Modified Functional Walking Categories and participation in people with multiple sclerosis

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Abstract

Background: Gait velocity influences the ability of a person to move in different outdoor or indoor contexts and has accordingly been classified through the Modified Functional Walking Categories (MFWC). Community ambulation in persons with multiple sclerosis (PwMS) may give information on their social and productive participation, as well as independence in household activities. Objectives: To investigate factors associated with walking and mobility restrictions as classified by the Modified Functional Walking Categories (MFWC) and analyze the influence of disease characteristics, demographical and walking factors on participation in PwMS. Methods: 155 PwMS attending two rehabilitation center were evaluated. Community ambulation was classified with the MFWC; participation was measured with the Community Integration Questionnaire (CIQ). MFWC and statistically significant variables associated with CIQ score were entered in a multivariate logistic model to assess the multiple relationships. Results: PwMS with a secondary progressive type of disease, longer disease duration and using walking aids were classified in the worse MFWC. Participation restrictions were more frequent in Limited Household (72.3%) and in Physiological Walkers (93.7%). The final multivariate model (p < 0.0001) showed that the use of a walking aid (OR = 2.59), being male (OR = 2.94) and older (OR = 1.06) increased the likelihood of having participation restrictions. The same variables predicted home participation; MFWC and age predicted productive participation while only age influenced social participation. Conclusions: Modified Functional Walking Categories were associated with type of disease, disease duration, disability level and type of walking aid. The best clinical predictor of participation restriction was walking aid while walking categories only predicted productive participation.

Original languageEnglish
Pages (from-to)11-18
Number of pages8
JournalMultiple Sclerosis and Related Disorders
Volume26
DOIs
Publication statusPublished - Nov 1 2018

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Multiple Sclerosis
Walking
Community Integration
Social Participation
Rehabilitation Centers
Aptitude
Gait
Logistic Models

Keywords

  • Community integration
  • Gait speed
  • Multiple sclerosis
  • Participation
  • Walking
  • Walking aid

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

Cite this

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title = "Modified Functional Walking Categories and participation in people with multiple sclerosis",
abstract = "Background: Gait velocity influences the ability of a person to move in different outdoor or indoor contexts and has accordingly been classified through the Modified Functional Walking Categories (MFWC). Community ambulation in persons with multiple sclerosis (PwMS) may give information on their social and productive participation, as well as independence in household activities. Objectives: To investigate factors associated with walking and mobility restrictions as classified by the Modified Functional Walking Categories (MFWC) and analyze the influence of disease characteristics, demographical and walking factors on participation in PwMS. Methods: 155 PwMS attending two rehabilitation center were evaluated. Community ambulation was classified with the MFWC; participation was measured with the Community Integration Questionnaire (CIQ). MFWC and statistically significant variables associated with CIQ score were entered in a multivariate logistic model to assess the multiple relationships. Results: PwMS with a secondary progressive type of disease, longer disease duration and using walking aids were classified in the worse MFWC. Participation restrictions were more frequent in Limited Household (72.3{\%}) and in Physiological Walkers (93.7{\%}). The final multivariate model (p < 0.0001) showed that the use of a walking aid (OR = 2.59), being male (OR = 2.94) and older (OR = 1.06) increased the likelihood of having participation restrictions. The same variables predicted home participation; MFWC and age predicted productive participation while only age influenced social participation. Conclusions: Modified Functional Walking Categories were associated with type of disease, disease duration, disability level and type of walking aid. The best clinical predictor of participation restriction was walking aid while walking categories only predicted productive participation.",
keywords = "Community integration, Gait speed, Multiple sclerosis, Participation, Walking, Walking aid",
author = "Rita Bertoni and Johanna Jonsdottir and Peter Feys and Ilse Lamers and Davide Cattaneo",
year = "2018",
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doi = "10.1016/j.msard.2018.08.031",
language = "English",
volume = "26",
pages = "11--18",
journal = "Multiple Sclerosis and Related Disorders",
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T1 - Modified Functional Walking Categories and participation in people with multiple sclerosis

AU - Bertoni, Rita

AU - Jonsdottir, Johanna

AU - Feys, Peter

AU - Lamers, Ilse

AU - Cattaneo, Davide

PY - 2018/11/1

Y1 - 2018/11/1

N2 - Background: Gait velocity influences the ability of a person to move in different outdoor or indoor contexts and has accordingly been classified through the Modified Functional Walking Categories (MFWC). Community ambulation in persons with multiple sclerosis (PwMS) may give information on their social and productive participation, as well as independence in household activities. Objectives: To investigate factors associated with walking and mobility restrictions as classified by the Modified Functional Walking Categories (MFWC) and analyze the influence of disease characteristics, demographical and walking factors on participation in PwMS. Methods: 155 PwMS attending two rehabilitation center were evaluated. Community ambulation was classified with the MFWC; participation was measured with the Community Integration Questionnaire (CIQ). MFWC and statistically significant variables associated with CIQ score were entered in a multivariate logistic model to assess the multiple relationships. Results: PwMS with a secondary progressive type of disease, longer disease duration and using walking aids were classified in the worse MFWC. Participation restrictions were more frequent in Limited Household (72.3%) and in Physiological Walkers (93.7%). The final multivariate model (p < 0.0001) showed that the use of a walking aid (OR = 2.59), being male (OR = 2.94) and older (OR = 1.06) increased the likelihood of having participation restrictions. The same variables predicted home participation; MFWC and age predicted productive participation while only age influenced social participation. Conclusions: Modified Functional Walking Categories were associated with type of disease, disease duration, disability level and type of walking aid. The best clinical predictor of participation restriction was walking aid while walking categories only predicted productive participation.

AB - Background: Gait velocity influences the ability of a person to move in different outdoor or indoor contexts and has accordingly been classified through the Modified Functional Walking Categories (MFWC). Community ambulation in persons with multiple sclerosis (PwMS) may give information on their social and productive participation, as well as independence in household activities. Objectives: To investigate factors associated with walking and mobility restrictions as classified by the Modified Functional Walking Categories (MFWC) and analyze the influence of disease characteristics, demographical and walking factors on participation in PwMS. Methods: 155 PwMS attending two rehabilitation center were evaluated. Community ambulation was classified with the MFWC; participation was measured with the Community Integration Questionnaire (CIQ). MFWC and statistically significant variables associated with CIQ score were entered in a multivariate logistic model to assess the multiple relationships. Results: PwMS with a secondary progressive type of disease, longer disease duration and using walking aids were classified in the worse MFWC. Participation restrictions were more frequent in Limited Household (72.3%) and in Physiological Walkers (93.7%). The final multivariate model (p < 0.0001) showed that the use of a walking aid (OR = 2.59), being male (OR = 2.94) and older (OR = 1.06) increased the likelihood of having participation restrictions. The same variables predicted home participation; MFWC and age predicted productive participation while only age influenced social participation. Conclusions: Modified Functional Walking Categories were associated with type of disease, disease duration, disability level and type of walking aid. The best clinical predictor of participation restriction was walking aid while walking categories only predicted productive participation.

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