Factors for Lower Walking Speed in Persons with Multiple Sclerosis

Objective. The purpose of this study was to analyze factors related to lower walking speed in persons with multiple sclerosis (PwMS). Methods. A cross-sectional survey was conducted. The study participants were 120 consecutive PwMS, who were able to walk, even with device assistance. Demographic an...

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Main Authors: Nogueira, Leandro Alberto Calazans, dos Santos, Luciano Teixeira, Sabino, Pollyane Galinari, Alvarenga, Regina Maria Papais, Santos Thuler, Luiz Claudio
Format: Online
Language:English
Published: Hindawi Publishing Corporation 2013
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3628672/
id pubmed-3628672
recordtype oai_dc
spelling pubmed-36286722013-04-19 Factors for Lower Walking Speed in Persons with Multiple Sclerosis Nogueira, Leandro Alberto Calazans dos Santos, Luciano Teixeira Sabino, Pollyane Galinari Alvarenga, Regina Maria Papais Santos Thuler, Luiz Claudio Research Article Objective. The purpose of this study was to analyze factors related to lower walking speed in persons with multiple sclerosis (PwMS). Methods. A cross-sectional survey was conducted. The study participants were 120 consecutive PwMS, who were able to walk, even with device assistance. Demographic and clinical data were collected. Walking speed was measured in 10 m walk test. Possible factors were assessed: disability, fatigue, visual functioning, balance confidence, physical activity level, walking impact, cognitive interference, and motor planning. A forward linear multiple regression analysis examined the correlation with lower speed. Results. Lower walking speed was observed in 85% of the patients. Fatigue (41%), recurrent falls (30%), and balance problems were also present, even with mild disability (average EDSS = 2.68). A good level of physical activity was noted in most of the subjects. Dual-task procedure revealed 11.58% of walking speed reduction. Many participants (69.57%) imagined greater walking speed than motor execution (mean ≥ 28.42%). Physical activity level was the only characteristic that demonstrated no significant difference between the groups (lower versus normal walking speed). Many mobility measures were correlated with walking speed; however, disability, balance confidence, and motor planning were the most significant. Conclusions. Disability, balance confidence, and motor planning were correlated with lower walking speed. Hindawi Publishing Corporation 2013 2013-03-31 /pmc/articles/PMC3628672/ /pubmed/23606966 http://dx.doi.org/10.1155/2013/875648 Text en Copyright © 2013 Leandro Alberto Calazans Nogueira et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Nogueira, Leandro Alberto Calazans
dos Santos, Luciano Teixeira
Sabino, Pollyane Galinari
Alvarenga, Regina Maria Papais
Santos Thuler, Luiz Claudio
spellingShingle Nogueira, Leandro Alberto Calazans
dos Santos, Luciano Teixeira
Sabino, Pollyane Galinari
Alvarenga, Regina Maria Papais
Santos Thuler, Luiz Claudio
Factors for Lower Walking Speed in Persons with Multiple Sclerosis
author_facet Nogueira, Leandro Alberto Calazans
dos Santos, Luciano Teixeira
Sabino, Pollyane Galinari
Alvarenga, Regina Maria Papais
Santos Thuler, Luiz Claudio
author_sort Nogueira, Leandro Alberto Calazans
title Factors for Lower Walking Speed in Persons with Multiple Sclerosis
title_short Factors for Lower Walking Speed in Persons with Multiple Sclerosis
title_full Factors for Lower Walking Speed in Persons with Multiple Sclerosis
title_fullStr Factors for Lower Walking Speed in Persons with Multiple Sclerosis
title_full_unstemmed Factors for Lower Walking Speed in Persons with Multiple Sclerosis
title_sort factors for lower walking speed in persons with multiple sclerosis
description Objective. The purpose of this study was to analyze factors related to lower walking speed in persons with multiple sclerosis (PwMS). Methods. A cross-sectional survey was conducted. The study participants were 120 consecutive PwMS, who were able to walk, even with device assistance. Demographic and clinical data were collected. Walking speed was measured in 10 m walk test. Possible factors were assessed: disability, fatigue, visual functioning, balance confidence, physical activity level, walking impact, cognitive interference, and motor planning. A forward linear multiple regression analysis examined the correlation with lower speed. Results. Lower walking speed was observed in 85% of the patients. Fatigue (41%), recurrent falls (30%), and balance problems were also present, even with mild disability (average EDSS = 2.68). A good level of physical activity was noted in most of the subjects. Dual-task procedure revealed 11.58% of walking speed reduction. Many participants (69.57%) imagined greater walking speed than motor execution (mean ≥ 28.42%). Physical activity level was the only characteristic that demonstrated no significant difference between the groups (lower versus normal walking speed). Many mobility measures were correlated with walking speed; however, disability, balance confidence, and motor planning were the most significant. Conclusions. Disability, balance confidence, and motor planning were correlated with lower walking speed.
publisher Hindawi Publishing Corporation
publishDate 2013
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3628672/
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