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Nogueira LA, Dos Santos LT, Sabino PG, et al. Factors for lower walking speed in persons with multiple sclerosis. Mult Scler Int. 2013;2013:875648doi: 10.1155/2013/875648.
Nogueira, L. A., Dos Santos, L. T., Sabino, P. G., Alvarenga, R. M., & Santos Thuler, L. C. (2013). Factors for lower walking speed in persons with multiple sclerosis. Multiple sclerosis international, 2013875648. https://doi.org/10.1155/2013/875648
Nogueira, Leandro Alberto Calazans, et al. "Factors for lower walking speed in persons with multiple sclerosis." Multiple sclerosis international vol. 2013 (2013): 875648. doi: https://doi.org/10.1155/2013/875648
Nogueira LA, Dos Santos LT, Sabino PG, Alvarenga RM, Santos Thuler LC. Factors for lower walking speed in persons with multiple sclerosis. Mult Scler Int. 2013;2013:875648. doi: 10.1155/2013/875648. Epub 2013 Mar 31. PMID: 23606966; PMCID: PMC3628672.
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Mult Scler Int. 2013;2013:875648. doi: 10.1155/2013/875648. Epub 2013 Mar 31.

Factors for lower walking speed in persons with multiple sclerosis.

Multiple sclerosis international

Leandro Alberto Calazans Nogueira, Luciano Teixeira Dos Santos, Pollyane Galinari Sabino, Regina Maria Papais Alvarenga, Luiz Claudio Santos Thuler

Affiliations

  1. Neurology Postgraduate Program of Federal University of Rio de Janeiro State, Rua Mariz e Barros 775, 20270-004 Rio de Janeiro, Brazil ; Federal Institute of Education, Science and Technology of Rio de Janeiro, Rua Professor Carlos Wenceslau, 343, 21715-000 Rio de Janeiro, Brazil.

PMID: 23606966 PMCID: PMC3628672 DOI: 10.1155/2013/875648

Abstract

Objective. The purpose of this study was to analyze factors related to lower walking speed in persons with multiple sclerosis (PwMS). Methods. A cross-sectional survey was conducted. The study participants were 120 consecutive PwMS, who were able to walk, even with device assistance. Demographic and clinical data were collected. Walking speed was measured in 10 m walk test. Possible factors were assessed: disability, fatigue, visual functioning, balance confidence, physical activity level, walking impact, cognitive interference, and motor planning. A forward linear multiple regression analysis examined the correlation with lower speed. Results. Lower walking speed was observed in 85% of the patients. Fatigue (41%), recurrent falls (30%), and balance problems were also present, even with mild disability (average EDSS = 2.68). A good level of physical activity was noted in most of the subjects. Dual-task procedure revealed 11.58% of walking speed reduction. Many participants (69.57%) imagined greater walking speed than motor execution (mean ≥ 28.42%). Physical activity level was the only characteristic that demonstrated no significant difference between the groups (lower versus normal walking speed). Many mobility measures were correlated with walking speed; however, disability, balance confidence, and motor planning were the most significant. Conclusions. Disability, balance confidence, and motor planning were correlated with lower walking speed.

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