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Is There Any Relationship between Upper and Lower Limb Impairments in People with Multiple Sclerosis? A Kinematic Quantitative Analysis
- Source :
- Multiple Sclerosis International, Multiple Sclerosis International, Vol 2019 (2019)
- Publication Year :
- 2019
- Publisher :
- Hindawi, 2019.
-
Abstract
- Background. In people with multiple sclerosis (pwMS), disability is generally assessed on the basis of ambulation abilities, whereas upper limb motor dysfunctions are less frequently considered. Nevertheless, they can severely affect the quality of life of pwMS. To date, it remains mostly unknown whether a relationship exists between upper and lower limb impairments. Aim. To investigate the existence of a relationship between upper and lower limb impairments in pwMS based on two fundamental motor tasks, namely walking and hand-to-mouth (HTM) movement. Methods. Twenty-eight pwMS with Expanded Disability Status Scale (EDSS) scores in the range of 1–6, and 21 healthy controls (HC) underwent a kinematic analysis of gait and HTM movement performed with a motion capture system. The spatiotemporal parameters for the two tasks were calculated and correlated using Spearman’s rank correlation coefficients. Results. The pwMS performed worse than HC on both tasks. Small to large correlations were found between the total HTM movement duration and most of the gait parameters (rho, 0.35–0.68; p<0.05). Conclusions. Both upper and lower limb motor abilities in pwMS worsen as disability increases. Nevertheless, their relationship is only moderate. This finding emphasizes the need for specific tests to quantify disability considering the overall motor function in pwMS.
- Subjects :
- 030506 rehabilitation
medicine.medical_specialty
Expanded Disability Status Scale
Article Subject
business.industry
Multiple sclerosis
Kinematics
medicine.disease
Affect (psychology)
Gait
Lower limb
lcsh:RC346-429
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
Physical medicine and rehabilitation
medicine
Upper limb
Neurology (clinical)
0305 other medical science
business
030217 neurology & neurosurgery
lcsh:Neurology. Diseases of the nervous system
Rank correlation
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 20902662 and 20902654
- Volume :
- 2019
- Database :
- OpenAIRE
- Journal :
- Multiple Sclerosis International
- Accession number :
- edsair.doi.dedup.....78b8fd73a3aa0d9371f177aff5c6a124