{"title":"Fear of falling, gait capacity, and dual task performance in multiple sclerosis patients with and without neurogenic overactive bladder.","authors":"Humeyra Kiloatar, Cimen Olcay Demir, Aylin Aydogdu Delibay, Dursun Ceylan, Emine Saygin Uysal","doi":"10.1007/s13760-025-02889-7","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Overactive bladder (OAB) symptoms significantly affect the independence and quality of life in patient with multiple sclerosis (PwMS) by limiting daily activities. This study aimed to explore differences in fear of falling (FoF), gait, dual-task performance, and self-perceived impact of disease among PwMS with and without OAB.</p><p><strong>Method: </strong>Participants were divided into two groups based on their Overactive Bladder Questionnaire (OAB-V8) scores: OAB (score ≥ 8) and non-OAB (score < 8). Assessments included the Falls Efficacy Scale-International (FES-I) for FoF, the 2-Minute Walk Test (2MWT) for gait capacity, the Dual-Task Questionnaire (DTQ) for dual-task performance, and the Multiple Sclerosis Impact Scale-29 (MSIS-29) for self-perceived impact of disease.</p><p><strong>Results: </strong>The study included 78 PwMS. Significant differences were found between groups in fall history, number of falls, and all outcome measures (OAB-V8, FES-I, DTQ, 2MWT, MSIS-29; p < 0.001). OAB-V8 scores positively correlated with FES-I, DTQ, and MSIS-29 (r = 0.71-0.78, p < 0.001) and negatively with 2MWT (r = -0.38, p < 0.001). Similar patterns were observed between FES-I, DTQ, and MSIS-29, which showed strong positive correlations, while both negatively correlated with 2MWT.</p><p><strong>Conclusion: </strong>PwMS with OAB exhibit higher FoF, poorer gait, and impaired dual-task performance compared to those without OAB. These findings highlight the significant impact of OAB on functional and disease-related outcomes.</p>","PeriodicalId":7042,"journal":{"name":"Acta neurologica Belgica","volume":" ","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta neurologica Belgica","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s13760-025-02889-7","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Overactive bladder (OAB) symptoms significantly affect the independence and quality of life in patient with multiple sclerosis (PwMS) by limiting daily activities. This study aimed to explore differences in fear of falling (FoF), gait, dual-task performance, and self-perceived impact of disease among PwMS with and without OAB.
Method: Participants were divided into two groups based on their Overactive Bladder Questionnaire (OAB-V8) scores: OAB (score ≥ 8) and non-OAB (score < 8). Assessments included the Falls Efficacy Scale-International (FES-I) for FoF, the 2-Minute Walk Test (2MWT) for gait capacity, the Dual-Task Questionnaire (DTQ) for dual-task performance, and the Multiple Sclerosis Impact Scale-29 (MSIS-29) for self-perceived impact of disease.
Results: The study included 78 PwMS. Significant differences were found between groups in fall history, number of falls, and all outcome measures (OAB-V8, FES-I, DTQ, 2MWT, MSIS-29; p < 0.001). OAB-V8 scores positively correlated with FES-I, DTQ, and MSIS-29 (r = 0.71-0.78, p < 0.001) and negatively with 2MWT (r = -0.38, p < 0.001). Similar patterns were observed between FES-I, DTQ, and MSIS-29, which showed strong positive correlations, while both negatively correlated with 2MWT.
Conclusion: PwMS with OAB exhibit higher FoF, poorer gait, and impaired dual-task performance compared to those without OAB. These findings highlight the significant impact of OAB on functional and disease-related outcomes.
期刊介绍:
Peer-reviewed and published quarterly, Acta Neurologica Belgicapresents original articles in the clinical and basic neurosciences, and also reports the proceedings and the abstracts of the scientific meetings of the different partner societies. The contents include commentaries, editorials, review articles, case reports, neuro-images of interest, book reviews and letters to the editor.
Acta Neurologica Belgica is the official journal of the following national societies:
Belgian Neurological Society
Belgian Society for Neuroscience
Belgian Society of Clinical Neurophysiology
Belgian Pediatric Neurology Society
Belgian Study Group of Multiple Sclerosis
Belgian Stroke Council
Belgian Headache Society
Belgian Study Group of Neuropathology