PARTICIPATION RESTRICTIONS IN AMBULATORY AMYOTROPHIC LATERAL SCLEROSIS PATIENTS: PHYSICAL AND PSYCHOLOGICAL FACTORS

Annerieke C. van Groenestijn, Carin D. Schröder, Esther T. Kruitwagen-van Reenen, Leonard H. van den Berg, Johanna M. A. Visser-Meily

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Abstract

IntroductionThe aim of this study was to assess the prevalence of participation restrictions in ambulatory patients with amyotrophic lateral sclerosis (ALS) and to identify physical and psychological contributory factors. MethodsIn this cross-sectional study, self-reported participation restrictions of 72 ambulatory ALS patients were assessed using the social health status dimension (SIPSOC) of the Sickness Impact Profile (SIP-68). Associations between SIPSOC and physical functioning, psychological factors, and demographic factors were analyzed using hierarchical regression analyses. ResultsNinety-two percent of the patients reported participation restrictions; 54.9% could be explained by physical functioning; psychological factors accounted for 8.1% of the variance. Lung capacity, functional mobility, fatigue, and helplessness were independently associated with participation restrictions. ConclusionsAmbulatory ALS patients have participation restrictions, which may be influenced if early ALS care is directed toward lung capacity, functional mobility, fatigue, and feelings of helplessness
Original languageEnglish
Pages (from-to)912-918
JournalMuscle & Nerve
Volume56
Issue number5
Early online date2017
DOIs
Publication statusPublished - 2017

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