Investigating the Occupational Performance Problems in Individuals with Multiple Sclerosis in Relapsing-Remitting Phase: A Cross-Sectional Study
Abstract
Introduction: Multiple sclerosis (MS) is one of the most common disabling neurologic diseases worldwide. Although occupational performance problems are reported in many people living with MS, there is little information on these problems in people with relapsing-remitting MS (RRMS). This study aims to determine occupational performance problems in people with RRMS.
Materials and Methods: The Canadian occupational performance measure was used to collect data from 58 participants in the age range of 20 to 50 years. The participants were recruited via the convenience sampling method from a neurology outpatient unit in a general hospital in Tehran City, Iran, in 2020. The data were analyzed using the Spearman, Man-Whitney, and Kruskal-Wallis tests.
Results: A total of 91 activities in self-care, 96 activities in productivity, and 67 activities in leisure were identified by the participants as their priorities. No significant difference was observed between the mean scores of occupational performance with age, gender, employment status, and marital status. Still, there was a considerable difference between occupational performance and education level.
Conclusion: People with RRMS suffer from many occupational performance problems, especially in productivity areas. Although occupational therapy interventions are essential in promoting self-care and activities of daily living, engaging in productive and instrumental activities of daily living is more cost-effective and valuable to promote independence in people with RRMS.
1. National Institutes of Health: National Institute of Neurological Disorders and Stroke Multiple sclerosis.Retrieved from http://www.nlm.nih.gov/medlineplus/multiplesclerosis.html2013 [
2. Mousai M, Hassani-Mehraban A, Akbarfahimi M, Nabavi SM. Relationship between Disability Severity and Activity of Daily Living in People with Multiple Sclerosis. Journal of Modern Rehabilitation. 2016;10(1):7-12.
3. Soltanpour H, Kalantari M, Roostaei M. Inter-rater Reliability, Test-retest Reliability, and Internal Consistency of the Persian Version of Dynamic Gait Index in Patients With Multiple Sclerosis. Journal of Modern Rehabilitation. 2018;12(4):245-52.
4. Pepping M, Brunings J, Goldberg M. Cognition, cognitive dysfunction, and cognitive rehabilitation in multiple sclerosis. Physical Medicine and Rehabilitation Clinics. 2013;24(4):663-72.
5. Conrad A, Coenen M, SchmalZ H, Kesselring J, Cieza A. Validation of the Comprehensive ICF Core Set for Multiple Sclerosis from the perspective of occupational therapists. Scandinavian journal of occupational therapy. 2012;19(6):468-87.
6. 6Krokavcova M, Nagyova I, Van Dijk JP, Rosenberger J, Gavelova M, Middel B, et al. Self-rated health and employment status in patients with multiple sclerosis. Disability and Rehabilitation. 2010;32(21):1742-8.
7. Yu C-H, Mathiowetz V. Systematic Review of Occupational Therapy–Related Interventions for People With Multiple Sclerosis: Part 1. Activity and Participation. The American Journal of Occupational Therapy. 2014:27-32.
8. Parisi NA. Occupational Performance Problems of People with Multiple Sclerosis and Chronic Lower Extremity Pain: Tufts University; 2008.
9. Lublin FD, Reingold SC, Cohen JA, Cutter GR, Sørensen PS, Thompson AJ, et al. Defining the clinical course of multiple sclerosis. American Academy of Neurology. 2014;24(83):278-86.
10. Leary SM, Porter B, Thompson AJ. Multiple sclerosis: diagnosis and the management of acute relapses. Postgraduate Medical Journal. 2004;81:302-8.
11. Feinstein A. The clinical neuropsychiatry of multiple sclerosis. 2, editor2007.
12. Murray TJ. Diagnosis and treatment of multiple sclerosis. The BMJ : leading general medical journal. 2006;332:525-7.
13. Soltani M, Dehcheshmeh SFE, Moradi N, Hajiyakhchali A, Majdinasab N, Latifi SM. Comparing Executive Functions in Bilinguals and Monolinguals Suffering From Relapsing-Remitting Multiple Sclerosi. Journal of Modern Rehabilitation. 2018;12(2):133-9.
