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Titre : | Participation Restriction in People With Multiple Sclerosis: Prevalence and Correlations With Cognitive, Walking, Balance, and Upper Limb Impairments (2017) |
Auteurs : | Davide Cattaneo ; Ilse Lamers ; Rita Bertoni |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2017/7, 2017) |
Article en page(s) : | pp. 13081315 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Cognition ; Membre supérieur ; Posture ; Rééducation et réadaptation |
Mots-clés: | Community participation ; Participation communautaire ; Gait ; Démarche ; Upper extremity |
Résumé : |
Objectives To calculate the percentage of participation restrictions according to disability level in multiple sclerosis (MS), and to assess the relationship between participation restrictions and cognitive, gait, balance, and upper limb deficits. Design Cross-sectional study. Setting Rehabilitation unit. Participants Participants (N=125) consisted of people with MS (n=105) and healthy subjects (HS; n=20). Interventions Not applicable. Main Outcome Measures The Community integration Questionnaire was used to assess participation in home, social, and productive activities. Percentages of people with MS having Community Integration Questionnaire scores lower than the 10th percentile of those of HS were calculated for each subscale to categorize the persons with participation restrictions. Cognitive deficits (Symbol Digit Modalities Test), walking disability (25-ft walking test/Expanded Disability Status Scale [EDSS]), balance disorders (Bohannon Standing Balance Test), and manual dexterity (Nine Hole Peg Test) were recorded. Results Seventy-seven percent of participants showed participation restrictions, which increased with higher EDSS scores from 40% (EDSS5.5). Social participation was more restricted than home integration, with Conclusions Participation restrictions are present in MS and increase with disability level. However, the results also show that MS does not restrict participation in all domains. Participation restrictions at home are less restricted compared with social participation. Cognitive disorders are more associated with participation restrictions than physical limitations. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317301600 |