Department of Rehabilitation Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan.
Faculty of Medicine, The University of Jordan, Amman, Jordan.
NeuroRehabilitation. 2020;47(2):153-160. doi: 10.3233/NRE-203131.
Multiple sclerosis (MS) has a huge impact on patients and affects their ability to participate in meaningful activities.
To identify motor and non-motor factors that are associated with the participation level in instrumental activities of daily living (IADL), leisure, social and religious activities in people with MS.
This is a cross-sectional study conducted on 110 individuals with MS. The used outcome measures are: Arabic version of the Activity Card Sort, Berg Balance Scale, Modified Fatigue Impact Scale, Nine Hole Peg Test, 6-Minute Walk Test, Brief International Cognitive Assessment for Multiple Sclerosis, Stroop test and Hospital Anxiety and Depression Scale.
Hand function, balance, gender and cognitive status can predict the participation in IADL (R2 = 0.425, P < 0.0001); depression, age, and cognitive status can predict the participation in leisure activities (R2 = 0.372, P < 0.0001), and fatigue, balance and cognitive status can predict social activities participation (R2 = 0.492, P < 0.000).
Balance, cognition and fatigue affect the level of participation in instrumental activities of daily living, leisure, and religious and social activities.
多发性硬化症（MS）对患者有很大影响，影响他们参与有意义活动的能力。
确定与多发性硬化症患者工具性日常生活活动（IADL）、休闲、社会和宗教活动参与水平相关的运动和非运动因素。
这是一项对 110 名多发性硬化症患者进行的横断面研究。使用的结果测量包括：活动卡片分类的阿拉伯语版本、伯格平衡量表、改良疲劳影响量表、九孔钉测试、6 分钟步行测试、简要国际认知评估多发性硬化症、斯特鲁普测试和医院焦虑和抑郁量表。
手功能、平衡、性别和认知状态可以预测 IADL 的参与（R2=0.425，P<0.0001）；抑郁、年龄和认知状态可以预测休闲活动的参与（R2=0.372，P<0.0001），而疲劳、平衡和认知状态可以预测社会活动的参与（R2=0.492，P<0.000）。
平衡、认知和疲劳会影响工具性日常生活活动、休闲、宗教和社会活动的参与水平。