14. Akbari M, Saba M, Daryasari SHF. Multiple Sclerosis Considering Rehabilitation Approaches: Setayesh hasti; 2016. 91 p.
15. Milo R, Miller A. Revised diagnostic criteria of multiple sclerosis. Autoimmunity Reviews. 2014;13:518–24.
16. Yonar D, Ocek L, Tiftikcioglu BI, Zorlu Y, Severcan F. Relapsing-Remitting Multiple Sclerosis diagnosis from cerebrospinal fluids via Fourier transform infrared spectroscopy coupled with multivariate analysis. Scientific reports. 2018;8:1-13.
17. peymani f, Nazari Aa, Noktedan H, Mehran A, Saahraian Ma. Evaluation of lifestyle of patients with multiple sclerosis referred to MS Association of Tehran in 2007. Journal of Scientific Research Lorestan University of Medical Sciences. 2012;13(2):31-9.
18. Aliabadi S, Khanmohammadi R, Olyaei G, Ghotbi N, Talebian S, Moghadasi AN. Comparison of the Position Sense of the Knee Joint in Patients With Multiple Sclerosis and Healthy Controls. Journal of Modern Rehabilitation. 2019;13(1):59-64.
19. Status of MS Patients in IRAN MS Society Available From: http://iranms.ir/file/download/news/1540283795-6-97-.pdf2018 [
20. Mahmudi L, Moslemirad M, Dabestani B, Shohani M, Azami M. Clinical and demographic features in Iranian multiple sclerosis patients: a systematic review and meta-analysis. Future Neurology. 2019;14(2):FNL19.
21. Eskandarieh S, Heydarpour P, Elham S-R, Saharaian MA. Prevalence and Incidence of Multiple Sclerosis in Tehran, Iran. Iran J Public Health. 2017;46(5):699–704.
22. Eskandarieh S, Allahabadi NS, Sadeghi M, Sahraian MA. Increasing prevalence of familial recurrence of multiple sclerosis in Iran: a population based study of Tehran registry 1999–2015. BMC neurology. 2018;18(1):1-6.
23. Multiple Sclerosis Information Page Available From https://www.ninds.nih.gov/Disorders/All-Disorders/Multiple-Sclerosis-Information-Page2020 [
24. Seamans J. Occupational therapy and multiple sclerosis a study to determine use and perceived need of services: Ithaca College; 2013.
25. Ikiugu MN, Ciaravino EA. Psychosocial conceptual practice models in occupational therapy: Building adaptive capability: Elsevier Health Sciences; 2007.
26. Cup E, Reimer WSo, Thijssen M, Kuyk-Minis Mv. Reliability and validity of the Canadian Occupational Performance Measure in stroke patients. Clinical Rehabilitation. 2003;17:402–9.
27. Baker NA, Degnen LT. The Effectiveness of Physical, Psychological, and Functional Interventions in Treating Clients With Multiple Sclerosis: A Meta-Analysis. The American Journal of Occupational Therapy. 2001;55(3):324-31.
28. Law M, Baptiste S, Carswell A, McColl MA, Polatajko H, Pollock N. Canadian occupational performance measure. 4, editor: ghalam elm; 2015.
29. De Heredia-Torres MP, Huertas-Hoyas E, Sanchez-Camarero C, Maximo-Bocanegra N, Alegre-Ayala J, Sanchez-Herrera-Baeza P, et al. Occupational performance in multiple sclerosis and its relationship with quality of life and fatigue. European Journal of Physical and Rehabilitation Medicine. 2020;23.
30. Månsson Lexell E, Iwarsson S, Lexell J. The complexity of daily occupations in multiple sclerosis. Scandinavian Journal of Occupational Therapy. 2006;13(4):241-8.
