The impact of fear of falling on leisure-time physical activity in multiple sclerosis
Author(s): ,
A. Kalron
Affiliations:
Department of Physical Therapy, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv
,
R. Aloni
Affiliations:
Multiple Sclerosis Center, Sheba Medical Center, Tel-HaShomer
,
L. Frid
Affiliations:
Multiple Sclerosis Center, Sheba Medical Center, Tel-HaShomer
,
D. Magalashvili
Affiliations:
Multiple Sclerosis Center, Sheba Medical Center, Tel-HaShomer
,
H. Baransi
Affiliations:
Multiple Sclerosis Center, Sheba Medical Center, Tel-HaShomer
,
M. Dolev
Affiliations:
Multiple Sclerosis Center, Sheba Medical Center, Tel-HaShomer
,
M. Bovim-Rabey
Affiliations:
Multiple Sclerosis Center, Sheba Medical Center, Tel-HaShomer
A. Achiron
Affiliations:
Multiple Sclerosis Center, Sheba Medical Center, Tel-HaShomer; Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
ECTRIMS Online Library. Kalron A. Oct 12, 2018; 229120; P1280
Dr. Alon Kalron
Dr. Alon Kalron
Contributions
Abstract

Abstract: P1280

Type: Poster Sessions

Abstract Category: Therapy - Others

Introduction: There is a consensus that physical activity is imperative for people with MS (PwMS). However, regardless of the benefits, many PwMS do not participate in any meaningful physical activity.
Aim: To examine the relationship between leisure-time physical activity with clinical characteristics and common symptomatic measures in PwMS, including falls and concern of falling.
Methods: The sample included 190 PwMS (107 women), mean age 40.8 (S.D=13.1) and mean disease duration of 6.4 (SD=8.3) years since diagnosis. Their EDSS score was 2.7 (S.D=1.8; range 0-5.5) indicating minimal-moderate neurological disability. Outcome measures included the Godin Leisure-Time Exercise Questionnaire (GLTEQ), Four Square Step Test (FSST), 2-Minute Walk test (2mWT), Timed Up and Go test (TUG), Timed 25-Foot Walk test (T25FW), Fall history (at least two falls during the previous year), Falls Efficacy Scale International (FES-I), Modified Fatigue Impact Scale (MFIS), walking speed and the Multiple Sclerosis Walking Scale self-reported questionnaire (MSWS-12).
Results: Eighty-six PwMS were classified as active (GLTEQ=31.6 (S.D=16.7) and 104 were insufficiently active (GLTEQ=3.0 (S.D=4.3). Insufficiently active PwMS demonstrated a slower walking speed, elevated fatigue, more concerns of falling and additional walking difficulties compared to active PwMS. Non-significant differences between groups were observed in the TUG, 2mWT, FSST, T25FWT and fall status. According to the linear regression, by utilizing the FES-I, we were able to explain 12.2% of the variance related to leisure-time physical activity. The independent variables, EDSS, MSWS-12, fatigue and walking speed were excluded from the model.
Conclusions: The present data suggest that leisure-time physical activity is associated with fear of falling, despite the level of neurological impairment, walking speed, functional mobility abilities and fall history. Professionals involved in MS management should be aware of this knowledge which may represent an opportunity to improve care and enhance physical activity in the MS population.
Disclosure: All authors declare nothing to disclosure

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