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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Hebert, J. R. Corboy, J. R. |
| Description | Country affiliation: United States Author Affiliation: Hebert JR ( Department of Physical Medicine and Rehabilitation, Physical Therapy Program, University of Colorado, Anschutz Medical Center, Aurora, CO 80045, United States. jeffrey.hebert@ucdenver.edu) |
| Abstract | BACKGROUND: Fatigue and impaired upright postural control (balance) are the two most common complaints in persons with multiple sclerosis (MS), with limited evidence on how they are related. OBJECTIVE: To examine the relationship between symptomatic fatigue and balance as a function of central sensory integration in persons with multiple sclerosis. MATERIALS AND METHODS: Seventeen persons with relapsing-remitting MS were enrolled in this cross-sectional study. Primary measurements included fatigue (modified fatigue impact scale - MFIS); balance (dynamic posturography, sensory organization testing - SOT); and walking capacity (six-minute walk test - 6MWT). RESULTS: Fatigue scores were significantly associated with balance: MFIS total (r=-0.78; p<0.001), physical subscale (r=-0.77; p<0.001), cognitive subscale (r=-0.75; p=0.001) and psychosocial subscale (r=-0.53; p=0.030) scores. MFIS total score was a significant predictor of balance (p≤0.001), accounting for 62% of the variability in SOT composite scores. Significant differences in fatigue (d=1.75; p=0.005) and balance (d=1.74; p=0.005) were found for participants who had cerebellar and brainstem involvement compared to those without. CONCLUSIONS: Symptomatic fatigue is significantly related to balance and is a significant predictor of balance as a function of central sensory integration in persons with MS. Fatigue and balance are associated with cerebellar and brainstem involvement. This study provides early evidence supporting the theory that for those persons with MS who struggle to maintain steady balance during tasks that stimulate the central sensory integration process, complaints of significant levels of fatigue are probable. |
| File Format | HTM / HTML |
| ISSN | 09666362 |
| Issue Number | 1 |
| Volume Number | 38 |
| e-ISSN | 18792219 |
| Journal | Gait & Posture |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2013-05-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Orthopedics Cross-sectional Studies Complications Multiple Sclerosis, Relapsing-remitting Humans Middle Aged Fatigue Male Journal Article Physiopathology Sensation Disorders Exercise Test Adult Female Physiology Severity Of Illness Index Postural Balance |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Rehabilitation Biophysics Sports Science |
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