Introduction: Few studies have examined the motor, cognitive, and emotional factors involved in effective money management in persons with multiple sclerosis (MS). The aim of this study was to assess money management in persons MS and examine whether cognitive, motor, and emotional processes can predict money management.Methods: This study included 72 persons with MS and 26 healthy controls (HC). Using an a priori definition of efficient vs. inefficient money management skills, based on the money management questionnaire (self and others), and performance on Actual Reality™ (AR) money management items, MS participants were divided into two groups: efficient or inefficient money management (MS Efficient- MM, n = 34 vs. MS Inefficient-MM, n = 38). These groups were compared on cognitive, motor, and emotional variables.Results: Participants in the MS efficient MM group performed significantly better on executive function and processing speed measures, as well as performance on the 25WT. The MS Efficient -MM group also showed significantly less affective symptomatology (depressive and state anxiety). Importantly, HC performed similarly to the Efficient MM group on these tests. Good executive functioning and low depressive symptomatology predicted efficient money management.Conclusions: This study characterizes some of the major problems and underlying impairments persons with MS are encountering in money management. Practitioners working with persons with MS should be aware that executive function impairments together with depressive symptomatology could signal possible money management dysfunction. The early identification of at-risk persons for money management difficulties could have a profound impact on the quality of life for this subsample of the MS population.
Practice Points• A single bout of aquatic exercise may be effective in improving acute mood symptoms in people with MS.• Fatigue reductions following a single session of aquatic exercise were observed as well.• Future studies with larger samples should be conducted to allow a better understanding of acute effects of aquatic exercise on mood. Abstract Background: Physical activity is known to be an effective way of managing multiple sclerosis (MS) related symptoms. Further, it has been reported that even a single bout of physical activity can yield improvements in mood in persons with MS (pwMS). Aquatic exercise (AqE) can be an effective and enjoyable physical activity in pwMS. However, there is little research focusing on the immediate effects of AqE on mood in pwMS. Thus, we assessed the acute effects of a single bout of AqE on mood. Methods: Eight pwMS participated in a 45-minute AqE class as well as 45 minutes of a seated rest control condition. The Profile of Mood States was given before and after each condition (rest and AqE). Repeated measures analysis of variance and paired-samples tests were used to examine whether AqE resulted in improvement in mood. Due to the small sample size, effect sizes were considered.Results: Moderate to large effect sizes indicated a condition by time interaction, such that mood increased and fatigue reduced following an acute bout of AqE compared to rest. Conclusions:This proof of concept study suggests that mood symptoms are improved immediately following a short bout of AqE. Future research is needed to explore whether these effects are reliable and whether they can be sustained with more frequent bouts of AqE. Downloaded from
Background: There is considerable evidence that persons with multiple sclerosis (PwMS) who experience cognitive impairments (CIs) are at risk of having significant limitations in activities of daily living (ADLs). However, ADL assessment often consists of proxies or self-report of ADLs. This study examined whether the performance of instrumental ADLs (I-ADL) is impaired in PwMS with and without CI. Methods: Participants included 72 PwMS and 48 matched healthy controls (HCs). PwMS were divided into MS-CI ( n = 25) and MS-not-impaired ( n = 47) groups based on the Brief International Cognitive Assessment for Multiple Sclerosis (BICAMS) scores. All participants performed the Actual RealityTM (AR) test, measuring I-ADL using authentic websites. Results: The MS-CI performed significantly worse on AR compared with HC and MS-not-impaired. In addition, the MS-not-impaired performed significantly worse than HC on AR. AR differentiates well between PwMS with and without CI. Conclusions: While CI in MS results in significant limitations in the performance of I-ADL, PwMS who do not show evidence of CI can have limitations in I-ADL. AR assessment is a valid and reliable tool sensitive to CI. It should be used in addition to traditional cognitive assessments to detect early functional deterioration through the course of MS.
Date Presented 3/31/2017 This study identifies a relationship between age and quality of life in persons with multiple sclerosis. It highlights the role of promoting coping in younger adults to prevent or decrease symptoms of depression or anxiety as a means of increasing quality of life. Primary Author and Speaker: Brocha Stern Contributing Authors: John DeLuca, Yael Goverover
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