Article

Factors that impact participation are of scientific and clinical
importance. Participation in everyday activities among persons with multiple
sclerosis (MS) can be compromised by various factors however the combined
contribution of these factors to participation has not been explored. The aim of
this study was to describe the relationship between cognitive impairment,
physical disability and signs of depression and participation in daily life among
persons with MS. METHODS: Data from 200 participants were collected in an
observational, prospective study. The majority was female, had mild physical
disability, and an average age of 48.7. The impact of independent variables,
including demographic and disease related data, levels of cognitive impairment,
signs of depression and fatigue, on participation was investigated using path
analysis. RESULTS: Cognitive impairment was associated with restricted
participation in domestic, leisure and outdoor domains. Restrictions in leisure
and outdoor activities, but not domestic activities were related to signs of
depression. Cognitive impairment was associated with the level of education and
the level of physical disability. CONCLUSIONS: Increasing participation is an
important outcome of rehabilitation. The results of this study suggest a
multifactorial approach to intervention that considers physical, mental and
emotional component to maximize participation among persons with MS. Implications
for Rehabilitation Rehabilitation for persons living with multiple sclerosis (MS)
should incorporate careful evaluation of physical disability, cognitive
impairment and depression and their impact on participation. Clinicians need to
evaluate participation in a variety of daily activities, including activities
within and outside of the home, and leisure activities. Signs of depression may
have a greater impact on participation in outdoor and leisure activities then on
other activities.

Langue : ANGLAIS