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Titre : | Persons with Multiple Sclerosis Exhibit Strength Asymmetries in both Upper and Lower Extremities (2021) |
Auteurs : | John W. Farrell III ; Robert W. Motl ; Yvonne C. Learmonth ; Lara A. Pilutti |
Type de document : | Article |
Dans : | Physiotherapy (Vol. 111, 2021) |
Article en page(s) : | p. 83-91 |
Note générale : | https://doi.org/10.1016/j.physio.2020.07.006 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Asymétrie faciale ; Faiblesse musculaire ; Force musculaire ; Sclérose en plaques |
Résumé : |
Objective
To characterize strength asymmetries in the upper and lower extremities in persons with multiple sclerosis (PwMS) with severe disability, and examine associations between asymmetries and functional, symptomatic, and participatory outcomes. Design Cross-sectional. Setting University research laboratory. Participants 25 PwMS with Expanded Disability Status Scale scores between 6.0-8.0. Main outcome measures Bilateral strength and asymmetry scores for muscle groups at the ankle, knee, and shoulder joints in addition to grip strength. Results Significant differences were observed between all contralateral strength measures, with asymmetry scores ranging between 20-32%. A high prevalence of asymmetry (i.e., score > 10%) was observed for all strength measures, with 92% of participants having four or more affected measures. Significant associations were observed between dorsiflexion asymmetry and physical health-related quality of life (ρ= -0.69; p Conclusions A high prevalence of asymmetry in the upper and lower extremities was observed, with asymmetry scores exceeding those previously reported in PwMS with mild-to-moderate disability. Rehabilitation strategies should consider a full body approach to address strength asymmetries. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940620303928#! |