Publications by authors named "Gail L Widener"

Article Synopsis
  • - The article reviews the challenges of assessing fatigue in patients with multiple sclerosis (MS) by analyzing various patient-reported measures of fatigue through a systematic review of existing studies.
  • - A total of 24 articles were included, examining 17 different fatigue measures; it was found that while no studies had major methodological flaws, data on certain measurement characteristics were incomplete.
  • - The Modified Fatigue Impact Scale (MFIS) and Fatigue Severity Scale (FSS) stood out for their strong reliability and utility, with the MFIS recommended for comprehensive measurement and the FSS for initial screening of fatigue in MS patients.
View Article and Find Full Text PDF
Article Synopsis
  • The study compares how multiple sclerosis (MS) and Parkinson's disease (PD) affect balance, focusing on patterns of loss of balance (LOB) after various directional disturbances.
  • Researchers evaluated LOB in groups of individuals with MS, PD, and healthy controls after standardized manual perturbations, finding that MS patients experienced more significant LOB than the other groups.
  • The findings indicate that a reliable assessment of LOB could help develop targeted interventions to reduce fall risks in individuals with MS and PD.
View Article and Find Full Text PDF

Objectives: People with cerebellar ataxia have few options to improve the standing stability they need for function. Strategic placement of light weights on the torso using the balance-based torso-weighting (BBTW) method has improved stability and reduced falls in people with multiple sclerosis, but has not been tested in cerebellar ataxia. We examined whether torso-weighting increased standing stability and/or functional movement in people with cerebellar ataxia.

View Article and Find Full Text PDF

Background: In people with multiple sclerosis (MS), common gait and balance impairments can lead to falls, fear of falling, activity restriction, and social isolation. Sensory augmentation in the form of torso-weighting has resulted in improvement in gait and balance, but research on its effect on falls in MS is lacking.

Methods: 60 people with MS and 10 bin-matched controls completed the Sensory Organization Test (SOT) while nonweighted and again while weighted using the Balance-Based Torso-Weighting assessment method.

View Article and Find Full Text PDF

Despite the well-known benefits of using standardized outcome measures (OMs) in clinical practice, a variety of barriers interfere with their use. In particular, rehabilitation therapists lack sufficient knowledge in selecting appropriate OMs. The challenge is compounded when working with people with multiple sclerosis (MS) owing to heterogeneity of the patient population and symptom variability in individual patients.

View Article and Find Full Text PDF

Background And Purpose: People with multiple sclerosis (PwMS) commonly have mobility impairments that may lead to falls and limitations in activities. Physiotherapy interventions that might improve mobility typically take several weeks. Balance-based torso-weighting (BBTW), a system of strategically placing light weights to improve response to balance perturbations, has resulted in immediate small improvements in clinical measures in PwMS, but changes in spatiotemporal gait parameters are unknown.

View Article and Find Full Text PDF

Objective: To test a proposed mechanism for the effect of balance-based torso-weighting (BBTW) in people with multiple sclerosis (MS) and healthy controls. The mechanism to be tested is that application of light weights to the trunk may result in a biomechanical shift of postural sway in the direction of weighting, mechanically facilitating maintenance of the center of mass over the base of support.

Design: Nonrandomized controlled trial.

View Article and Find Full Text PDF

Background: Torso weighting has sometimes been effective for improving upright mobility in people with multiple sclerosis, but parameters for weighting have been inconsistent.

Objective: To determine whether balance-based torso weighting (BBTW) has immediate effects on upright mobility in people with multiple sclerosis.

Methods: This was a 2-phase randomized clinical trial.

View Article and Find Full Text PDF

Objective: To determine whether weight placed on the trunk in response to directional balance loss would enhance function and stability in people with multiple sclerosis (MS).

Design: Quasi-experimental study in which subjects served as their own controls.

Setting: Research laboratory.

View Article and Find Full Text PDF