Changes in gait and fatigue from morning to afternoon in people with multiple sclerosis
Objectives: The aim was to measure changes in walking patterns and self rated fatigue in people with multiple sclerosis (MS) compared with age matched control subjects, from the morning to the afternoon within a single day. Methods: Fourteen patients with MS and the same number of matched control su...
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| Veröffentlicht in: | Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 2002-03, Vol.72 (3), p.361-365 |
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| creator | Morris, M E Cantwell, C Vowels, L Dodd, K |
| description | Objectives: The aim was to measure changes in walking patterns and self rated fatigue in people with multiple sclerosis (MS) compared with age matched control subjects, from the morning to the afternoon within a single day. Methods: Fourteen patients with MS and the same number of matched control subjects performed four 10 m gait trials at their preferred walking speed at 10 00 am and then again at 3 00 pm on the same day. Gait speed, stride length, cadence, and the percentage of the gait cycle spent in double limb support were measured using a foot switch stride analyzer. Patients with MS also self rated their fatigue levels in the morning and afternoon using an 11 point scale. Results: Compared with control subjects, patients walked very slowly, with reduced stride length and around twice as much variability in gait performance. Although self rated fatigue significantly increased from the morning to the afternoon, walking patterns remained consistent in both groups over the course of the day. Conclusions: These findings imply that mechanisms controlling locomotion are separate from those regulating perceived fatigue. Objective measures of performance, rather than self report, should be used to monitor change in patients with multiple sclerosis. |
| doi_str_mv | 10.1136/jnnp.72.3.361 |
| format | Article |
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Methods: Fourteen patients with MS and the same number of matched control subjects performed four 10 m gait trials at their preferred walking speed at 10 00 am and then again at 3 00 pm on the same day. Gait speed, stride length, cadence, and the percentage of the gait cycle spent in double limb support were measured using a foot switch stride analyzer. Patients with MS also self rated their fatigue levels in the morning and afternoon using an 11 point scale. Results: Compared with control subjects, patients walked very slowly, with reduced stride length and around twice as much variability in gait performance. Although self rated fatigue significantly increased from the morning to the afternoon, walking patterns remained consistent in both groups over the course of the day. Conclusions: These findings imply that mechanisms controlling locomotion are separate from those regulating perceived fatigue. Objective measures of performance, rather than self report, should be used to monitor change in patients with multiple sclerosis.</description><identifier>ISSN: 0022-3050</identifier><identifier>EISSN: 1468-330X</identifier><identifier>DOI: 10.1136/jnnp.72.3.361</identifier><identifier>PMID: 11861697</identifier><identifier>CODEN: JNNPAU</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Adult ; Biological and medical sciences ; Circadian Rhythm ; Disability Evaluation ; EDSS ; expanded disability status scale ; Fatigue ; Fatigue - diagnosis ; Female ; Gait ; Humans ; Male ; Medical sciences ; Middle Aged ; Movement disorders ; Multiple sclerosis ; Multiple Sclerosis - diagnosis ; Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis ; Neurology ; physical therapy ; Physiological aspects ; Reference Values ; Spasticity ; Walking</subject><ispartof>Journal of neurology, neurosurgery and psychiatry, 2002-03, Vol.72 (3), p.361-365</ispartof><rights>Copyright 2002 Journal of Neurology Neurosurgery and Psychiatry</rights><rights>2002 INIST-CNRS</rights><rights>COPYRIGHT 2002 BMJ Publishing Group Ltd.</rights><rights>Copyright: 2002 Copyright 2002 Journal of Neurology Neurosurgery and Psychiatry</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b587t-9169f374fbb81189100d8863476934698d754f4e2e9f46fe5412cdac6b33af453</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1737774/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1737774/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,729,782,786,887,27931,27932,53798,53800</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13491940$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11861697$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morris, M E</creatorcontrib><creatorcontrib>Cantwell, C</creatorcontrib><creatorcontrib>Vowels, L</creatorcontrib><creatorcontrib>Dodd, K</creatorcontrib><title>Changes in gait and fatigue from morning to afternoon in people with multiple sclerosis</title><title>Journal of neurology, neurosurgery and psychiatry</title><addtitle>J Neurol Neurosurg Psychiatry</addtitle><description>Objectives: The aim was to measure changes in walking patterns and self rated fatigue in people with multiple sclerosis (MS) compared with age matched control subjects, from the morning to the afternoon within a single day. Methods: Fourteen patients with MS and the same number of matched control subjects performed four 10 m gait trials at their preferred walking speed at 10 00 am and then again at 3 00 pm on the same day. Gait speed, stride length, cadence, and the percentage of the gait cycle spent in double limb support were measured using a foot switch stride analyzer. Patients with MS also self rated their fatigue levels in the morning and afternoon using an 11 point scale. Results: Compared with control subjects, patients walked very slowly, with reduced stride length and around twice as much variability in gait performance. Although self rated fatigue significantly increased from the morning to the afternoon, walking patterns remained consistent in both groups over the course of the day. Conclusions: These findings imply that mechanisms controlling locomotion are separate from those regulating perceived fatigue. Objective measures of performance, rather than self report, should be used to monitor change in patients with multiple sclerosis.