A1 Journal article (refereed)
Self-reported Reasons for Changes in Performance of Everyday Activities During a 2-Year Multidisciplinary Multiple Sclerosis Rehabilitation (2022)
Karhula, M. E., Kanelisto, K., Hämäläinen, P., Ruutiainen, J., Era, P., Häkkinen, A., & Salminen, A.-L. (2022). Self-reported Reasons for Changes in Performance of Everyday Activities During a 2-Year Multidisciplinary Multiple Sclerosis Rehabilitation. International Journal of MS Care, 24(3), 110-116. https://doi.org/10.7224/1537-2073.2020-061
JYU authors or editors
Publication details
All authors or editors: Karhula, Maarit E.; Kanelisto, Katja; Hämäläinen, Päivi; Ruutiainen, Juhani; Era, Pertti; Häkkinen, Arja; Salminen, Anna-Liisa
Journal or series: International Journal of MS Care
ISSN: 1537-2073
Publication year: 2022
Publication date: 14/09/2021
Volume: 24
Issue number: 3
Pages range: 110-116
Publisher: Consortium of Multiple Sclerosis Centers
Publication country: United States
Publication language: English
DOI: https://doi.org/10.7224/1537-2073.2020-061
Publication open access: Openly available
Publication channel open access: Open Access channel
Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/77898
Abstract
Methods: Thirty-eight adults with moderate disability (Expanded Disability Status Scale [EDSS] score of 4.0–5.5, 74% women, mean age of 48 years) and 41 persons with severe disability (EDSS 6.0–8.5, 63% women, mean age of 48 years) were assessed at baseline and after 12 and 21 months of outpatient rehabilitation using the Canadian Occupational Performance Measure. Group × time interactions were analyzed using mixed analysis of variance. Participants’ explanations of reasons for changes in activity performance were collected via semistructured interviews and content analyzed.
Results: Statistically significant improvements in Canadian Occupational Performance Measure performance and satisfaction scores were reported in both groups from baseline to 21 months of rehabilitation. No significant between-group differences in improvement were observed. The self-reported reasons for improvement were mainly linked to environmental factors.
Conclusions: The outpatient rehabilitation program, including four themes—cognition, mood, energy conservation, and body control—improved the self-reported performance of patients with MS with moderate and severe disabilities. Environmental factors warrant consideration during rehabilitation.
Keywords: rehabilitation; multiple sclerosis; physical fitness; physical training; performance (capacity); self-evaluation
Contributing organizations
Ministry reporting: Yes
Reporting Year: 2022
JUFO rating: 1