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Impact of Fatigue on Walking Capacity in MS

J Neurol Sci; 2018 Apr; Dalgas, et al

The physical impact of fatigue is weakly related to objective walking capacity, while general, physical, cognitive, and psychosocial fatigue impact are weakly to moderately related to subjective walking ability in multiple sclerosis (MS) patients. This according to a recent study that included ambulatory MS patients (n=189) tested at 11 sites. Objective tests of walking capacity included short walking tests (Timed 25-Foot Walk [T25FW], 10-Metre Walk Test [10mWT] and the Timed Up and Go [TUG]), and long walking tests (2- and 6-Minute Walk Tests [MWT]). Fatigue impact was measured by the self-reported modified fatigue impact scale (MFIS) consisting of a total score (MFIStotal) and 3 subscales (MFISphysical, MFIScognitive and MFISpsychosocial). They found:

  • MFIStotal was negatively related with long (6MWT, r = −0.14) and short composite (TUG, r = −0.22) walking measures.
  • MFISphysical showed a significant albeit weak relationship to walking speed in all walking capacity tests (r = −0.22 to −0.33), which persisted in the multivariate linear regression analysis.
  • Subjective walking ability (MSWS-12) was related to MFIStotal (r = 0.49), as well as to all other subscales of MFIS (r = 0.24–0.63), showing stronger relationships than objective measures of walking.
Citation:

Dalgas U, Langeskov-Christensen M, Skjerbæk A, et al. Is the impact of fatigue related to walking capacity and perceived ability in persons with multiple sclerosis? A multicenter study. J Neurol Sci. 2018;387:179-186. doi:10.1016/j.jns.2018.02.026.