Patient and Clinician Perspectives of Physical Therapy for Walking Difficulties in Multiple Sclerosis
Gait speed is frequently the primary efficacy endpoint in clinical trials of interventions targeting mobility in people with multiple sclerosis (MS). However, it is unclear whether increased gait speed is a meaningful outcome for people living with MS. The purpose of this study was to identify the m...
Uloženo v:
| Vydáno v: | Multiple sclerosis international Ročník 2023; s. 1 - 8 |
|---|---|
| Hlavní autoři: | , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
Egypt
Hindawi
15.02.2023
John Wiley & Sons, Inc |
| Témata: | |
| ISSN: | 2090-2654, 2090-2662 |
| On-line přístup: | Získat plný text |
| Tagy: |
Přidat tag
Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!
|
| Abstract | Gait speed is frequently the primary efficacy endpoint in clinical trials of interventions targeting mobility in people with multiple sclerosis (MS). However, it is unclear whether increased gait speed is a meaningful outcome for people living with MS. The purpose of this study was to identify the most important aspects of mobility for people with MS and physical therapists and to explore how patients and clinicians perceive whether physical therapy has been effective. Forty-six people with MS and 23 physical therapy clinicians participated in a focus group, one-on-one interview, or electronic survey. The focus group and interview data were transcribed and coded to identify themes. Free-text survey responses were also coded, and multiple-choice options were analyzed for frequency. Among people with MS, falls and difficulties getting out into the community were identified as highly important mobility limitations. Clinicians also identified falls and safety as a priority. Walking speed was infrequently described as a problem, and although gait speed is often measured by clinicians, improving gait speed is rarely a treatment goal. Despite their emphasis on safety, clinicians lacked certainty about how to objectively measure improvements in safety. People with MS evaluated physical therapy effectiveness based on the ease by which they can do things and acknowledged that “not getting worse” is a positive outcome. Clinicians evaluated effectiveness based on the amount of change in objective outcome measures and by patient and caregiver reports of improved function. These findings indicate that gait speed is not of major importance to people with MS or physical therapy clinicians. People with MS want to be able to walk further and without an assistive device, and they want to avoid falls. Clinicians want to maximize safety while improving functional ability. Clinicians and patients may differ in their expected outcomes from physical therapy. |
|---|---|
| AbstractList | Gait speed is frequently the primary efficacy endpoint in clinical trials of interventions targeting mobility in people with multiple sclerosis (MS). However, it is unclear whether increased gait speed is a meaningful outcome for people living with MS. The purpose of this study was to identify the most important aspects of mobility for people with MS and physical therapists and to explore how patients and clinicians perceive whether physical therapy has been effective. Forty-six people with MS and 23 physical therapy clinicians participated in a focus group, one-on-one interview, or electronic survey. The focus group and interview data were transcribed and coded to identify themes. Free-text survey responses were also coded, and multiple-choice options were analyzed for frequency. Among people with MS, falls and difficulties getting out into the community were identified as highly important mobility limitations. Clinicians also identified falls and safety as a priority. Walking speed was infrequently described as a problem, and although gait speed is often measured by clinicians, improving gait speed is rarely a treatment goal. Despite their emphasis on safety, clinicians lacked certainty about how to objectively measure improvements in safety. People with MS evaluated physical therapy effectiveness based on the ease by which they can do things and