Unilateral and bilateral upper limb dysfunction at body functions, activity and participation levels in people with multiple sclerosis
Articolo
Data di Pubblicazione:
2015
Citazione:
Unilateral and bilateral upper limb dysfunction at body functions, activity and participation levels in people with multiple sclerosis / R. Bertoni, I. Lamers, C. Chen, P. Feys, D. Cattaneo. - In: MULTIPLE SCLEROSIS. - ISSN 1352-4585. - 21:12(2015 Oct), pp. 1566-1574. [10.1177/1352458514567553]
Abstract:
Background: There has been limited research on upper limb dysfunction in people with multiple sclerosis (PwMS).
Objective: The objective of this paper is to study unilateral and bilateral upper limb dysfunction at different International Classification of Functioning (ICF) levels according to overall disability in PwMS.
Methods: A total of 105 PwMS (16 with EDSS<4 (mild); 17 with EDSS 4–5.5 (moderate); 37 with EDSS
6–6.5 (severe); 35 with EDSS>6.5 (severe non-ambulant)) were recruited from two rehabilitation centers
and assessed in a cross-sectional study.
Results: The whole sample showed a diminished sensory function (median (first/third interquartile)) score
of 3 (2/3) on the Monofilament Test and a reduced strength 91 (76/100) points on the Motricity Index
(Body-Function level). Sensory dysfunction did not increase with higher EDSS while strength decreased
from 100 (86/100) in the mild subgroups to 91 (80/100) points in the severe subgroup. All showed diminished dexterity, scoring 0.28 peg/s (0.17/0.35) on the Nine-Hole Peg Test (NHPT) (activity level). Score
was better for the mild (0.38 (0.35/0.46)) peg/s compared to the severe subgroup (0.28 (0.17/0.35)). Sixtyeight percent, 44% and 75% of PwMS showed bilateral disorders in sensation, strength and dexterity,
respectively. The Community Integration Questionnaire (participation level) showed a 35% reduction in
home activities, even among PwMS with EDSS<4.
Conclusion: This study showed uni-/bilateral upper limb abnormalities at all ICF levels increasing with
the overall disability.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
upper limb,;multiple sclerosis; dysfunction, ICF; bilateral involvement
Elenco autori:
R. Bertoni, I. Lamers, C. Chen, P. Feys, D. Cattaneo
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