This issue of NARCOMS Now spotlights some current research on falls and fall prevention in people with multiple sclerosis (MS). While we focus on a study of falls among people using wheeled devices, fall prevention is relevant to anyone, especially people with health issues that affect mobility and balance. Click here to read the publication.
POSTERS RH01 Monitoring Exertion-Induced Changes in Gait Parameters in Patients with Relapsing-Remitting MS Darlene K Stough, RN MSCN CCRP, Cleveland Clinic; Jay Alberts, PhD., Cleveland Clinic; Katherine Koenig, PhD, Cleveland Clinic; Hong Li, MS, Cleveland Clinic; Mark Lowe, PhD, Cleveland Clinic; Sneha Natarajan, PhD, Cleveland Clinic; Daniel Ontaneda, MD, Cleveland Clinic; Matthew Streicher, Research Engineer, […]
POSTERS RH07 A Concerns Report Survey of Physical Activity Programming Needs and Priorities of People with Moderate-to-Severe MS-Disability and Family Caregivers Afolasade Fakolade, BMR(PT), M.Sc, Queen’s University; Amy E Latimer-Cheung, PhD, Queen’s University; Trisha Parsons, B.Sc.(PT), PhD, Queen’s University; Marcia Finlayson, PhD, OT Reg (Ont), OTR, Queen’s University; Afolasade Fakolade, BMR(PT), M.Sc, Queen’s University RH08 […]
The administration and leadership of the CMSC and IOMSRT are saddened to report that our PT colleague, Toni Chiara, passed away this weekend after a battle with cancer. She was with friends and family. Please keep them in your thoughts and prayers. Toni did a lot of cutting edge research in pulmonary aspects of MS […]
A multi-dimensional, comprehensive care approach is advocated to promote positive outcomes for individuals with MS, and rehabilitation is an integral part of comprehensive MS care. There is a documented need for improvements in rehabilitative services, including incorporation of standardized measures for the evaluation and ongoing assessment of persons with MS, increased awareness for the signs and symptoms of a change in patient status, and a need for patient engagement in identification of rehabilitation goals and treatment strategies.
The 9-HPT is a brief, standardized, quantitative test of upper extremity function. It is the second component of the MSFC to be administered at each visit. Both the dominant and non-dominant hands are tested twice. The patient is seated at a table with a small, shallow container holding nine pegs and a wood or plastic block containing nine empty holes. On a start command when a stopwatch is started, the patient picks up the nine pegs one at a time as quickly as possible, puts them in the nine holes, and, once they are in the holes, removes them again as quickly as possible one at a time, replacing them into the shallow container. The total time to complete the task is recorded. Two consecutive trials with the dominant hand are immediately followed by two consecutive trials with the non-dominant hand.
The T25-FW is a quantitative mobility and leg function performance test based on a timed 25-walk. It is the first component of the MSFC to be administered at each visit. The patient is directed to one end of a clearly marked 25-foot course and is instructed to walk 25 feet as quickly as possible, but safely. The time is calculated from the initiation of the instruction to start and ends when the patient has reached the 25-foot mark. The task is immediately administered again by having the patient walk back the same distance. Patients may use assistive devices when doing this task.
The is a measurement of mobility. It includes a number of tasks such as standing from a seating position, walking, turning, stopping, and sitting down which are all important tasks needed for a person to be independently mobile.