scholarly journals Aerobic Fitness and Instrumental Activities of Daily Living in People with Multiple Sclerosis

2019 ◽  
Vol 21 (1) ◽  
pp. 23-28
Author(s):  
Emerson Sebastião ◽  
Lara A. Pilutti ◽  
Robert W. Motl
Keyword(s):  
Multiple Sclerosis ◽  
Activities Of Daily Living ◽  
Aerobic Fitness ◽  
Daily Living ◽  
Potential Effect ◽  
Peak Oxygen Consumption ◽  
Ample Evidence ◽  
Exercise Interventions ◽  
Instrumental Activities ◽  
The Difference

Abstract Background: There is ample evidence that aerobic fitness is reduced in people with multiple sclerosis (MS), and this may yield a reduction in independence in instrumental activities of daily living (IADLs). This study examined the association between aerobic fitness and self-reported IADLs in persons with MS. Methods: Sixty-two adults with MS completed an incremental exercise test as a measure of aerobic fitness (peak oxygen consumption), a demographic questionnaire, and an IADL scale and underwent a neurologic examination for characterization of disability level (ie, Expanded Disability Status Scale) in a single session. Results: The analysis revealed a weak but significant association between aerobic fitness and total IADL score (r = 0.28 [95% CI, 0.03–0.49], P = .033). Those reporting dependence in different IADL categories (eg, shopping, food preparation, housekeeping, laundry, and responsibility for own medication) presented with lower aerobic fitness compared with those reporting independence, although the difference was not statistically significant. Conclusions: These findings extend previous studies on activities of daily living in people with MS and underscore the need for studies examining the potential effect of aerobic exercise interventions on independence regarding IADLs in this population.

Timed instrumental activities of daily living in multiple sclerosis: The test of everyday cognitive ability (TECA)

2018 ◽  
Vol 23 ◽  
pp. 69-73
Author(s):  
Leigh E. Charvet ◽  
Michael T. Shaw ◽  
Kathleen Sherman ◽  
Shannon Haas ◽  
Lauren B. Krupp
Keyword(s):  
Multiple Sclerosis ◽  
Activities Of Daily Living ◽  
Cognitive Ability ◽  
Daily Living ◽  
Instrumental Activities

scholarly journals Assessment of functional capacity in elderly residents of an outlying area in the hinterland of Bahia/Northeast Brazil

2010 ◽  
Vol 68 (1) ◽  
pp. 39-43 ◽  
Author(s):  
Gilson de Vasconcelos Torres ◽  
Luciana Araújo dos Reis ◽  
Luana Araújo dos Reis
Keyword(s):  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Daily Living ◽  
Age Groups ◽  
The Elderly ◽  
Cross Sectional ◽  
Instrumental Activities ◽  
Significant Difference ◽  
The Difference ◽  
Outlying Area

OBJECTIVE: To assess the functional capacity and to determine the difference between the means of functional capacity (basic and instrumental activities of daily living) and the age groups of elderly residents in an outlying area in the hinterland of Bahia/Northeast of Brazil. METHOD: Analytical study with cross-sectional design and a sample of 150 elderly individuals enrolled in four Health Units in the municipality of Jequié, Bahia, Brazil. The instrument consisted of sociodemographic and health data, the Barthel Index and the Lawton scale. RESULTS: In all, 78.00% of the elderly were classified as dependent in the basic activities and 65.33% in the instrumental activities of daily living. Using the Kruskal-Wallis test, we found a statistically significant difference between the means of instrumental activities and the age groups (p=0.011). CONCLUSION: An elevated number of elderly were classified as dependent in terms of functional capacity and increased age is related to greater impairment in the execution of instrumental activities of daily living.

Home and Clinical Assessments of Instrumental Activities of Daily Living: What Could Explain the Difference between Settings in Frail Older Adults, If Any?

2009 ◽  
Vol 72 (8) ◽  
pp. 339-348 ◽  
Author(s):  
Véronique Provencher ◽  
Louise Demers ◽  
Isabelle Gélinas
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Occupational Therapists ◽  
Frail Older Adults ◽  
Clinical Assessments ◽  
Instrumental Activities ◽  
Current Content ◽  
The Difference ◽  
Discharge From Hospital

Background: Older patients are usually assessed by occupational therapists in hospital before going home. However, for many frail older adults, this assessment in an unfamiliar environment might not be as representative of their functional abilities as an assessment at home. The aim of this literature review was to determine if differences exist between home and clinical instrumental activities of daily living (IADL) assessments of frail older adults and identify factors that might explain those differences, if any. Method: The sources of the review data were Medline, CINAHL, AMED, PsycINFO, Embase and Current Content from 1988 to 2008. As few relevant studies concerning frail people were found, the search was extended to mixed-age and older adult populations. Ten articles were retained. Main findings: The results suggest differences in IADL assessment between settings for older adults without dementia. Some factors, such as familiarity with the environment and coping skills, might explain those differences. Based on this review, similar results might be expected with frail older people. Implications for practice: Given the dearth of literature on this topic, further research is needed to compare home and clinical assessments and measure relevant factors in a frail population. Helping occupational therapists to identify frail patients, who may show different abilities in unfamiliar settings, could mean more appropriate services after discharge from hospital.

