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Physical Function in Older Adults with MS

J Geriatr Phys Ther; 2018 Jul; Motl, et al

There is preliminary evidence of reduced physical function among older adults with multiple sclerosis (MS), based on the Short Physical Performance Battery (SPPB), a valid, objective measure of lower extremity functional performance, according to a recent study. The sample (n=40) included 20 older adults with MS and 20 older adults without MS who were matched on sex and age. All participants completed the SPPB. Researchers found:

  • Statistically significant differences were observed between groups for the overall SPPB score (d = 0.45) and the balance (d = 0.46) and gait speed (d = 0.30) component scores.
  • The difference between groups in the lower extremity strength component approached significance (d = 0.34).
  • Of note, only 2 older adults without MS had SPPB scores below 10 (ie, 10%), whereas 8 older adults with MS had SPPB scores below 10 (ie, 40%); this represented a statistically significant difference in future risk for disability.

Citation:

Motl RW, Chaparro G, Hernandez ME, Balto JM, Sandroff BM. Physical function in older adults with multiple sclerosis: An application of the Short Physical Performance Battery. J Geriatr Phys Ther. 2018;41(3):155-160. doi:10.1519/JPT.0000000000000115.