31. Dehghan L, Faraji F, Dalvand H, Shamsoddini A, Hadian-Rasanani MR. Occupational performance of individuals with Multiple Sclerosis based on disability level in Iran. Iranian Journal of Neurology. 2019;18(1):1.
32. Law M, Baptiste S, McColl M, Opzoomer A, Polatajko H, Pollock N. The canadian occupational performance measure: an outcome measure for occupational therapy. Canadian Journal of Occupational Therapy. 1990;57(2):82-7.
33. Lexell EM, Iwarsson S, Lexell J. The complexity of daily occupations in multiple sclerosis. Scandinavian Journal of Occupational Therapy. 2006;13:241-8.
34. Sewell L, Singh SJ. The canadian occupational performance measure: is it a reliable measure in clients with chronic obstructive pulmonary disease? British Journal of Occupational Therapy. 2001;64(6):305-10.
35. Carswell A, McColl MA, Baptiste S, Law M, Polatajko H, Pollock N. The canadian occupational performance measure: A research and clinical literature review. Canadian journal of occupational therapy. 2004;71(4):210-22.
36. Squillace M. Fine Motor Skills and the Occupations of Young Adults with Multiple Sclerosis: Nova Southeastern University; 2018.
37. Lexell EM, Flansbjer U-B, Lexell J. Self-perceived performance and satisfaction with performance of daily activities in persons with multiple sclerosis following interdisciplinary rehabilitation. Disability and rehabilitation. 2014;36(5):373-8.
38. Dehghan L, Faraji F, Dalvand H, Shamsoddini A, Hadian-Rasanani MR. Occupational performance of individuals with Multiple Sclerosis based on disability level in Iran. Iranian Journal of Neurology. 2019;18(1):1-6.
39. Oleen-Burkey M, Castelli-Haley J, Lage MJ, Johnson KP. Burden of a Multiple Sclerosis Relapse The Patient’s Perspective. The Patient. 2012;5(1):57-69.
40. Abdullah EJ, Badr HE, Manee F. MS People’s Performance and Satisfaction With Daily Occupations: Implications for Occupational Therapy. OTJR: Occupation, Participation and Health. 2017;0:1-10.
41. Patti F, Pozzilli C, Montanari E, Pappalardo A, Piazza L, Levi A, et al. Effects of education level and employment status on HRQoL in early relapsing-remitting multiple sclerosis. Multiple Sclerosis Journal. 2007;13(6):783-91.
42. Schoch LL. Occupational therapy awareness and the functional needs of persons with multiple sclerosis: Buffalo; 2005.
2. Mousai M, Hassani-Mehraban A, Akbarfahimi M, Nabavi SM. Relationship between Disability Severity and Activity of Daily Living in People with Multiple Sclerosis. Journal of Modern Rehabilitation. 2016;10(1):7-12.
3. Soltanpour H, Kalantari M, Roostaei M. Inter-rater Reliability, Test-retest Reliability, and Internal Consistency of the Persian Version of Dynamic Gait Index in Patients With Multiple Sclerosis. Journal of Modern Rehabilitation. 2018;12(4):245-52.
4. Pepping M, Brunings J, Goldberg M. Cognition, cognitive dysfunction, and cognitive rehabilitation in multiple sclerosis. Physical Medicine and Rehabilitation Clinics. 2013;24(4):663-72.
5. Conrad A, Coenen M, SchmalZ H, Kesselring J, Cieza A. Validation of the Comprehensive ICF Core Set for Multiple Sclerosis from the perspective of occupational therapists. Scandinavian journal of occupational therapy. 2012;19(6):468-87.
6. 6Krokavcova M, Nagyova I, Van Dijk JP, Rosenberger J, Gavelova M, Middel B, et al. Self-rated health and employment status in patients with multiple sclerosis. Disability and Rehabilitation. 2010;32(21):1742-8.
7. Yu C-H, Mathiowetz V. Systematic Review of Occupational Therapy–Related Interventions for People With Multiple Sclerosis: Part 1. Activity and Participation. The American Journal of Occupational Therapy. 2014:27-32.
