The Relationship between Balance and Independence in Basic and Instrumental Activities of Daily Living of Patient with Multiple Sclerosis in Tehran

Document Type : Original article

Authors

MSc in Occupational Therapy, School of Rehabilitation Sciences, Semnan University of Medical Sciences, Semnan, Iran

Abstract

Background and Aim: Multiple sclerosis is the most common chronic autoimmune disease. Given the importance of independence in daily activities and its relationship with balance, the goal of the present study was to investigate the relationship between balance and independence in basic and instrumental activities of daily life of the patients with multiple sclerosis in Tehran.
Materials and Method: Participants of the present cross-sectional study were 40 MS patients (20 males and 20 females) with a mean age of (7.455) 39.25 and duration of illness for (15.488) 35.85. All the participants could walk independently and could perfrom their daily acitivities. They were evaluated using Balance Berg Scale, Barthel Index, Instrumental Activity of Daily Living Lawton version, and Functional Independed Measure in a single session and with intervals.
Results: According to pearson correlation coefficient, with confidence certainty set at 0.95, correlation coefficients were found to be 0.396 between balance and Barthel index with a significant level of 0.011, 0.415 between balance and with Latown index and significant level of 0.008, and 0.484 between balance and equilibrium FIM and 0.002 confidence level. Considering P<0.005, the relationship between balance and Barthel Index, Latown, and FIM, was significant in these patients.
Conclusion: It seems that balance can affect independence of these patients in their daily activities and social participation. Considering the fact that all the participants had some degrees of independence in their daily activities and balance, it is recommended that further studies be carried out among a larger population in a longitudinal study.

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  1. Calabresi PA. Diagnosis and management of multiple sclerosis. American family physician. 2004;70(10):1935-44.
  2. KOCH MW. Epidemiology and Natural History of Multiple Sclerosis. Multiple Sclerosis and Related Disorders: Diagnosis, Medical Management, and Rehabilitation. 2013:21.
  3. Shanazari, Marandi S, New SHAIGAN. Title: Effect of exercise, Pilates and water exercise, the walking speed in patients with multiple sclerosis .
  4. Shah nazari Z MS, Shaigan no . Effect of exercise, Pilates and water exercise, the walking speed in patients with multiple sclerosis. 2010.
  5. White L, McCoy S, Castellano V, Gutierrez G, Stevens J, Walter G, et al. Resistance training improves strength and functional capacity in persons with multiple sclerosis. Multiple Sclerosis. 2004.
  6. Chiaravalloti ND, DeLuca J. Cognitive impairment in multiple sclerosis. The Lancet Neurology. 2008;7(12):1139-51.
  7. Rimaz SH, Dastoorpour M., Sadeghi Majdzadeh . Quality of life and related factors in patients with multiple sclerosis. Journal of School of Public Health and Institute of Health Research. 2014; 11 (4): 1-14.
  8. Mancini M, Horak FB. The relevance of clinical balance assessment tools to differentiate balance deficits. European journal of physical and rehabilitation medicine. 2010;46(2):239.
  9. Umphred D, Carlson C. Neurorehabilitation for the physical therapist assistant: SLACK Incorporated; 2006.##
  10. Freeman J, Gear M, Pauli A, Cowan P, Finnigan C, Hunter H, et al. The effect of core stability training on balance and mobility in ambulant individuals with multiple sclerosis: a multi-centre series of single case studies. Multiple sclerosis. 2010.
  11. Wennie Huang WN, Perera S, VanSwearingen J, Studenski S. Performance Measures Predict Onset of Activity of Daily Living Difficulty in Community‐Dwelling Older Adults. Journal of the American Geriatrics Society. 2010;58(5):844-52.
  12. Cattaneo D, Jonsdottir J, Zocchi M, Regola A. Effects of balance exercises on people with multiple sclerosis: a pilot study. Clinical Rehabilitation. 2007;21(9):771-81.
  13. Hobart J, Freeman J, Lamping D, Fitzpatrick R, Thompson A. The SF-36 in multiple sclerosis: why basic assumptions must be tested. Journal of Neurology, Neurosurgery & Psychiatry. 2001;71(3):363-70.
  14. DeBolt LS, McCubbin JA. The effects of home-based resistance exercise on balance, power, and mobility in adults with multiple sclerosis. Archives of physical medicine and rehabilitation. 2004;85(2):290-7.
  15. Cattaneo D, De Nuzzo C, Fascia T, Macalli M, Pisoni I, Cardini R. Risks of falls in subjects with multiple sclerosis. Archives of physical medicine and rehabilitation. 2002;83(6):864-7.
  16.  Agha Yousefi A. Shaghaghi F,Dehestani M, Barghi R. Relationship between quality of life and psychological capital among patients with Multiple disorders of perception.
  17. Tombaugh TN, McIntyre NJ. The mini-mental state examination: a comprehensive review. Journal of the American Geriatrics Society. 1992.
  18. Akbarfahimi M, Karimi H,faghih Z, asahyeri H. the relationship between balance and independence in activities of daily living in stroke patients attending occupational therapy clinics in Tehran in 1381.
  19. Azad A, Taghizadeh G, Khaneghini A. Assessments of the reliability of the Iranian version of the Berg Balance Scale in patients with multiple sclerosis. Acta Neurol Taiwan. 2011;20(1):22-8.
  20. Soltanmohamadi Y, Hasani Mehraban A, Taghizadeh G, Akbarfahimi M. Validity and reliability of the Persian version of Lawton Instrumental Activities of Daily Living Scale among patients with Dementia. Iranian Journal of Ageing. 2014;9(33):0.
  21. Grey N, Kennedy P. The Functional Independence Measure: a comparative study of clinician and self ratings. Spinal Cord. 1993;31(7):457-61.
  22. White LJ, Dressendorfer RH. Exercise and multiple sclerosis. Sports medicine. 1077-(15)34.2004-100.
  23. Rothwell P. Quality of life in multiple sclerosis. Journal of Neurology, Neurosurgery & Psychiatry. 1998;65(4):433.
  24. Pooreatemad M, Babaee M, Negahban-H. To compare the effect of two types of therapeutic exercise program on functional balance in patients with multiple sclerosis. Jntashapyr Student Journal. 2012; 3 (1): 119.
  25. Mathiowetz V, Matuska KM. Effectiveness of inpatient rehabilitation on self-care abilities of individuals with multiple sclerosis. Neurorehabilitation. 1998;11(2):141-51.
  26. Hebert J. Impact of Aerobic Training on Fitness and Quality of Life in Multiple Sclerosis. Journal of Neurologic Physical Therapy. 2000;24(4):161-2.
  27. Marcia L. Finlayson P, Elizabeth W. Peterson, MPH, Chi C. Cho, MS. Risk Factors for Falling Among People Aged 45 to 90 Years With Multiple Sclerosis. Arch Phys Medical Rehabilitation. 2006;87,September 2006:1.
  28. Louisa S. DeBolt P, Jeffrey A. McCubbin, PhD. The Effects of Home-Based Resistance Exercise on Balance,Power, and Mobility in Adults With Multiple Sclerosis. Arch Phys Med Rehabil. 2004;85, February 2004.
  29. Akbar fahimi M DKH, Rahimzadeh rahbar S, Dr Ashaieri H, Dr Faghihzadeh S. The relationship between balance and independence in activities of daily Living inPatient with  stroke in Tehran. 2004;5, Autum 2004.

 

Volume 5, Issue 1
March and April 2016
Pages 68-74
  • Receive Date: 18 June 2015
  • Revise Date: 24 August 2015
  • Accept Date: 14 October 2015
  • First Publish Date: 20 March 2016