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The association between cognition and gait disturbance in central nervous system demyelinating disorder with mild disability

Gait disturbance in central nervous system (CNS) demyelinating disorders, including multiple sclerosis (MS) and neuromyelitis optica (NMO) is one of the most troublesome problems that has a direct impact on the quality of life. However, the associations between gait disturbance and other clinical va...

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Published in:BMC neurology 2023-04, Vol.23 (1), p.177-177, Article 177
Main Authors: Chang, Min Cheol, Lee, Byung Joo, Yang, Dongseok, Kim, Chung Reen, Park, Donghwi, Kim, Sunyoung
Format: Article
Language:English
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Summary:Gait disturbance in central nervous system (CNS) demyelinating disorders, including multiple sclerosis (MS) and neuromyelitis optica (NMO) is one of the most troublesome problems that has a direct impact on the quality of life. However, the associations between gait disturbance and other clinical variables of these two diseases have not been fully elucidated. This study aimed to evaluate gait disturbance using a computerized gait analysis system and its association with various clinical variables in patients with MS and NMO. A total of 33 patients (14 with MS and 19 with NMO) with minor disabilities, who were able to walk independently and had passed their acute phase, were enrolled in the study. Gait analysis were performed using a computer-based instrumented walkway system. (Walk-way MG-1000, Anima, Japan) Clinical variables, such as disease duration, medication, body mass index (BMI), hand grip power, and muscle mass were recorded. The Montreal Cognitive Assessment (MOCA), Beck Depression Inventory score-II (BDI), and fatigue scale were measured using the Functional Assessment of Chronic Illness Therapy-fatigue scale (FACIT-fatigue) scale. A trained neurologist scored the Expanded Disability Status Scale (EDSS). Gait speed was the single parameter that showed a significant positive correlation with MOCA (p 
ISSN:1471-2377
1471-2377
DOI:10.1186/s12883-023-03210-w