8. Parisi NA. Occupational Performance Problems of People with Multiple Sclerosis and Chronic Lower Extremity Pain: Tufts University; 2008.
9. Lublin FD, Reingold SC, Cohen JA, Cutter GR, Sørensen PS, Thompson AJ, et al. Defining the clinical course of multiple sclerosis. American Academy of Neurology. 2014;24(83):278-86.
10. Leary SM, Porter B, Thompson AJ. Multiple sclerosis: diagnosis and the management of acute relapses. Postgraduate Medical Journal. 2004;81:302-8.
11. Feinstein A. The clinical neuropsychiatry of multiple sclerosis. 2, editor2007.
12. Murray TJ. Diagnosis and treatment of multiple sclerosis. The BMJ : leading general medical journal. 2006;332:525-7.
13. Soltani M, Dehcheshmeh SFE, Moradi N, Hajiyakhchali A, Majdinasab N, Latifi SM. Comparing Executive Functions in Bilinguals and Monolinguals Suffering From Relapsing-Remitting Multiple Sclerosi. Journal of Modern Rehabilitation. 2018;12(2):133-9.
14. Akbari M, Saba M, Daryasari SHF. Multiple Sclerosis Considering Rehabilitation Approaches: Setayesh hasti; 2016. 91 p.
15. Milo R, Miller A. Revised diagnostic criteria of multiple sclerosis. Autoimmunity Reviews. 2014;13:518–24.
16. Yonar D, Ocek L, Tiftikcioglu BI, Zorlu Y, Severcan F. Relapsing-Remitting Multiple Sclerosis diagnosis from cerebrospinal fluids via Fourier transform infrared spectroscopy coupled with multivariate analysis. Scientific reports. 2018;8:1-13.
17. peymani f, Nazari Aa, Noktedan H, Mehran A, Saahraian Ma. Evaluation of lifestyle of patients with multiple sclerosis referred to MS Association of Tehran in 2007. Journal of Scientific Research Lorestan University of Medical Sciences. 2012;13(2):31-9.
18. Aliabadi S, Khanmohammadi R, Olyaei G, Ghotbi N, Talebian S, Moghadasi AN. Comparison of the Position Sense of the Knee Joint in Patients With Multiple Sclerosis and Healthy Controls. Journal of Modern Rehabilitation. 2019;13(1):59-64.
19. Status of MS Patients in IRAN MS Society Available From: http://iranms.ir/file/download/news/1540283795-6-97-.pdf2018 [
20. Mahmudi L, Moslemirad M, Dabestani B, Shohani M, Azami M. Clinical and demographic features in Iranian multiple sclerosis patients: a systematic review and meta-analysis. Future Neurology. 2019;14(2):FNL19.
21. Eskandarieh S, Heydarpour P, Elham S-R, Saharaian MA. Prevalence and Incidence of Multiple Sclerosis in Tehran, Iran. Iran J Public Health. 2017;46(5):699–704.
22. Eskandarieh S, Allahabadi NS, Sadeghi M, Sahraian MA. Increasing prevalence of familial recurrence of multiple sclerosis in Iran: a population based study of Tehran registry 1999–2015. BMC neurology. 2018;18(1):1-6.
23. Multiple Sclerosis Information Page Available From https://www.ninds.nih.gov/Disorders/All-Disorders/Multiple-Sclerosis-Information-Page2020 [
24. Seamans J. Occupational therapy and multiple sclerosis a study to determine use and perceived need of services: Ithaca College; 2013.
25. Ikiugu MN, Ciaravino EA. Psychosocial conceptual practice models in occupational therapy: Building adaptive capability: Elsevier Health Sciences; 2007.
26. Cup E, Reimer WSo, Thijssen M, Kuyk-Minis Mv. Reliability and validity of the Canadian Occupational Performance Measure in stroke patients. Clinical Rehabilitation. 2003;17:402–9.