acknowledged that "not getting worse" is a positive outcome. Clinicians evaluated effectiveness based on the amount of change in objective outcome measures and by patient and caregiver reports of improved function. These findings indicate that gait speed is not of major importance to people with MS or physical therapy clinicians. People with MS want to be able to walk further and without an assistive device, and they want to avoid falls. Clinicians want to maximize safety while improving functional ability. Clinicians and patients may differ in their expected outcomes from physical therapy. Gait speed is frequently the primary efficacy endpoint in clinical trials of interventions targeting mobility in people with multiple sclerosis (MS). However, it is unclear whether increased gait speed is a meaningful outcome for people living with MS. The purpose of this study was to identify the most important aspects of mobility for people with MS and physical therapists and to explore how patients and clinicians perceive whether physical therapy has been effective. Forty-six people with MS and 23 physical therapy clinicians participated in a focus group, one-on-one interview, or electronic survey. The focus group and interview data were transcribed and coded to identify themes. Free-text survey responses were also coded, and multiple-choice options were analyzed for frequency. Among people with MS, falls and difficulties getting out into the community were identified as highly important mobility limitations. Clinicians also identified falls and safety as a priority. Walking speed was infrequently described as a problem, and although gait speed is often measured by clinicians, improving gait speed is rarely a treatment goal. Despite their emphasis on safety, clinicians lacked certainty about how to objectively measure improvements in safety. People with MS evaluated physical therapy effectiveness based on the ease by which they can do things and acknowledged that "not getting worse" is a positive outcome. Clinicians evaluated effectiveness based on the amount of change in objective outcome measures and by patient and caregiver reports of improved function. These findings indicate that gait speed is not of major importance to people with MS or physical therapy clinicians. People with MS want to be able to walk further and without an assistive device, and they want to avoid falls. Clinicians want to maximize safety while improving functional ability. Clinicians and patients may differ in their expected outcomes from physical therapy.Gait speed is frequently the primary efficacy endpoint in clinical trials of interventions targeting mobility in people with multiple sclerosis (MS). However, it is unclear whether increased gait speed is a meaningful outcome for people living with MS. The purpose of this study was to identify the most important aspects of mobility for people with MS and physical therapists and to explore how patients and clinicians perceive whether physical therapy has been effective. Forty-six people with MS and 23 physical therapy clinicians participated in a focus group, one-on-one interview, or electronic survey. The focus group and interview data were transcribed and coded to identify themes. Free-text survey responses were also coded, and multiple-choice options were analyzed for frequency. Among people with MS, falls and difficulties getting out into the community were identified as highly important mobility limitations. Clinicians also identified falls and safety as a priority. Walking speed was infrequently described as a problem, and although gait speed is often measured by clinicians, improving gait speed is rarely a treatment goal. Despite their emphasis on safety, clinicians lacked certainty about how to objectively measure improvements in safety. People with MS evaluated physical therapy effectiveness based on the ease by which they can do things and acknowledged that "not getting worse" is a positive outcome. Clinicians evaluated effectiveness based on the amount of change in objective outcome measures and by patient and caregiver reports of improved function. These findings indicate that gait speed is not of major importance to people with MS or physical therapy clinicians. People with MS want to be able to walk further and without an assistive device, and they want to avoid falls. Clinicians want to maximize safety while improving functional ability. Clinicians and patients may differ in their expected outcomes from physical therapy. |
