Objectively-assessed physical activity and self-reported activity pacing in adults with multiple sclerosis: A pilot study

Abonie, Ulric, Saxton, John, Baker, Katherine and Hettinga, Florentina (2021) Objectively-assessed physical activity and self-reported activity pacing in adults with multiple sclerosis: A pilot study. Clinical Rehabilitation. ISSN 0269-2155 (In Press)

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Official URL: https://doi.org/10.1177/02692155211024135


To examine the association between self-reported activity pacing (a strategy to manage fatigue symptoms) and objectively-measured physical activity behaviours in adults with multiple sclerosis.

Single cross-sectional study

Multiple sclerosis rehabilitation centre in Colchester, United Kingdom.

Twenty-one adults (59 ± 9 years) with multiple sclerosis.

Main measures:
Physical activity behaviours (activity level: activity counts per minute; activity variability: highest activity counts per minute each day divided by activity counts per minute on that day) were measured with accelerometers. Self-reported activity pacing (Activity Pacing and Risk of Overactivity Questionnaire), fatigue severity (Fatigue Severity Scale) and health-related quality of life (RAND-12-Item Short-Form Health Survey) were measured. Scatter plots were used to explore associations between measures.

Activity level was 258 ± 133 counts per minutes, activity variability was 4 ± 1, self-reported activity pacing was 3 ± 1, fatigue severity was 5 ± 2 and health-related quality of life was 43 ± 8. Increased self-reported activity pacing was associated with lower activity levels and less variability in daily activities.

This investigation suggests that people with multiple sclerosis who have low physical activity levels could be inappropriately using activity pacing as a reactionary response to their multiple sclerosis symptoms.

Item Type: Article
Uncontrolled Keywords: Multiple sclerosis, accelerometer, energy modulation
Subjects: B900 Others in Subjects allied to Medicine
C600 Sports Science
Department: Faculties > Health and Life Sciences > Sport, Exercise and Rehabilitation
Depositing User: Elena Carlaw
Date Deposited: 25 May 2021 15:27
Last Modified: 31 Jul 2021 10:18
URI: http://nrl.northumbria.ac.uk/id/eprint/46277

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