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):6902260020. https://doi.org/10.5014/ajot.2015.014332
Download citation file:
© 2020 American Occupational Therapy Association
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.
Do you cook? (Answers were 0, not cooking, or 1, yes, I cook.)
How often do you cook? (Answers could range from 0, never, to 4, always.)
How much previous cooking experience do you have? (Answers could range from 0, none, to 3, a lot.)
Have you ever cooked breakfast foods? (Answers were 0, no, or 1, yes, I cook breakfast foods.)
If you do cook breakfast foods, how often do you do so? (Answers could range from 0, never, to 4, always.)
Cognitive abilities are more significant in the activity of cooking than in participation in employment. Occupational therapy practitioners can identify clients with MS who are at risk for decreased activity and participation to enable early intervention.
Impairment in processing speed can be considered a significant marker of various cognitive domains, activity, and participation. Given that processing speed is modifiable (Ball, Edwards, & Ross, 2007), attempts to improve processing speed in people with MS may result in greater maintenance of employment and daily activities, ultimately improving their lives.
This PDF is available to Subscribers Only
For full access to this pdf, sign in to an existing account, or purchase an annual subscription.