| Audience | Academic |
| Author | Plummer, Prudence Stewart, Andrea Anderson, Jessica N. |
| AuthorAffiliation | 3 University of North Carolina Hospitals, Department of Rehabilitation Therapies, Chapel Hill, NC 27514, USA 1 Department of Physical Therapy, MGH Institute of Health Professions, Boston, MA 02129, USA 2 Adult Inpatient Division, Department of Physical Therapy and Occupational Therapy, Duke University Health System, Durham, NC 27710, USA |
| AuthorAffiliation_xml | – name: 3 University of North Carolina Hospitals, Department of Rehabilitation Therapies, Chapel Hill, NC 27514, USA – name: 2 Adult Inpatient Division, Department of Physical Therapy and Occupational Therapy, Duke University Health System, Durham, NC 27710, USA – name: 1 Department of Physical Therapy, MGH Institute of Health Professions, Boston, MA 02129, USA |
| Author_xml | – sequence: 1 givenname: Prudence orcidid: 0000-0002-9736-7962 surname: Plummer fullname: Plummer, Prudence organization: Department of Physical TherapyMGH Institute of Health ProfessionsBostonMA 02129USAmghihp.edu – sequence: 2 givenname: Andrea surname: Stewart fullname: Stewart, Andrea organization: Adult Inpatient DivisionDepartment of Physical Therapy and Occupational TherapyDuke University Health SystemDurhamNC 27710USAduke.edu – sequence: 3 givenname: Jessica N. surname: Anderson fullname: Anderson, Jessica N. organization: University of North Carolina HospitalsDepartment of Rehabilitation TherapiesChapel HillNC 27514USAunchealthcare.org |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/36844028$$D View this record in MEDLINE/PubMed |
| BookMark | eNp9kttrFDEUhwep2Fr75rMEBBF02ySTy-RFKPUKFRda8DFkM8nOqdlkO5mp7H9v1l2XblGThxyS7_xOzuVpdRBTdFX1nOBTQjg_o5jWZ4RQgjl5VB1RrPCECkEPdjZnh9VJzje4LI6pbOon1WEtGsYwbY4qNzUDuDggE1t0ESCCBRPR1PV56ewAdy6j5NG0W2WwJqDrzvVmuUI-9ei7CT8gztF78B7sGIpQRhDR17W5DA5d2eD6lCE_qx57E7I72Z7H1dXHD9cXnyeX3z59uTi_nFgmxTCxwhEja2Zby4xrCPcz7I1ysvWCt6ZtnPLGSm5nigvasIYJ05LZjBsppKqPq3cb1eU4W7jWlrR6E_Syh4XpVzoZ0PsvETo9T3daKSYko0Xg9VagT7ejy4NeQLYuBBNdGrMu1cOsEVzWBX35AL1JYx9LcoWSStUK_xbcUnMTnIboU4lr16L6XNaNpHWjeKFO_0KV3boF2NJwD-V-z-HVPYfOmTB0OYVxgBTzPvjifkV2pfjT_wK83QC29Cn3zu8QgvV6wvR6wvR2wgpOH-AWBrMOW34M4V9ObzZOHcTW_IT_h_gFonvehA |
| CitedBy_id | crossref_primary_10_1016_j_kine_2024_12_118 crossref_primary_10_3389_fphys_2024_1477431 |
| Cites_doi | 10.1123/japa.2013-0236 10.1080/09638288.2021.2018055 10.1212/01.wnl.0000326213.89576.0e 10.12968/ijtr.2017.24.7.297 10.1177/1352458508088916 10.1016/j.apmr.2015.02.011 10.1177/104973200129118453 10.1037/a0037739 10.1016/S1474-4422(20)30347-1 10.1123/jsr.2018-0303 10.1097/NPT.0b013e3182097190 10.1007/s11136-012-0149-z 10.7224/1537-2073.2014-114 10.1111/sms.13764 10.1177/1545968308318473 10.7224/1537-2073.2014-072 10.1093/qjmed/hch105 10.2165/11591150-000000000-00000 10.1016/j.msard.2020.101966 10.1016/j.msard.2020.102203 10.1080/14038190701288785 10.1002/ana.22240 10.1371/journal.pone.0257809 10.1111/j.1600-0404.1982.tb06856.x 10.1007/s00415-008-0910-y 10.12968/ijtr.2017.24.8.345 10.1186/s12883-020-1611-0 10.1177/1756285613488434 10.1177/1352458519833901 |
| ContentType | Journal Article |
| Copyright | Copyright © 2023 Prudence Plummer et al. COPYRIGHT 2023 John Wiley & Sons, Inc. Copyright © 2023 Prudence Plummer et al. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Copyright © 2023 Prudence Plummer et al. 2023 |
| Copyright_xml | – notice: Copyright © 2023 Prudence Plummer et al. – notice: COPYRIGHT 2023 John Wiley & Sons, Inc. – notice: Copyright © 2023 Prudence Plummer et al. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: Copyright © 2023 Prudence Plummer et al. 2023 |
| DBID | RHU RHW RHX AAYXX CITATION NPM 3V. 7X7 7XB 8FI 8FJ 8FK ABUWG AFKRA AZQEC BENPR CCPQU DWQXO FYUFA GHDGH K9. M0S PHGZM PHGZT PIMPY PJZUB PKEHL PPXIY PQEST PQQKQ PQUKI PRINS 7X8 5PM |