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Circadian Rhythm</subject><subject>Disability Evaluation</subject><subject>EDSS</subject><subject>expanded disability status scale</subject><subject>Fatigue</subject><subject>Fatigue - diagnosis</subject><subject>Female</subject><subject>Gait</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Movement disorders</subject><subject>Multiple sclerosis</subject><subject>Multiple Sclerosis - diagnosis</subject><subject>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</subject><subject>Neurology</subject><subject>physical therapy</subject><subject>Physiological aspects</subject><subject>Reference Values</subject><subject>Spasticity</subject><subject>Walking</subject><issn>0022-3050</issn><issn>1468-330X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFktuL1DAUxoso7rj66KsURPHBjkmTJumLsNbLCosKXlZ8CWl70slsm9Sk9fLfmzrDjopo8hCS_PjOOR9fktzGaI0xYY-21o5rnq_JmjB8JVlhykRGCPp4NVkhlOcZQQU6Sm6EsEXLEuX15AhjwTAr-So5rzbKdhBSY9NOmSlVtk21mkw3Q6q9G9LBeWtsl04uVXoCb52zCz2CG3tIv5ppkw5zP5nlFpoevAsm3EyuadUHuLU_j5P3z5-9q06zs9cvXlYnZ1ldCD5lZexCE051XYvYVIkRaoVghHJWEspK0fKCago5lJoyDQXFedOqhtWEKE0Lcpw83umOcz1A24CdvOrl6M2g_HfplJG__1izkZ37IjEnnHMaBe7vBbz7PEOY5GBCA32vLLg5SI6LvBQ5j-DdP8Ctm72Nw0UtgYto6U_q4Y7qVA_SWO1i1aYDC7G4s6BNfD4RFGGGCxLx7C943C0MpvkH30SXgwd9OSlGcsmDXPIgeS6JjHmI_J1f7TnQ-wBE4N4eUKFRvfbKNiYcOEJLXFJ0KGzCBN8u_5W_kCw6WchXHyr55NPb6ukbci5PI_9gx9fD9j89_gCDttpP</recordid><startdate>20020301</startdate><enddate>20020301</enddate><creator>Morris, M E</creator><creator>Cantwell, C</creator><creator>Vowels, L</creator><creator>Dodd, K</creator><general>BMJ Publishing Group Ltd</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20020301</creationdate><title>Changes in gait and fatigue from morning to afternoon in people with multiple sclerosis</title><author>Morris, M E ; Cantwell, C ; Vowels, L ; Dodd, K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b587t-9169f374fbb81189100d8863476934698d754f4e2e9f46fe5412cdac6b33af453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Circadian Rhythm</topic><topic>Disability Evaluation</topic><topic>EDSS</topic><topic>expanded disability status scale</topic><topic>Fatigue</topic><topic>Fatigue - diagnosis</topic><topic>Female</topic><topic>Gait</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Movement disorders</topic><topic>Multiple sclerosis</topic><topic>Multiple Sclerosis - diagnosis</topic><topic>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</topic><topic>Neurology</topic><topic>physical therapy</topic><topic>Physiological aspects</topic><topic>Reference Values</topic><topic>Spasticity</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morris, M E</creatorcontrib><creatorcontrib>Cantwell, C</creatorcontrib><creatorcontrib>Vowels, L</creatorcontrib><creatorcontrib>Dodd, K</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morris, M E</au><au>Cantwell, C</au><au>Vowels, L</au><au>Dodd, K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in gait and fatigue from morning to afternoon in people with multiple sclerosis</atitle><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle><addtitle>J Neurol Neurosurg Psychiatry</addtitle><date>2002-03-01</date><risdate>2002</risdate><volume>72</volume><issue>3</issue><spage>361</spage><epage>365</epage><pages>361-365</pages><issn>0022-3050</issn><eissn>1468-330X</eissn><coden>JNNPAU</coden><abstract>Objectives: The aim was to measure changes in walking patterns and self rated fatigue in people with multiple sclerosis (MS) compared with age matched control subjects, from the morning to the afternoon within a single day. Methods: Fourteen patients with MS and the same number of matched control subjects performed four 10 m gait trials at their preferred walking speed at 10 00 am and then again at 3 00 pm on the same day. Gait speed, stride length, cadence, and the percentage of the gait cycle spent in double limb support were measured using a foot switch stride analyzer. Patients with MS also self rated their fatigue levels in the morning and afternoon using an 11 point scale. Results: Compared with control subjects, patients walked very slowly, with reduced stride length and around twice as much variability in gait performance. Although self rated fatigue significantly increased from the morning to the afternoon, walking patterns remained consistent in both groups over the course of the day. Conclusions: These findings imply that mechanisms controlling locomotion are separate from those regulating perceived fatigue. Objective measures of performance, rather than self report, should be used to monitor change in patients with multiple sclerosis.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>11861697</pmid><doi>10.1136/jnnp.72.3.361</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of neurology, neurosurgery and psychiatry, 2002-03, Vol.72 (3), p.361-365 |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adult Biological and medical sciences Circadian Rhythm Disability Evaluation EDSS expanded disability status scale Fatigue Fatigue - diagnosis Female Gait Humans Male Medical sciences Middle Aged Movement disorders Multiple sclerosis Multiple Sclerosis - diagnosis Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis Neurology physical therapy Physiological aspects Reference Values Spasticity Walking |
| title | Changes in gait and fatigue from morning to afternoon in people with multiple sclerosis |
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