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Measures of physical functioning predict self-reported performance in self-care, mobility, and domestic life in ambulatory persons with multiple sclerosis.
Arch Phys Med Rehabil. 2007 Dec; 88(12):1649-57.AP

Abstract

OBJECTIVE

To determine the associations between clinically measured physical functioning variables and self-reported performance in mobility, self-care, and domestic life in ambulatory persons with multiple sclerosis (MS), using the International Classification of Functioning, Disability and Health (ICF) as a framework.

DESIGN

Survey study.

SETTING

Community setting in Finland.

PARTICIPANTS

A population-based sample of 120 ambulatory persons with MS (30 men, 90 women) with mean age 45.0+/-10.8 years (range, 20-71 y), mean disease duration from symptom onset 12.3+/-8.8 years (range, 1-39 y), and mean Expanded Disability Status Scale 2.8+/-2.0 (range, 0-6.5).

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

The primary dependent variables were self-reported performance in self-care, mobility, and domestic life from the Functional Status Questionnaire. The physical functioning variables were drawn from the ICF activities (n=9) and body functions (n=14) categories. Age- and sex-adjusted odds ratios from multinomial logistic regression were estimated for the physical functioning variables associated with activities of daily living (ADL) performance.

RESULTS

Overall, of this cohort 31% reported difficulties or dependence in self-care, 52% in mobility, and 68% in domestic life. The most significant predictors of perceived difficulties or dependence in ADL performance were: (1) lower scores in the Box and Block Test; (2) lower Berg Balance Scale scores; (3) greater velocity moment when standing with eyes open; (4) slower ten-meter walk test times and shorter stride length at normal speed; and (5) shorter distance in the six-minute walk test.

CONCLUSIONS

Perceived difficulties and dependence were most prominent in domestic life. In particular, measures of activities predicted difficulties in ADL performance. Monitoring of physical functioning should be extended to those independent MS persons reporting difficulties in ADL performance.

Authors+Show Affiliations

Department of Physical Medicine and Rehabilitation, Central Hospital, Jyväskylä, Finland. jaana.paltamaa@sport.jyu.fiNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18047881

Citation

Paltamaa, Jaana, et al. "Measures of Physical Functioning Predict Self-reported Performance in Self-care, Mobility, and Domestic Life in Ambulatory Persons With Multiple Sclerosis." Archives of Physical Medicine and Rehabilitation, vol. 88, no. 12, 2007, pp. 1649-57.
Paltamaa J, Sarasoja T, Leskinen E, et al. Measures of physical functioning predict self-reported performance in self-care, mobility, and domestic life in ambulatory persons with multiple sclerosis. Arch Phys Med Rehabil. 2007;88(12):1649-57.
Paltamaa, J., Sarasoja, T., Leskinen, E., Wikström, J., & Mälkiä, E. (2007). Measures of physical functioning predict self-reported performance in self-care, mobility, and domestic life in ambulatory persons with multiple sclerosis. Archives of Physical Medicine and Rehabilitation, 88(12), 1649-57.
Paltamaa J, et al. Measures of Physical Functioning Predict Self-reported Performance in Self-care, Mobility, and Domestic Life in Ambulatory Persons With Multiple Sclerosis. Arch Phys Med Rehabil. 2007;88(12):1649-57. PubMed PMID: 18047881.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Measures of physical functioning predict self-reported performance in self-care, mobility, and domestic life in ambulatory persons with multiple sclerosis. AU - Paltamaa,Jaana, AU - Sarasoja,Taneli, AU - Leskinen,Esko, AU - Wikström,Juhani, AU - Mälkiä,Esko, PY - 2007/02/09/received PY - 2007/06/19/revised PY - 2007/07/25/accepted PY - 2007/12/1/pubmed PY - 2007/12/12/medline PY - 2007/12/1/entrez SP - 1649 EP - 57 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 88 IS - 12 N2 - OBJECTIVE: To determine the associations between clinically measured physical functioning variables and self-reported performance in mobility, self-care, and domestic life in ambulatory persons with multiple sclerosis (MS), using the International Classification of Functioning, Disability and Health (ICF) as a framework. DESIGN: Survey study. SETTING: Community setting in Finland. PARTICIPANTS: A population-based sample of 120 ambulatory persons with MS (30 men, 90 women) with mean age 45.0+/-10.8 years (range, 20-71 y), mean disease duration from symptom onset 12.3+/-8.8 years (range, 1-39 y), and mean Expanded Disability Status Scale 2.8+/-2.0 (range, 0-6.5). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The primary dependent variables were self-reported performance in self-care, mobility, and domestic life from the Functional Status Questionnaire. The physical functioning variables were drawn from the ICF activities (n=9) and body functions (n=14) categories. Age- and sex-adjusted odds ratios from multinomial logistic regression were estimated for the physical functioning variables associated with activities of daily living (ADL) performance. RESULTS: Overall, of this cohort 31% reported difficulties or dependence in self-care, 52% in mobility, and 68% in domestic life. The most significant predictors of perceived difficulties or dependence in ADL performance were: (1) lower scores in the Box and Block Test; (2) lower Berg Balance Scale scores; (3) greater velocity moment when standing with eyes open; (4) slower ten-meter walk test times and shorter stride length at normal speed; and (5) shorter distance in the six-minute walk test. CONCLUSIONS: Perceived difficulties and dependence were most prominent in domestic life. In particular, measures of activities predicted difficulties in ADL performance. Monitoring of physical functioning should be extended to those independent MS persons reporting difficulties in ADL performance. SN - 1532-821X UR - https://www.unboundmedicine.com/medline/citation/18047881/Measures_of_physical_functioning_predict_self_reported_performance_in_self_care_mobility_and_domestic_life_in_ambulatory_persons_with_multiple_sclerosis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-9993(07)01486-4 DB - PRIME DP - Unbound Medicine ER -