Yael Goverover, Lauren Strober, Nancy Chiaravalloti, John DeLuca; Factors That Moderate Activity Limitation and Participation Restriction in People With Multiple Sclerosis. Am J Occup Ther 2015;69(2):6902260020p1-6902260020p9. doi: 10.5014/ajot.2015.014332.
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© 2016 American Occupational Therapy Association
Examination of the associations among physical fitness, cognition, and driving performance in 18 people with heart failure found that reduced physical fitness was associated with worse simulated driving.
We examined the variables most associated with activity limitation (i.e., cooking) and participation restriction (i.e., employment) in 72 people with multiple sclerosis (MS). Participants underwent a comprehensive neuropsychological test battery assessing memory, executive functions, visual perception, and processing speed and completed questionnaires assessing activity, participation, fatigue, and affective symptoms. Results showed that processing speed was the only variable consistently significantly related to both activity and participation. When examining specific aspects of activity and participation in isolation, employment status was significantly associated with education level, visual memory, fatigue, and processing speed. Cooking ability was associated with performance on tasks of working memory, verbal memory, and processing speed. These findings suggest that processing speed is a primary cognitive factor in MS influencing quality of both activity and participation in everyday life.
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