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. 2018 Jan 5;8(2):e00875.
doi: 10.1002/brb3.875. eCollection 2018 Feb.

Progressive multiple sclerosis, cognitive function, and quality of life

Helene Højsgaard Chow  1 , Karen Schreiber  1 , Melinda Magyari  1 , Cecilie Ammitzbøll  1 , Lars Börnsen  1 , Jeppe Romme Christensen  1 , Rikke Ratzer  1 , Per Soelberg Sørensen  1 , Finn Sellebjerg  1
Affiliations

Progressive multiple sclerosis, cognitive function, and quality of life

Helene Højsgaard Chow et al. Brain Behav. .

Abstract

Background: Patients with progressive multiple sclerosis (MS) often have cognitive impairment in addition to physical impairment. The burden of cognitive and physical impairment progresses over time, and may be major determinants of quality of life. The aim of this study was to assess to which degree quality of life correlates with physical and cognitive function in progressive MS.

Methods: This is a retrospective study of 52 patients with primary progressive (N = 18) and secondary progressive MS (N = 34). Physical disability was assessed using the Expanded Disability Status Scale, Timed 25 Foot Walk (T25FW) test and 9-Hole Peg Test (9HPT). Cognitive function was assessed using Symbol Digit Modalities Test (SDMT), Paced Auditory Serial Addition Test, and Trail Making Test B (TRAIL-B). In addition, quality of life was assessed by the Short Form 36 (SF-36) questionnaire.

Results: Only measures of cognitive function correlated with the overall SF-36 quality of life score and the Mental Component Summary score from the SF-36. The only physical measure that correlated with a measure of quality of life was T25FW test, which correlated with the Physical Component Summary from the SF-36. We found no other significant correlations between the measures of cognitive function and the overall physical measures but interestingly, we found a possible relationship between the 9HPT score for the nondominant hand and the SDMT and TRAIL-B.

Conclusion: Our findings support inclusion of measures of cognitive function in the assessment of patients with progressive MS as these correlated closer with quality of life than measures of physical impairment.

Keywords: cognitive function; multiple sclerosis; physical function; progressive multiple sclerosis; quality of life.

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Figures

Figure 1
Figure 1
Graphical overview of all correlations between the measured variables
See this image and copyright information in PMC

References

    1. Amato, M. P. , Ponziani, G. , Siracusa, G. , & Sorbi, S. (2001). Cognitive dysfunction in early‐onset multiple sclerosis: A reappraisal after 10 years. Archives of Neurology, 58(10), 1602–1606. https://doi.org/10.1001/archneur.58.10.1602 - DOI - PubMed
    1. Arango‐ Lasprilla, J. C. , Rivera, D. , Aguayo, A. , Rodríguez, W. , Garza, M. T. , Saracho, C. P. , … Perrin, P. B. (2015). Trail Making Test: Normative data for the Latin American Spanish speaking adult population. NeuroRehabilitation, 37(4), 639–661. https://doi.org/10.3233/NRE-151284 - DOI - PubMed
    1. Arnett, P. A. , Smith, M. M. , Barwick, F. H. , Benedict, R. H. , & Ahlstrom, B. P. (2008). Oralmotor slowing in multiple sclerosis: Relationship to neuropsychological tasks requiring an oral response. Journal of the International Neuropsychological Society: JINS, 14(3), 454–462. https://doi.org/10.1017/S1355617708080508 - DOI - PubMed
    1. Baier, M. L. , Cutter, G. R. , Rudick, R. A. , Miller, D. , Cohen, J. A. , Weinstock‐Guttman, B. , … Balcer, L. J. (2005). Low‐contrast letter acuity testing captures visual dysfunction in patients with multiple sclerosis. Neurology, 64(6), 992–995. https://doi.org/10.1212/01.WNL.0000154521.40686.63 - DOI - PubMed
    1. Balcer, L. J. , Baier, M. L. , Cohen, J. A. , Kooijmans, M. F. , Sandrock, A. W. , Nano‐Schiavi, M. L. , … Cutter, G. R. (2003). Contrast letter acuity as a visual component for the Multiple Sclerosis Functional Composite. Neurology, 61(10), 1367–1373. https://doi.org/10.1212/01.WNL.0000094315.19931.90 - DOI - PubMed

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