Effect of a strong desire to void on walking speed in individuals with multiple sclerosis and urinary disorders - 09/04/20
, Nicolas Turmel, Camille Chesnel, Audrey Charlanes, Frédérique Le Breton, Samer Sheikh Ismaël, Gérard Amarenco
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Abstract |
Background |
Lower urinary tract symptoms, especially overactive bladder, are frequent and disabling in individuals with multiple sclerosis (IwMS). An association with gait disorders is common, which could aggravate continence difficulties and affect quality of life. The association between the need to void and walking has never been studied in this population.
Objective |
The primary aim of this study was to assess the effect of a strong desire to void (SDV) on walking speed in IwMS and lower urinary tract symptoms. The secondary aim was to identify clinical or urodynamic factors associated with walking speed impairment at SDV in this population.
Methods |
We included IwMS with urinary disorders and Expanded Disability Status Scale score<7 in this observational study. Individuals underwent 3 10-m walk tests (10MWT) and one Timed Up and Go (TUG) test at SDV and at post-void (PV).
Results |
Among the 72 IwMS included (mean [SD] age 50.6 [11.6] years; 46 [64%] females), the mean (SD) speed for 10MWT was 1.00 (0.31) m.s−1 at SDV and 1.07 (0.30) m.s−1 at PV (P<0.0001). Time for TUG was also increased when individuals felt SDV: mean 11.53 (4.6) sec at SDV versus 10.77 (3.8) sec at PV (P=0.004). No predictors of greater impairment of walking speed at SDV were identified.
Conclusion |
This study suggests a clinical impact of bladder sensation on walking speed in IwMS and urinary disorders. None of the individual characteristics could predict greater decrease in gait velocity at SDV.
El texto completo de este artículo está disponible en PDF.Keywords : Multiple sclerosis, Walking speed, Gait, Urination, Lower urinary tract symptoms
Esquema
Vol 63 - N° 2
P. 106-110 - mars 2020 Regresar al número
Artículo precedente
- Time to be Ready to Void: A new tool to assess the time needed to perform micturition for patients with multiple sclerosis
- Claire Hentzen, Anaïs Villaumé, Nicolas Turmel, Gabriel Miget, Frédéric Le Breton, Camille Chesnel, Gérard Amarenco
- Assessment of implicit language and theory of mind in multiple sclerosis
- Céline Chanial, Sandrine Basaglia-Pappas, Sophie Jacqueline, Anne Boulange, Caelia Gourdon, Sonia Donya, Ségolène Fagnou, Bernard Laurent, Jean-Philippe Camdessanche, Céline Borg
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.