Ramos Mejía Hospital
Neurology

Author Of 2 Presentations

Neuropsychology and Cognition Poster Presentation

P0804 - Dual task during walking in patients with Multiple Sclerosis: cognitive or motor interference?

  (ID 1453)

Speakers
Presentation Number
P0804
Presentation Topic
Neuropsychology and Cognition

Abstract

Background

Impairment in dual task (DT) activities has been previously reported in patients with multiple sclerosis (MS). Most studies analyze DT during walking whether incorporating a second cognitive or motor task. More research is needed in order to define what type of task (cognitive or motor) determines the severity of the interference produced in the DT.

Objectives

1) To compare DT performance between patients with MS and healthy controls. 2) To analyze DT performance according to the type of task that interferes (cognitive or motor).

Methods

94 patients with relapsing remitting MS and 25 healthy controls (HC) were included. Patient age: 38.61 ± 11.44; Education: 13.26 ± 3.77; Disability (EDSS): 2.13 ± 1.16; Evolution: 9.66 ± 8.96. HC age: 34.00 ± 14.25; Education: 14.50 ± 2.65. Measuring instruments: Clinical variables: EDSS; Fatigue severity scale; Beck Depression Inventory II. Cognitive variables: BICAMS battery; DT: cognitive-motor task (walking while performing cognitive task) and motor-motor task (walking while performing motor task). The difference between performance in the single task and in the dual task situation was obtained. Parametric and non-parametric statistics were used, to define significance a value of p <0.05 was accepted

Results

: patients and HC did not differ in age (p = 0.12) and education (p = 0.11). Patient presented poorer performance than HC in cognitive-motor DT (U: between 334.50 and 238.50; p <0.05) but not in motor-motor DT (p> 0.05). Patients with EDSS> 2, presented lower performance than the controls in both types of task (p <0.05). The motor-motor task differentiated patients with EDSS <y> 2 (t: 2.85 and 3.51; p <0.05).

Conclusions

MS patients show impairment in the DT performance when the second task is cognitive. In patients with greater disability, alteration is found in both DT. Studying patient’s performance in DT allows a more ecological approach to their symptoms in order to directly intervene in daily life alterations.

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Patient-Reported Outcomes and Quality of Life Poster Presentation

P1030 - Exploring factors that impact on quality of life: coping strategies. (ID 1545)

Speakers
Presentation Number
P1030
Presentation Topic
Patient-Reported Outcomes and Quality of Life

Abstract

Background

Coping is conceived as the cognitive and behavioral efforts of a patient to adjust to disease and it may impact quality of life.

Objectives

We proposed to study the association between coping styles used by patients with Multiple Sclerosis (MS) and health-related quality of life (HRQoL).

Methods

90 MS patients (RRMS 95.56%; PPMS 2.22%; SPMS 2.22%) were included. 65.56% female; mean age: 40.97±12.85 years; education:13.46±3.93 years; Expanded Disability Status Scale (EDSS): 2.48±1.79; disease evolution 10.76±9.72. Outcomes measures: Argentine adaptation of the Inventory of coping responses CRI-A for adults; EDSS; Beck Depression Inventory; Fatigue Severity Scale and MS International Quality of Life questionnaire. Only the coping styles and the strategies that provided significant results were detailed: Problem-focused coping style, their strategies Positive Reappraisal (PR) and Seeking alternative Rewards (SR); Emotion-focused coping style and their strategy Emotional Discharge (ED).

Results

Significant correlations were found between coping styles, their strategies and HRQoL dimension. Patients with closer relationships with family (r=0.23) and friends (r=0.24), and better sentimental and sexual lives (r=0.32) obtained higher scores in problem-focused coping style, adopting an active role against the stressor. Positive and significant correlations were also found between the PR strategy and total HRQoL (r=0.21), relationship with friends (r=0.23) and sexual and sentimental life (r=.30). Furthermore, a significant positive relation was established between the SR strategy and the dimensions of activities of daily living (r= 0.25), relationships with friends (r=0.31), sentimental and sexual life (r= 0.33) and total HRQoL (r=0.28). On the other hand, patients who obtained higher scores in emotion-focused coping style reported lower HRQoL (r=-0.23), lower psychological well-being (r=-0.39) and lower scores in the dimensions of quality of life related to coping (r=-0.43) and the feeling of rejection (r=-0.23). The ED strategy was negatively correlated with total HRQoL (r=-0.29) and psychological well-being (r=-0.50).

Conclusions

The results obtained indicate that coping styles should be considered to improve the HRQoL and to study possible interventions in coping skills.

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