[article] 
inAnnals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 106-110

Titre :	Effect of a strong desire to void on walking speed in individuals with multiple sclerosis and urinary disorders
Type de document :	texte imprimé
Auteurs :	Claire Hentzen ; Nicolas Trumel ; Camille Chesnel ; Audrey Charlanes ; Frédérique Le Breton ; Samer Sheikh Ismaël ; Gérard Amarenco
Année de publication :	2020
Article en page(s) :	p. 106-110
Note générale :	doi.org/10.1016/j.rehab.2019.11.007
Langues :	Anglais (eng)
Mots-clés :	Multiple sclerosis  Walking speed  Gait  Urination  Lower urinary tract symptoms
Résumé :	Background Lower urinary tract symptoms, especially overactive bladder, are frequent and disabling in individuals with multiple sclerosis (IwMS). An association with gait disorders is common, which could aggravate continence difficulties and affect quality of life. The association between the need to void and walking has never been studied in this population. Objective The primary aim of this study was to assess the effect of a strong desire to void (SDV) on walking speed in IwMS and lower urinary tract symptoms. The secondary aim was to identify clinical or urodynamic factors associated with walking speed impairment at SDV in this population. Methods We included IwMS with urinary disorders and Expanded Disability Status Scale score < 7 in this observational study. Individuals underwent 3 10-m walk tests (10MWT) and one Timed Up and Go (TUG) test at SDV and at post-void (PV). Results Among the 72 IwMS included (mean [SD] age 50.6 [11.6] years; 46 [64%] females), the mean (SD) speed for 10MWT was 1.00 (0.31) m.s−1 at SDV and 1.07 (0.30) m.s−1 at PV (P < 0.0001). Time for TUG was also increased when individuals felt SDV: mean 11.53 (4.6) sec at SDV versus 10.77 (3.8) sec at PV (P = 0.004). No predictors of greater impairment of walking speed at SDV were identified. Conclusion This study suggests a clinical impact of bladder sensation on walking speed in IwMS and urinary disorders. None of the individual characteristics could predict greater decrease in gait velocity at SDV.
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[article] Effect of a strong desire to void on walking speed in individuals with multiple sclerosis and urinary disorders [texte imprimé] / Claire Hentzen ; Nicolas Trumel ; Camille Chesnel ; Audrey Charlanes ; Frédérique Le Breton ; Samer Sheikh Ismaël ; Gérard Amarenco . - 2020 . - p. 106-110.
doi.org/10.1016/j.rehab.2019.11.007
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 106-110

Mots-clés :	Multiple sclerosis  Walking speed  Gait  Urination  Lower urinary tract symptoms
Résumé :	Background Lower urinary tract symptoms, especially overactive bladder, are frequent and disabling in individuals with multiple sclerosis (IwMS). An association with gait disorders is common, which could aggravate continence difficulties and affect quality of life. The association between the need to void and walking has never been studied in this population. Objective The primary aim of this study was to assess the effect of a strong desire to void (SDV) on walking speed in IwMS and lower urinary tract symptoms. The secondary aim was to identify clinical or urodynamic factors associated with walking speed impairment at SDV in this population. Methods We included IwMS with urinary disorders and Expanded Disability Status Scale score < 7 in this observational study. Individuals underwent 3 10-m walk tests (10MWT) and one Timed Up and Go (TUG) test at SDV and at post-void (PV). Results Among the 72 IwMS included (mean [SD] age 50.6 [11.6] years; 46 [64%] females), the mean (SD) speed for 10MWT was 1.00 (0.31) m.s−1 at SDV and 1.07 (0.30) m.s−1 at PV (P < 0.0001). Time for TUG was also increased when individuals felt SDV: mean 11.53 (4.6) sec at SDV versus 10.77 (3.8) sec at PV (P = 0.004). No predictors of greater impairment of walking speed at SDV were identified. Conclusion This study suggests a clinical impact of bladder sensation on walking speed in IwMS and urinary disorders. None of the individual characteristics could predict greater decrease in gait velocity at SDV.
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