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Objective and subjective measures reflect different aspects of balance in multiple sclerosis

Objective and subjective measures reflect different aspects of balance in multiple sclerosis. Michelle H. Cameron, MD, PT; Jessie Huisinga, PhD. Aim Evaluate relationships between subjective and objective balance measures in multiple sclerosis (MS). Relevance

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Objective and subjective measures reflect different aspects of balance in multiple sclerosis

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  1. Objective and subjective measures reflect different aspects of balance inmultiple sclerosis Michelle H. Cameron, MD, PT; Jessie Huisinga, PhD

  2. Aim • Evaluate relationships between subjective and objective balance measures in multiple sclerosis (MS). • Relevance • Many people with MS report having poor balance and many also perform poorly on objective measures of balance. • The relationships between objective and subjective measures of balance in MS are not known.

  3. Method • 54 subjects with MS. • Measures • Objective: Sensory Organization Test (SOT) using dynamic posturography. • Subjective: Activities-specific Balance Confidence (ABC) Scale and Falls Efficacy Scale-International (FES-I). • MS-related disability: Expanded Disability Status Scale (EDSS). • Relationships between magnitude and velocity of center of pressure sway, composite SOT, ABC Scale, FES-I, and EDSS scores were assessed.

  4. Results • Magnitude and velocity of center of pressure sway statistically significantly correlated with: • ABC Scale. • FES-I. • EDSS. • Composite SOT statistically significantly correlated with: • ABC Scale. • FES-I. • EDSS.

  5. Conclusion • Objective balance measures (posturography) were significantly related to subjective imbalance reports and clinical disability measures in MS. • Relationships are moderate to weak. • Indicates that comprehensive description of balance problems in people with MS likely requires objective and subjective balance measures.

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