Although preliminary, the Brief-BESTest demonstrated reliability comparable to that of the Mini-BESTest and potentially superior sensitivity while requiring half the items of the Mini-BESTest and representing all theoretically based sections of the original BESTest.
The purpose of this phenomenological study was to explore the meaning of exercise in the lives of individuals with multiple sclerosis (MS) and describe the motivational basis that contributed to their exercise involvement. Twelve adults with MS (10 females, 2 males) between the ages of 32 and 56 years were interviewed. Analysis of transcribed interviews used an inductive approach. Three major themes emerged from thematic analysis of the qualitative data: exercising to maintain function and health, enhanced exercise self-efficacy, and feelings of hope and optimism. Findings were interpreted within the conceptual framework of self-efficacy and a disability-only social context.
People with multiple sclerosis (MS) exhibit both cognitive and postural impairments. This study examined the effects of MS and of dual tasking on postural performance, and explored associations among dual-task postural performance, cognitive capacity, fear of falling, and fatigue. Thirteen subjects with MS (Expanded Disability Status Scale: 0-4.5) and 13 matched subjects without MS performed three tasks of standing postural control, with and without dual tasking amid an auditory Stroop task: (1) step initiation, (2) forward leaning to the limits of stability, and (3) postural responses to rotations of the support surface. Two-factor general linear models were used to evaluate differences between the groups (with or without MS) and two conditions (single or dual tasking) for each postural task. During step initiation, dual tasking significantly delayed the onset of the anticipatory postural adjustment (APA) more for the subjects with MS than for those without MS, and step lengths increased for the subjects with MS but decreased for those without MS. No other significant group-by-condition interactions were evident on the recorded variables of stepping, leaning, postural responses, or Stroop-response accuracies and latencies. The scores for the subjects with MS on the Modified Fatigue Impact Scale significantly associated with the change between single-task to dual-task conditions in APA onset and foot-lift onset during step initiation as well as in lean position variability and lean onset times during forward leaning. The results suggest dual-task effects were more evident during step initiation and are associated with levels of fatigue for subjects with MS.
The purpose of this study was to compare physical fitness levels of trained runners with mild mental retardation (MMR) (7 males and 2 females, age = 28.7 ± 7.4 years, weight = 67.0 ± 11.7 kg) and those without (7 males and 2 females, age = 29.1 ± 7.5, weight = 68.7 ± 8.8 kg). Paired t tests revealed no differences between runners with and without MMR on measures of V̇O2peak (56.3 ± 9.1 vs. 57.7 ± 4.1 ml · kg-1 · min-1), percent body fat (16.6 ± 8.4 vs. 16.6 ± 3.1), and lower back/hamstring flexibility (33.1 ± 10.9 vs. 28.6 ± 10.1 cm). Knee flexion (KF) and extension (KE) strength were significantly greater in runners without MMR compared to those with MMR (KF peak torque = 65.7 ±7.9 vs. 48.7 ± 15.7 ft/lb; KE peak torque = 138.5 ± 17.7 vs. 104.4 ± 29.9 ft/lb). It was concluded that trained runners with MMR can achieve high levels of physical fitness comparable to individuals without MMR.
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