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Personalised inpatient multidisciplinary rehabilitation elicits clinically relevant improvements in physical function in patients with multiple sclerosis - The Danish MS Hospitals Rehabilitation Study
- Source :
- Multiple Sclerosis Journal-Experimental, Translational and Clinical, Hvid, L G, Gaemelke, T, Dalgas, U, Slipsager, M K, Rasmussen, P V, Petersen, T, Nørgaard, M, Skjerbaek, A G & Boesen, F 2021, ' Personalised inpatient multidisciplinary rehabilitation elicits clinically relevant improvements in physical function in patients with multiple sclerosis : The Danish MS Hospitals Rehabilitation Study ', Multiple sclerosis journal-experimental, translational and clinical, vol. 7, no. 1, pp. 1-12 . https://doi.org/10.1177/2055217321989384, Hvid, L G, Gaemelke, T, Dalgas, U, Slipsager, M K, Rasmussen, P V, Petersen, T, Nørgaard, M, Skjerbaek, A G & Boesen, F 2021, ' Personalised inpatient multidisciplinary rehabilitation elicits clinically relevant improvements in physical function in patients with multiple sclerosis : The Danish MS Hospitals Rehabilitation Study ', Multiple Sclerosis Journal-Experimental, Translational and Clinical, vol. 7, no. 1, pp. 1-12 . https://doi.org/10.1177/2055217321989384
- Publication Year :
- 2020
-
Abstract
- Purpose Evidence of the effects of inpatient multidisciplinary rehabilitation (MDR) on physical function in patients with multiple sclerosis (MS) is limited, particularly whether clinically relevant improvements can be achieved. The aim of this study, therefore, was to investigate the effects of personalised inpatient MDR on the physical function of MS patients. Methods Embedded in the Danish MS Hospitals Rehabilitation Study, a pragmatic study was performed in MS patients undergoing four weeks of inpatient MDR specifically targeting physical function. Outcomes were assessed at baseline (n = 142), at discharge (n = 137) and at six months follow-up (n = 126) using the six-minute walk test (6MWT), six-spot step test (SSST), five times sit to stand test (5STS), nine-hole peg test (NHPT), dynamic gait index (DGI) and 12-item MS walking scale (MSWS). Results From Baseline-to-Discharge, significant and clinically relevant improvements were found in all measures of walking capacity (6MWT, SSST, 5STS, DGI and MSWS; p 2.5–5.5] vs. severe [EDSS6.0–7.5]) and age (young/middle-aged [Age24–59] vs. old [Age60–65]), an attenuated adaptation was nevertheless observed for 6MWT in the most affected and vulnerable subgroups (i.e. SP + PP, EDSS6.0–7.5 and Age60–65). The significant improvements in walking capacity and upper extremity function persisted at six months follow-up but did not exceed anymore the thresholds regarded as clinically relevant. Conclusion The results provide novel evidence that personalised inpatient MDR targeting physical function in MS patients elicits significant and clinically relevant improvements in physical function.
- Subjects :
- 030506 rehabilitation
medicine.medical_specialty
medicine.medical_treatment
Physical function
rehabilitation
Danish
Multiple sclerosis
03 medical and health sciences
Cellular and Molecular Neuroscience
0302 clinical medicine
Medicine
In patient
Rehabilitation Study
Rehabilitation
business.industry
medicine.disease
physical functional performance
language.human_language
Original Research Paper
language
Physical therapy
Neurology (clinical)
0305 other medical science
business
030217 neurology & neurosurgery
Multidisciplinary rehabilitation
Subjects
Details
- ISSN :
- 20552173
- Volume :
- 7
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Multiple sclerosis journal - experimental, translational and clinical
- Accession number :
- edsair.doi.dedup.....1f9147cacd4ba2f4ff8aa7be831dc860