The clinical correlates of participation levels in people with multiple sclerosis

NeuroRehabilitation. 2020;47(2):153-160. doi: 10.3233/NRE-203131.


Background: Multiple sclerosis (MS) has a huge impact on patients and affects their ability to participate in meaningful activities.

Objective: To identify motor and non-motor factors that are associated with the participation level in instrumental activities of daily living (IADL), leisure, social and religious activities in people with MS.

Method: This is a cross-sectional study conducted on 110 individuals with MS. The used outcome measures are: Arabic version of the Activity Card Sort, Berg Balance Scale, Modified Fatigue Impact Scale, Nine Hole Peg Test, 6-Minute Walk Test, Brief International Cognitive Assessment for Multiple Sclerosis, Stroop test and Hospital Anxiety and Depression Scale.

Results: Hand function, balance, gender and cognitive status can predict the participation in IADL (R2 = 0.425, P < 0.0001); depression, age, and cognitive status can predict the participation in leisure activities (R2 = 0.372, P < 0.0001), and fatigue, balance and cognitive status can predict social activities participation (R2 = 0.492, P < 0.000).

Conclusion: Balance, cognition and fatigue affect the level of participation in instrumental activities of daily living, leisure, and religious and social activities.

Keywords: Participation; instrumental activities of daily living; leisure; multiple sclerosis; quality of life.

Publication types

  • Observational Study

MeSH terms

  • Activities of Daily Living / psychology*
  • Adult
  • Cognition / physiology
  • Cross-Sectional Studies
  • Fatigue / epidemiology
  • Fatigue / physiopathology
  • Fatigue / psychology
  • Female
  • Humans
  • Jordan / epidemiology
  • Leisure Activities / psychology*
  • Male
  • Middle Aged
  • Multiple Sclerosis / epidemiology
  • Multiple Sclerosis / physiopathology
  • Multiple Sclerosis / psychology*
  • Religion
  • Religion and Psychology*
  • Social Participation / psychology*