Assessment of mobility impairment in patients with multiple sclerosis

Guty Edyta, Kozimala Magdalena, Boratyn Beata, Mrozowicz Aneta, Wojtowicz Agata, Balicka-Adamik Luiza. Assessment of mobility impairment in patients with multiple sclerosis. Journal of Education, Health and Sport. 2018;8(12):520-529. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.2525423 http://ojs.ukw.edu.pl/index.php/johs/article/view/6402 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part b item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eissn 2391-8306 7 © The Authors 2018; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Noncommercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, noncommercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 15.11.2018. Revised: 20.11.2018. Accepted: 24.12.2018. Assessment of mobility impairment in patients with multiple sclerosis Edyta Guty1, Magdalena Kozimala1, Beata Boratyn1, Aneta Mrozowicz1, Agata Wojtowicz1, 2, Luiza Balicka-Adamik3 1State Higher School of Technology and Economics in Jarosław 2Medical Care Centre in Jarosław 3 Provincial Hospital St. Father Pio in Przemyśl Abstract Multiple sclerosis (Lat. sclerosis multiplex, SM) is a chronic inflammatory neurodegenerative disease that affects the central nervous system (CNS). Common symptoms of the SM include mobility impairment, sensory loss (paraesthesia), cerebellar dysfunctions (balance problems), visual disturbances, autonomic dysfunctions and pain syndromes as well as psychiatric disorders (cognitive and emotional disturbances). Aim of work was to assess mobility impairment symptoms among patients with SM in relation to progression of the disease, length of time a patient suffered from it, and influence of the symptoms on functional capacity and self-care management. The study was conducted on a group of 67 patients (74.6% women, 22-74 age range) of Neurology Ward of Medical Care Centre in Jarosław (south-eastern Poland) and its Neurology Clinic who were diagnosed with SM. The study was based on a self-constructed diagnostic questionnaire. The most prevalent (32; 47.8%) type of SM was progressive-relapsing. Balance and coordination impairment (from 1 to 7, average 4.38) were indicated by 74.6% respondents. The incidence of spasticity and problems caused by it were indicated by 31.3%. Mobility dysfunctions were reported by respondents who had the disease longer in comparison to those who did not indicate such impairment (average 10.92 years vs 3.02; p<0.001). The amount of mobility issues, age of the respondents (rs=0.5821, p<0.001) and the duration of the disease (rs=0.6208, p