Responsiveness of selected outcome measures of participation restriction and quality of life in patients with multiple sclerosis.

CONCLUSIONS: In contrast to the MSQOL, the CIQ was responsive outcome measure in detecting changes in participation restriction of patients with MS. Moreover, the MCID values obtained in this study will help the clinicians and researchers to determine if a patient with MS has experienced a true change following physiotherapy intervention. Implications for Rehabilitation The results provide valuable information regarding to the ability of two outcome measures (i.e. the CIQ and MSQOL) to detect treatment effects in patients with MS. In contrast to the MSQOL, the CIQ is a responsive measure to changes in participation restriction due to physiotherapy. A patient with MS had to change at least 0.50 point on the CIQ, 1.5 points on the MSQOL physical and 2.5 points on the MSQOL mental to be judged as having clinically changed. PMID: 25955822 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - Category: Rehabilitation Authors: Tags: Disabil Rehabil Source Type: research

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Conclusions Physiotherapy interventions can be a safe and beneficial option for spasticity in people with multiple sclerosis. No firm conclusion can be drawn on overall spasticity. Further researches in different spasticity aspects are needed.
Source: American Journal of Physical Medicine and Rehabilitation - Category: Rehabilitation Tags: Original Research Articles Source Type: research
CONCLUSIONS: A discrepancy seems to exists between the effectiveness of physical activity interventions in people with Multiple Sclerosis depending on whether physical activity was assessed objectively or subjectively, with the latter indicating effects. Effects on sedentary behaviour remain to be elucidated. Implications for Rehabilitation Remaining physically active is important to maintain functional ability, independence, quality of life, and to reduce the incidence of co-morbidity. Exercise prescription, behaviour change interventions, combined exercise and behaviour change interventions, and health promotion educatio...
Source: Disability and Rehabilitation - Category: Rehabilitation Authors: Tags: Disabil Rehabil Source Type: research
CONCLUSION: This study suggests that multidimensional patient centered interventions also benefit the healthcare professionals who provide them because it expands their practice. Healthcare professionals who recognize the benefits of innovative and patient-centered interventions, supports both the patients with whom they work, and adds value to the health services they provide. Implications for rehabilitation Healthcare professionals who undergo training to facilitate delivery of self-management programs, which are based in an empowerment model, report an enhancement or expansion of their traditional practice. An empowerme...
Source: Disability and Rehabilitation - Category: Rehabilitation Authors: Tags: Disabil Rehabil Source Type: research
Conclusion: Our study was to demonstrate that pulmonary function is affected even at the level of early disability in MS patients, and that muscles that provide core stabilization are affected. It is seen decreasing core stabilizer muscle strength in MS patients is causing impairing pulmonary function, HRQOL, functional level and increasing fatigue level.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Physiotherapists Source Type: research
AbstractTo date, a lack of accurate information about how the different rehabilitation settings are actually delivered to people with multiple sclerosis (PwMS) is still present. Here, we described how PwMS use the different rehabilitation settings in Italy. An observational retrospective study was designed and data collected through an anonymous questionnaire distributed attending MS clinical centers, rehabilitation units, or among PwMS affiliated to the Italian MS Society. We considered as settings: out-patient ambulatory therapy (OUT), hospitalized therapy (HOSP, in-patient and out-patient hospitalized therapy), and home...
Source: Neurological Sciences - Category: Neurology Source Type: research
CONCLUSIONS: TIS1.0 is recommended for individuals with MS (EDSS score 4.0-7.5). Better trunk function correlates with better balance and walking ability. TIS has limited value in fall risk screening. PMID: 28715271 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - Category: Physiotherapy Authors: Tags: Physiother Theory Pract Source Type: research
DiscussionThe RAGT training is expected to improve mobility compared to the active control intervention in progressive MS. Unique to this study is the analysis of various potential markers of plasticity in relation with clinical outcomes.Trial registrationClinicalTrials.gov, identifier:NCT02421731. Registered on 19 January 2015 (retrospectively registered).
Source: Trials - Category: Research Source Type: clinical trials
DiscussionThe 5 and 10 STSs are valid in PwMS with an Expanded Disability Status Scale score ≤6.0 but do not identify fallers and have limited ability to detect change. Copyright © 2017 John Wiley &Sons, Ltd.
Source: Physiotherapy Research International - Category: Physiotherapy Authors: Tags: RESEARCH ARTICLE Source Type: research
Background: Gait and mobility impairments are common in progressive multiple sclerosis (MS), leading to reduced quality of life (QoL). Objective: In this randomized controlled study, we tested the effects of robot-assisted gait training (RAGT) and compared it to conventional physiotherapy, measuring walking ability, depression, fatigue, and QoL in patients with progressive MS and severe gait disability. Methods: Fifty-two participants (Expanded Disability Status Scale score 6–7) completed the study protocol. They received two sessions/week over 6 weeks of RAGT or conventional walking therapy. Outcome measures were ...
Source: Multiple Sclerosis - Category: Neurology Authors: Tags: Original Research Papers Source Type: research
Abstract BACKGROUND: The Berg Balance scale (BBS) is a commonly used balance measure for people with MS (pwMS). The MiniBESTest (MBT) is an alternative based on balance systems. OBJECTIVE: To compare the BBS and MBT in ambulatory pwMS for sensitivity to change, likelihood ratio for walking aid use and falls and associations with clinical variables. DESIGN: Cohort study with measurements pre and post exposure to 8 weeks of routine physiotherapy intervention. METHODS: 52 participants with primary diagnosis of MS, who mobilized independently with or without an aid gave demographic details, history of f...
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: Phys Ther Source Type: research
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