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双重任务困难作为多发性硬化症患者失业的风险因素
Turhan Kahraman1,2, Hasretgul Temiz3, Zuhal Abasiyanik1,4
1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Izmir Katip Celebi University, Izmir, Turkey.
Brain and behavior
|October 26, 2023
概括
双重任务困难,特别是在认知功能方面,预测了多发性硬化症 (pwMS) 患者的失业率. 减弱双重任务的表现与失业有关,这凸显了有针对性的支持的需要.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 职业健康 职业健康 职业健康
背景情况:
- 多发性硬化症 (MS) 显著影响日常生活,但双重任务困难与MS (pwMS) 患者的就业状况之间的联系仍然未被探索.
- 了解这些挑战对于制定有针对性的干预措施以支持持续就业至关重要.
研究的目的:
- 调查双重任务表现对 pwMS 的就业状况和与工作有关的困难的影响.
- 确定MS患者就业状况的关键预测因素.
主要方法:
- 八十四个 pwMS (42个就业者,42个失业者) 被评估.
- 使用双重任务对日常生活活动的影响问卷 (DIDA-Q) 来衡量双重任务困难.
- 通过30秒的步行测试和九洞测试来评估双重任务的表现,其中包括一个认知任务,以及单独的步行和认知功能测试.
主要成果:
- 与失业者相比,受雇 pwMS 在行走,认知功能和单/双任务测试中表现优异 (p < .05).
- 在行走和上肢双重任务中的表现下降,以及较高的DIDA-Q认知分数,显著预测了失业 (ORs从1.20到1.81,p <.05).
- 在受雇的 pwMS 中,DIDA-Q 亚尺度与工作困难 (MSWSDQ-23) 有中度至强度的相关性.
结论:
- 认知功能,而不是单独的运动功能,成为pwMS失业的重要预测因素.
- 双重任务障碍代表了与多发性硬化症就业挑战相关的关键因素.
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