Stride time variability as a marker for higher level of gait control in multiple sclerosis: its association with fear of falling.

Details

Serval ID
serval:BIB_3B60BFBE8C1B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Stride time variability as a marker for higher level of gait control in multiple sclerosis: its association with fear of falling.
Journal
Journal of neural transmission
Author(s)
Allali G., Laidet M., Armand S., Elsworth-Edelsten C., Assal F., Lalive P.H.
ISSN
1435-1463 (Electronic)
ISSN-L
0300-9564
Publication state
Published
Issued date
06/2016
Peer-reviewed
Oui
Volume
123
Number
6
Pages
595-599
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
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.
Keywords
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
Create date
06/10/2023 8:01
Last modification date
07/10/2023 5:58
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