Preprint Article Version 1 This version is not peer-reviewed

Functional Mobility and Basic Motor Skills in Patients with Multiple Sclerosis and its Relation to the Anthropometrical Status and Body Composition Parameters

Version 1 : Received: 26 September 2019 / Approved: 27 September 2019 / Online: 27 September 2019 (03:03:10 CEST)

How to cite: Matusik, E.; Augustak, A.; Durmala, J. Functional Mobility and Basic Motor Skills in Patients with Multiple Sclerosis and its Relation to the Anthropometrical Status and Body Composition Parameters. Preprints 2019, 2019090302 (doi: 10.20944/preprints201909.0302.v1). Matusik, E.; Augustak, A.; Durmala, J. Functional Mobility and Basic Motor Skills in Patients with Multiple Sclerosis and its Relation to the Anthropometrical Status and Body Composition Parameters. Preprints 2019, 2019090302 (doi: 10.20944/preprints201909.0302.v1).

Abstract

Background and objectives: Patients with multiple sclerosis (MS) have many potential factors (spasticity, immobilization, glucocorticoids use) which can deteriorate the anthropometrical status and body composition and may have the potential impact on the functional mobility and basic motor skills improvement after physiotherapy. The aim of the study was to assess the functional mobility and basic motor skills in patients with MS and to correlate them with disability and anthropometrical status and body composition parameters. Materials and Methods: Timed Up-and-Go test (TUG), and six-minute walk test (6MWT) were performed in 36 patients with MS before and after 4 weeks of physiotherapy. Body mass index (BMI), waist to height ratio (W/HtR), and waist-to-hip ratio (WHR) were assessed in this group. Body composition was evaluated by bioelectrical impedance analysis (BIA) and fat mass (FAT), fat free mass (FFM), total body water (TBW) and predicted muscle mass (PMM) were expressed as percentage of body mass. Clinical status was assessed by EDSS and AI scales. Results: After physiotherapy, there was a significant improvement in functional mobility and basic motor skills assessed by total distance in 6MWT (p<0.001) and in TUG trials (p<0.001). Positive significant correlations were found between the results obtained in both tests (either before and after physiotherapy) vs. FFM, TBW and PMM, whilst worse results in functional mobility and basic motor skills correlated significantly with higher WHtR, WHR and FAT (p<0.05). Clinical status (EDSS) were significantly related to the WHtR and body composition parameters with the same manner as the results in the either 6MWT and TUG. However, there were no significant relationships between BMI vs. either clinical status (EDSS, AI) and functional mobility tests results in patients with MS. Conclusions: Functional mobility and basic motor skills may be significantly improved during the physiotherapy, but they are related to the anthropometrical status and body composition of MS patients. Moreover, disability status is also significantly related to this parameters. Body composition deterioration seems to be the important target for the therapeutic intervention in MS patients. For proper nutritional status assessment in patients with MS, body composition analysis or WHtR instead BMI should to be used.

Subject Areas

multiple sclerosis; physical fitness; body composition; functional mobility; physiotherapy

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