The relationship between neuropsychological measures and the Timed Instrumental Activities of Daily Living task in multiple sclerosis

2007 ◽  
Vol 13 (5) ◽  
pp. 636-644 ◽  
Author(s):  
Y. Goverover ◽  
HM Genova ◽  
FG Hillary ◽  
J. DeLuca
Keyword(s):  
Multiple Sclerosis ◽  
Activities Of Daily Living ◽  
Processing Speed ◽  
Test Performance ◽  
Daily Living ◽  
Functional Independence ◽  
Everyday Functioning ◽  
Neuropsychological Measures ◽  
Instrumental Activities ◽  
The Relationship

Multiple sclerosis (MS) can result in cognitive deficits and a loss of functional independence. To date, little research has linked the observed cognitive and behavioral deficits in MS, especially those in the processing speed domain, to performance on tasks of everyday functioning. The present study examined the relationship between neuropsychological test performance and performance on the Timed Instrumental Activities of Daily Living task (TIADL) in individuals with MS, and in healthy controls (HCs). The TIADL is a functional measure, which assesses both accuracy and speed in one's performance of everyday activities. The MS group performed significantly worse on the TIADL relative to the HC group. Additionally, TIADL scores of individuals with MS were significantly correlated with neuropsychological measures of processing speed. TIADL scores were not, however, correlated with neuropsychological measures of verbal episodic memory or working memory. These results indicate that the impairments in processing speed may contribute to impairments in activities of everyday living in persons with MS. Multiple Sclerosis 2007; 13: 636-644. http://msj.sagepub.com

The clinical correlates of participation levels in people with multiple sclerosis

2020 ◽  
Vol 47 (2) ◽  
pp. 153-160
Author(s):  
Eman Allataifeh ◽  
Hanan Khalil ◽  
Khader Almhdawi ◽  
Alham Al-Shorman ◽  
Ziad Hawamdeh ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Hand Function ◽  
Depression Scale ◽  
Cognitive Status ◽  
Social Activities ◽  
Religious Activities ◽  
Cross Sectional ◽  
Instrumental Activities

BACKGROUND: Multiple sclerosis (MS) has a huge impact on patients and affects their ability to participate in meaningful activities. OBJECTIVE: To identify motor and non-motor factors that are associated with the participation level in instrumental activities of daily living (IADL), leisure, social and religious activities in people with MS. METHOD: This is a cross-sectional study conducted on 110 individuals with MS. The used outcome measures are: Arabic version of the Activity Card Sort, Berg Balance Scale, Modified Fatigue Impact Scale, Nine Hole Peg Test, 6-Minute Walk Test, Brief International Cognitive Assessment for Multiple Sclerosis, Stroop test and Hospital Anxiety and Depression Scale. RESULTS: Hand function, balance, gender and cognitive status can predict the participation in IADL (R2 = 0.425, P < 0.0001); depression, age, and cognitive status can predict the participation in leisure activities (R2 = 0.372, P < 0.0001), and fatigue, balance and cognitive status can predict social activities participation (R2 = 0.492, P < 0.000). CONCLUSION: Balance, cognition and fatigue affect the level of participation in instrumental activities of daily living, leisure, and religious and social activities.

scholarly journals Cognitive functioning in everyday life: The development of a questionnaire on instrumental activities of daily living in multiple sclerosis

2021 ◽  
Vol 7 (3) ◽  
pp. 205521732110380
Author(s):  
Maureen van Dam ◽  
Sietske AM Sikkes ◽  
Emma Rammeloo ◽  
Evy Reinders ◽  
Julia R Jelgerhuis ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Activities Of Daily Living ◽  
Cognitive Functioning ◽  
Test Scores ◽  
Daily Living ◽  
Daily Life ◽  
Neuropsychological Test ◽  
Future Studies ◽  
Instrumental Activities ◽  
Starting Point

Neuropsychological test scores in people with MS (PwMS) do not fully reflect cognitive functioning in daily life. Therefore, we developed a questionnaire based on instrumental activities of daily living (IADL), using the Amsterdam IADL-Q© for Alzheimer’s disease as starting point. Forty-eight items were evaluated on relevance and clarity by (inter)national experts (n = 30), PwMS (n = 61) and proxies (n = 30). Consequently, four items were omitted, two items were merged and seven items were added. Fifty items were included in the IADL questionnaire specific to cognitive functioning in MS (the MS-IADL-Q). Future studies are warranted to assess the psychometric properties of the MS-IADL-Q.

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