Assessment of Impact of Spasticity on Activities of Daily Living in Multiple Sclerosis Patients from Saudi Arabia: A Cross-sectional Study
Mansour A Alghamdi1, 2, *, Khaled Abdulwahab Amer3, Abdulrahman Ali S Aldosari3, Razan Saeed Al-Maalwi3, Sereen Dhafer Al-Muhsin3, Arwa Abdulwahab Amer4, Shahd Abdulhakeem Al Hamdan3, Ahmed H. Sakah5, Mohammed Abadi Alsaleem6, Laith AL-Eitan7, 8
Identifiers and Pagination:Year: 2023
E-location ID: e187494452301092
Publisher ID: e187494452301092
Article History:Received Date: 7/7/2022
Revision Received Date: 6/12/2022
Acceptance Date: 23/12/2022
Electronic publication date: 15/02/2023
Collection year: 2023
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Multiple sclerosis (MS) is a chronic progressive autoimmune disease with several symptoms, including spasticity. This study aimed to illustrate the impact of spasticity on the daily activities of MS patients.
Subjects and Methods:
A cross-sectional study was conducted using a self-administered questionnaire consisting of demographic, clinical characteristics, and MS spasticity scale. A total of 286 patients from Saudi Arabia participated in this study.
Muscle stiffness occurring due to spasticity in most cases does not bother the patient, except for muscle tightness (32.9%) and stiffness when staying in the same position for a long time (36.7%), which cause extreme discomfort to the patients. Five items of pain and discomfort have been reported to extremely bother the patients (28.0-33.6%). The highest percentage of patients claimed not to be affected by muscle spasm items (29.4%-66.1%), including activities of dressing and sleeping (36.7%-57.7%). More than 30% of the patients found spasticity to affect their walking speed and going up/downstairs. About 36% to 49% did not experience any difficulties with their body movements. The patients also did not exhibit any feelings of discomfort, except for irritation (30.4%) and nervousness (29.4%).
MS patients are significantly affected by spasticity, and a considerable percentage of these patients experience problems with their movements and activities.