Countermovement Jumps Detect Subtle Motor Deficits in People with Multiple Sclerosis below the Clinical Threshold

In the early stages of multiple sclerosis (MS), there are currently no sensitive assessments to evaluate complex motor functions. The countermovement jump (CMJ), a high-challenge task in form of a maximal vertical bipedal jump, has already been investigated as a reliable assessment in healthy subjec...

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Main Authors: Anne Geßner, Heidi Stölzer-Hutsch, Katrin Trentzsch, Dirk Schriefer, Tjalf Ziemssen
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/3/774
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author Anne Geßner
Heidi Stölzer-Hutsch
Katrin Trentzsch
Dirk Schriefer
Tjalf Ziemssen
author_facet Anne Geßner
Heidi Stölzer-Hutsch
Katrin Trentzsch
Dirk Schriefer
Tjalf Ziemssen
author_sort Anne Geßner
collection DOAJ
description In the early stages of multiple sclerosis (MS), there are currently no sensitive assessments to evaluate complex motor functions. The countermovement jump (CMJ), a high-challenge task in form of a maximal vertical bipedal jump, has already been investigated as a reliable assessment in healthy subjects for lower extremity motor function. The aim was to investigate whether it is possible to use CMJ to identify subthreshold motor deficits in people with multiple sclerosis (pwMS). All participants (99 pwMS and 33 healthy controls) performed three maximal CMJs on a force plate. PwMS with full motor function and healthy controls (HC) did not differ significantly in age, disease duration, Body Mass Index and the Expanded Disability Scale Score. In comparison to HC, pwMS with full motor function demonstrated a significantly decreased CMJ performance in almost all observed kinetic, temporal and performance parameters (<i>p</i> < 0.05). With increasing disability in pwMS, it was also observed that jump performance decreased significantly. This study showed that the CMJ, as a high challenge task, could detect motor deficits in pwMS below the clinical threshold of careful neurological examination. Longitudinal studies are pending to evaluate whether the CMJ can be used as a standardized measure of disease progression.
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spelling doaj.art-8a9ddaea9660437ba6f6b09ff6ffe6132023-11-17T09:45:25ZengMDPI AGBiomedicines2227-90592023-03-0111377410.3390/biomedicines11030774Countermovement Jumps Detect Subtle Motor Deficits in People with Multiple Sclerosis below the Clinical ThresholdAnne Geßner0Heidi Stölzer-Hutsch1Katrin Trentzsch2Dirk Schriefer3Tjalf Ziemssen4Center of Clinical Neuroscience, Neurological Clinic, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307 Dresden, GermanyCenter of Clinical Neuroscience, Neurological Clinic, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307 Dresden, GermanyCenter of Clinical Neuroscience, Neurological Clinic, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307 Dresden, GermanyCenter of Clinical Neuroscience, Neurological Clinic, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307 Dresden, GermanyCenter of Clinical Neuroscience, Neurological Clinic, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307 Dresden, GermanyIn the early stages of multiple sclerosis (MS), there are currently no sensitive assessments to evaluate complex motor functions. The countermovement jump (CMJ), a high-challenge task in form of a maximal vertical bipedal jump, has already been investigated as a reliable assessment in healthy subjects for lower extremity motor function. The aim was to investigate whether it is possible to use CMJ to identify subthreshold motor deficits in people with multiple sclerosis (pwMS). All participants (99 pwMS and 33 healthy controls) performed three maximal CMJs on a force plate. PwMS with full motor function and healthy controls (HC) did not differ significantly in age, disease duration, Body Mass Index and the Expanded Disability Scale Score. In comparison to HC, pwMS with full motor function demonstrated a significantly decreased CMJ performance in almost all observed kinetic, temporal and performance parameters (<i>p</i> < 0.05). With increasing disability in pwMS, it was also observed that jump performance decreased significantly. This study showed that the CMJ, as a high challenge task, could detect motor deficits in pwMS below the clinical threshold of careful neurological examination. Longitudinal studies are pending to evaluate whether the CMJ can be used as a standardized measure of disease progression.https://www.mdpi.com/2227-9059/11/3/774multiple sclerosismotor deficitsassessmentjump analysiscountermovement jump
spellingShingle Anne Geßner
Heidi Stölzer-Hutsch
Katrin Trentzsch
Dirk Schriefer
Tjalf Ziemssen
Countermovement Jumps Detect Subtle Motor Deficits in People with Multiple Sclerosis below the Clinical Threshold
Biomedicines
multiple sclerosis
motor deficits
assessment
jump analysis
countermovement jump
title Countermovement Jumps Detect Subtle Motor Deficits in People with Multiple Sclerosis below the Clinical Threshold
title_full Countermovement Jumps Detect Subtle Motor Deficits in People with Multiple Sclerosis below the Clinical Threshold
title_fullStr Countermovement Jumps Detect Subtle Motor Deficits in People with Multiple Sclerosis below the Clinical Threshold
title_full_unstemmed Countermovement Jumps Detect Subtle Motor Deficits in People with Multiple Sclerosis below the Clinical Threshold
title_short Countermovement Jumps Detect Subtle Motor Deficits in People with Multiple Sclerosis below the Clinical Threshold
title_sort countermovement jumps detect subtle motor deficits in people with multiple sclerosis below the clinical threshold
topic multiple sclerosis
motor deficits
assessment
jump analysis
countermovement jump
url https://www.mdpi.com/2227-9059/11/3/774
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AT katrintrentzsch countermovementjumpsdetectsubtlemotordeficitsinpeoplewithmultiplesclerosisbelowtheclinicalthreshold
AT dirkschriefer countermovementjumpsdetectsubtlemotordeficitsinpeoplewithmultiplesclerosisbelowtheclinicalthreshold
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