A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
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-tekijät tai -toimittajat


Julkaisun tiedot

Julkaisun kaikki tekijät tai toimittajatKarhula, Maarit E.; Kanelisto, Katja; Hämäläinen, Päivi; Ruutiainen, Juhani; Era, Pertti; Häkkinen, Arja; Salminen, Anna-Liisa

Lehti tai sarjaInternational Journal of MS Care

ISSN1537-2073

Julkaisuvuosi2022

Ilmestymispäivä14.09.2021

Volyymi24

Lehden numero3

Artikkelin sivunumerot110-116

KustantajaConsortium of Multiple Sclerosis Centers

JulkaisumaaYhdysvallat (USA)

Julkaisun kielienglanti

DOIhttps://doi.org/10.7224/1537-2073.2020-061

Julkaisun avoin saatavuusAvoimesti saatavilla

Julkaisukanavan avoin saatavuusKokonaan avoin julkaisukanava

Julkaisu on rinnakkaistallennettu (JYX)https://jyx.jyu.fi/handle/123456789/77898


Tiivistelmä

Background: Few multidisciplinary rehabilitation studies with a heterogeneous design have focused on people with multiple sclerosis (MS). This study compared subjective-reported changes in performance and satisfaction with daily activities among moderately and severely disabled people with MS during a 2-year, multidisciplinary, group-based, outpatient rehabilitation program comprising education in self-management and compensatory techniques, exercise, and guided peer support.

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.


YSO-asiasanatkuntoutusMS-tautifyysinen kuntoliikuntasuorituskykyitsearviointi


Liittyvät organisaatiot


OKM-raportointiKyllä

VIRTA-lähetysvuosi2022

JUFO-taso1


Viimeisin päivitys 2024-12-10 klo 13:15