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http://hdl.handle.net/1942/18439
Title: | Unilateral and bilateral upper limb dysfunction at body functions, activity and participation levels in people with multiple sclerosis. | Authors: | Bertoni, Rita LAMERS, Ilse Chen, Christine C. FEYS, Peter Cattaneo, Davide |
Issue Date: | 2015 | Source: | Multiple Sclerosis Journal, 21 (12), p. 1566-1574 | 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)). Sixty-eight 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. | Notes: | Correspondence to: Davide Cattaneo LaRiCE, Servizio riabilitazione neurologica adulti (Int. 282), Don Gnocchi Foundation, I.R.C.C.S., V. Capecelatro 66 – 20148 Milan, Italy. dcattaneo@dongnocchi.it | Keywords: | upper limb; multiple sclerosis; dysfunction; ICF; bilateral involvement | Document URI: | http://hdl.handle.net/1942/18439 | Link to publication/dataset: | http://msj.sagepub.com/content/early/2015/01/29/1352458514567553.long | ISSN: | 1352-4585 | e-ISSN: | 1477-0970 | DOI: | 10.1177/1352458514567553 | ISI #: | 000362529200010 | Rights: | © The Author(s), 2015. Reprints and permissions: http://www.sagepub.co.uk/journalsPermissions.nav | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2016 |
Appears in Collections: | Research publications |
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