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"Investigating Predictive Associations Among Postural Balance, Functional Mobility, Cognitive Function and
Ashraf Ahmed Abdelmoneim Darwesh1, Rawan Mohammed Batarfi2, Azza Mohammed Abdelmohsen3
1Department of Physical Therapy for Neurology and Neurosurgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
Summary
In multiple sclerosis (MS), better balance and cognitive function are linked to improved mobility and community participation. Addressing these factors is crucial for rehabilitation and reducing fall risks in MS patients.
Area of Science:
- Neurology
- Rehabilitation Science
- Clinical Psychology
Background:
- Multiple sclerosis (MS) is characterized by balance deficits, gait abnormalities, cognitive impairment, psychological distress, and reduced community participation.
- Understanding the interrelationships between these factors is clinically significant for managing MS.
- Identifying predictors of balance and mobility is essential for targeted interventions.
Purpose of the Study:
- To investigate the associations between balance, functional mobility, cognitive function, psychological well-being, and community participation in MS patients.
- To identify key predictors of balance and mobility performance in individuals with MS.
Main Methods:
- A cross-sectional study involving 64 patients diagnosed with multiple sclerosis.
- Utilized the Berg Balance Scale (BBS) for balance, Timed Up and Go (TUG) for functional mobility, Montreal Cognitive Assessment (MoCA) for cognition, Hospital Anxiety and Depression Scale (HADS) for psychological well-being, and Community Integration Questionnaire (CIQ) for community participation.
Main Results:
- Significant negative correlations were found between balance (BBS) and mobility (TUG), mobility (TUG) and community integration (CIQ), and cognition (MoCA) and psychological distress (HADS).
- Positive correlations were observed between balance (BBS) and community integration (CIQ), and cognition (MoCA) and community integration (CIQ).
- Berg Balance Scale scores independently predicted functional mobility and community integration levels in MS patients.
Conclusions:
- Balance and cognitive function are strongly associated with functional mobility and community participation in multiple sclerosis.
- Clinical assessments and rehabilitation strategies should address both motor and non-motor factors in MS.
- Individualized interventions targeting motor, psychological, and social factors are necessary to enhance balance and decrease fall risk in MS patients.
