Article

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% (EDSS<4) to 82% (EDSS>5.5). Social participation was
more restricted than home integration, with <20% of participants shopping for
groceries alone. Cognitive deficits were more highly associated (r=.60) with
participation restrictions than balance (r=.47), gait (r=-.45), and hand
dexterity (r=.45) limitations. 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.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS