
- A cross-sectional study involving 40 participants with MS (age 27-55).
- Participants underwent vestibular ocular reflex testing, subjective visual vertical testing, static posturography, and dynamic gait analysis.
- Fatigue was assessed using two self-report surveys and the 6-Minute Walk Test for physical fatigue and walking capacity.
Main Results:
- Significant correlations were observed between central vestibular integration measures, fatigue levels, and walking capacity.
- Physical fatigue showed stronger correlations with central vestibular functions compared to self-reported fatigue.
Conclusions:
- The findings suggest that deficits in central vestibular processing contribute to fatigue and balance issues in MS.
- Measures of central vestibular integration may serve as valuable outcome measures in vestibular rehabilitation for MS.
- Fatigue assessment should be incorporated as a secondary outcome in vestibular rehabilitation studies for MS.
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