27. Baker NA, Degnen LT. The Effectiveness of Physical, Psychological, and Functional Interventions in Treating Clients With Multiple Sclerosis: A Meta-Analysis. The American Journal of Occupational Therapy. 2001;55(3):324-31.
28. Law M, Baptiste S, Carswell A, McColl MA, Polatajko H, Pollock N. Canadian occupational performance measure. 4, editor: ghalam elm; 2015.
29. De Heredia-Torres MP, Huertas-Hoyas E, Sanchez-Camarero C, Maximo-Bocanegra N, Alegre-Ayala J, Sanchez-Herrera-Baeza P, et al. Occupational performance in multiple sclerosis and its relationship with quality of life and fatigue. European Journal of Physical and Rehabilitation Medicine. 2020;23.
30. Månsson Lexell E, Iwarsson S, Lexell J. The complexity of daily occupations in multiple sclerosis. Scandinavian Journal of Occupational Therapy. 2006;13(4):241-8.
31. Dehghan L, Faraji F, Dalvand H, Shamsoddini A, Hadian-Rasanani MR. Occupational performance of individuals with Multiple Sclerosis based on disability level in Iran. Iranian Journal of Neurology. 2019;18(1):1.
32. Law M, Baptiste S, McColl M, Opzoomer A, Polatajko H, Pollock N. The canadian occupational performance measure: an outcome measure for occupational therapy. Canadian Journal of Occupational Therapy. 1990;57(2):82-7.
33. Lexell EM, Iwarsson S, Lexell J. The complexity of daily occupations in multiple sclerosis. Scandinavian Journal of Occupational Therapy. 2006;13:241-8.
34. Sewell L, Singh SJ. The canadian occupational performance measure: is it a reliable measure in clients with chronic obstructive pulmonary disease? British Journal of Occupational Therapy. 2001;64(6):305-10.
35. Carswell A, McColl MA, Baptiste S, Law M, Polatajko H, Pollock N. The canadian occupational performance measure: A research and clinical literature review. Canadian journal of occupational therapy. 2004;71(4):210-22.
36. Squillace M. Fine Motor Skills and the Occupations of Young Adults with Multiple Sclerosis: Nova Southeastern University; 2018.
37. Lexell EM, Flansbjer U-B, Lexell J. Self-perceived performance and satisfaction with performance of daily activities in persons with multiple sclerosis following interdisciplinary rehabilitation. Disability and rehabilitation. 2014;36(5):373-8.
38. Dehghan L, Faraji F, Dalvand H, Shamsoddini A, Hadian-Rasanani MR. Occupational performance of individuals with Multiple Sclerosis based on disability level in Iran. Iranian Journal of Neurology. 2019;18(1):1-6.
39. Oleen-Burkey M, Castelli-Haley J, Lage MJ, Johnson KP. Burden of a Multiple Sclerosis Relapse The Patient’s Perspective. The Patient. 2012;5(1):57-69.
40. Abdullah EJ, Badr HE, Manee F. MS People’s Performance and Satisfaction With Daily Occupations: Implications for Occupational Therapy. OTJR: Occupation, Participation and Health. 2017;0:1-10.
41. Patti F, Pozzilli C, Montanari E, Pappalardo A, Piazza L, Levi A, et al. Effects of education level and employment status on HRQoL in early relapsing-remitting multiple sclerosis. Multiple Sclerosis Journal. 2007;13(6):783-91.
42. Schoch LL. Occupational therapy awareness and the functional needs of persons with multiple sclerosis: Buffalo; 2005.
| Files | ||
| Issue | Vol 17 No 4 (2023) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/jmr.v17i4.13886 | |
| Keywords | ||
| Multiple sclerosis Self-care Leisure activities Occupational therapy | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Askarpour F, Mousavi ST, Harirchian MH. Investigating the Occupational Performance Problems in Individuals with Multiple Sclerosis in Relapsing-Remitting Phase: A Cross-Sectional Study. jmr. 2023;17(4):386-393.
