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Self-reported Reasons for Changes in Performance of Daily Activities During a 2-Year Multidisciplinary Multiple Sclerosis Rehabilitation.
- Source :
- International Journal of MS Care; May/Jun2022, Vol. 24 Issue 3, p110-116, 7p
- Publication Year :
- 2022
-
Abstract
- BACKGROUND: Few multidisciplinary rehabilitation studies with a heterogeneous design have focused on individuals with multiple sclerosis (MS). This study compared subjective-reported changes in performance and satisfaction with daily activities among moderately and severely disabled individuals with MS during a 2-year, multidisciplinary, group-based, outpatient rehabilitation program comprising education in self-management and compensatory techniques, exercise, and guided peer support. METHODS: Thirty-eight adults with moderate disability (Expanded Disability Status Scale [EDSS] score of 4.0-5.5, 74% women, mean age of 48) and 41 individuals with severe disability (EDSS 6.0-8.5, 63% women, mean age of 48) were assessed at baseline and after 12 and 21 months of outpatient rehabilitation using the Canadian Occupational Performance Measure (COPM). Group x time interactions were analyzed using mixed analysis of variance. Participants' explanations of reasons for changes in activity performance were collected via semistructured interviews and analyzed content. RESULTS: Statistically significant improvements in COPM performance and satisfaction scores were reported in both groups from baseline to 21 months of rehabilitation. No significant between-group differences in improvement were observed. The self-reported reasons for improvement were mainly linked to environmental factors. CONCLUSIONS: The outpatient rehabilitation program, including 4 themes--cognition, mood, energy conservation, and body control--improved the self-reported performance of patients with MS with moderate and severe disabilities. Environmental factors warrant consideration during rehabilitation. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 15372073
- Volume :
- 24
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- International Journal of MS Care
- Publication Type :
- Academic Journal
- Accession number :
- 157194452
- Full Text :
- https://doi.org/10.7224/1537-2073.2020-061