Stride time variability as a marker for higher level of gait control in multiple sclerosis: its association with fear of falling.
Détails
ID Serval
serval:BIB_3B60BFBE8C1B
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Stride time variability as a marker for higher level of gait control in multiple sclerosis: its association with fear of falling.
Périodique
Journal of neural transmission
ISSN
1435-1463 (Electronic)
ISSN-L
0300-9564
Statut éditorial
Publié
Date de publication
06/2016
Peer-reviewed
Oui
Volume
123
Numéro
6
Pages
595-599
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Résumé
Fear of falling (FOF) and gait disorders represent both prevalent symptoms in patients with multiple sclerosis (MS); however, the association between FOF and higher level of gait control (HLGC) has not been studied in MS. This study aims to assess the association between FOF and HLGC in patients with MS. HLGC was assessed by stride time variability (STV) during single and dual-tasks (forward counting, backward counting, categorical verbal fluency and literal verbal fluency) and FOF was quantified by the falls efficacy scale-international (FES-I). Seventy-one patients (age: 39.27 ± 9.77 years; 63 % female) were included in this cross-sectional study (Expanded Disability Status Scale (median): 2.00) with a low prevalence of FOF (FES-I: 21.52 ± 8.37). The mean gait speed was 1.19 ± 0.23 m/s with a STV of 2.35 ± 1.68 % during single walking task. STV during single task and the dual tasks of forward counting and backward counting were associated with the FES-I in the univariable linear regression models (p ≤ 0.001), but only STV while backward counting (β: 0.42, [0.18;0.66]) was associated with FOF in the multivariable model (adjusted for age, gender, previous fall, Expanded Disability Status Scale and gait speed). These findings indicate that FOF is associated with STV while backward counting, a marker of HLGC in relationship with working memory in a MS population including a majority of low disabled patients.
Mots-clé
Accidental Falls, Adult, Cross-Sectional Studies, Executive Function/physiology, Fear/physiology, Female, Gait/physiology, Gait Disorders, Neurologic/etiology, Gait Disorders, Neurologic/physiopathology, Humans, Male, Middle Aged, Multiple Sclerosis/complications, Multiple Sclerosis/physiopathology, Dual task, Falls, Fear of falling, Gait disorders, Multiple sclerosis
Pubmed
Web of science
Création de la notice
06/10/2023 8:01
Dernière modification de la notice
07/10/2023 5:58