| DOI | 10.1155/2023/1121051 |
| DatabaseName | Hindawi Publishing Complete Hindawi Publishing Subscription Journals Hindawi Publishing Open Access CrossRef PubMed ProQuest Central (Corporate) Health & Medical Collection ProQuest Central (purchase pre-March 2016) Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest Central UK/Ireland ProQuest Central Essentials - QC ProQuest Central ProQuest One Community College ProQuest Central Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Health & Medical Complete (Alumni) ProQuest Health & Medical Collection ProQuest Central Premium ProQuest One Academic Publicly Available Content Database ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) ProQuest One Health & Nursing ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic (retired) ProQuest One Academic UKI Edition ProQuest Central China MEDLINE - Academic PubMed Central (Full Participant titles) |
| DatabaseTitle | CrossRef PubMed Publicly Available Content Database ProQuest One Academic Middle East (New) ProQuest Central Essentials ProQuest One Academic Eastern Edition ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest One Health & Nursing ProQuest Central China ProQuest Hospital Collection (Alumni) ProQuest Central ProQuest Health & Medical Complete ProQuest Health & Medical Research Collection Health Research Premium Collection ProQuest One Academic UKI Edition Health and Medicine Complete (Alumni Edition) ProQuest Central Korea ProQuest Central (New) ProQuest One Academic ProQuest One Academic (New) ProQuest Central (Alumni) MEDLINE - Academic |
| DatabaseTitleList | CrossRef PubMed MEDLINE - Academic Publicly Available Content Database |
| Database_xml | – sequence: 1 dbid: RHX name: Hindawi Publishing Open Access url: http://www.hindawi.com/journals/ sourceTypes: Publisher – sequence: 2 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: PIMPY name: ProQuest Publicly Available Content Database url: http://search.proquest.com/publiccontent sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Public Health Physical Therapy |
| EISSN | 2090-2662 |
| Editor | Hartung, H. P. |
| Editor_xml | – sequence: 1 givenname: H. P. surname: Hartung fullname: Hartung, H. P. |
| EndPage | 8 |
| ExternalDocumentID | PMC9946742 A738723895 36844028 10_1155_2023_1121051 |
| Genre | Journal Article |
| GrantInformation_xml | – fundername: American Society of Neurorehabilitation |
| GroupedDBID | --- 188 4.4 53G 5VS 7X7 8FI 8FJ AAFWJ AAJEY ABDBF ABUWG ADBBV ADRAZ AFKRA AFPKN AINHJ ALMA_UNASSIGNED_HOLDINGS AOIJS BCNDV BENPR CCPQU EBD EBS ESX FYUFA GROUPED_DOAJ GX1 HMCUK HYE IAO IEA IHR IHW ITC KQ8 M48 M~E OK1 PIMPY RHU RHW RHX RNS RPM TUS UKHRP 0R~ 24P AAMMB AAYXX ACCMX ACUHS AEFGJ AFFHD AGXDD AIDQK AIDYY ALUQN CITATION H13 PGMZT PHGZM PHGZT 2UF ALIPV CEFSP CNMHZ EJD IL9 NPM UZ5 3V. 7XB 8FK AZQEC DWQXO K9. PJZUB PKEHL PPXIY PQEST PQQKQ PQUKI PRINS 7X8 PUEGO 5PM |
| ID | FETCH-LOGICAL-c476t-c6e1a734cdc4ae815fb0fa9e7df65dad8e9fac75cb956284846ad1bb5a76793 |
| IEDL.DBID | RHX |
| ISICitedReferencesCount | 3 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000938049200001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 2090-2654 |
| IngestDate | Tue Nov 04 02:06:43 EST 2025 Thu Sep 04 19:04:29 EDT 2025 Tue Oct 07 06:55:56 EDT 2025 Tue Nov 11 10:55:16 EST 2025 Tue Nov 04 18:16:42 EST 2025 Thu May 22 21:26:57 EDT 2025 Wed Feb 19 02:24:28 EST 2025 Sat Nov 29 02:54:09 EST 2025 Tue Nov 18 22:16:52 EST 2025 Sun Jun 02 19:20:20 EDT 2024 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Language | English |
| License | This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. https://creativecommons.org/licenses/by/4.0 Copyright © 2023 Prudence Plummer et al. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c476t-c6e1a734cdc4ae815fb0fa9e7df65dad8e9fac75cb956284846ad1bb5a76793 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 Academic Editor: H. P. Hartung |
| ORCID | 0000-0002-9736-7962 |
| OpenAccessLink | https://dx.doi.org/10.1155/2023/1121051 |
| PMID | 36844028 |
| PQID | 2779939042 |
| PQPubID | 4727247 |
| PageCount | 8 |
| ParticipantIDs | pubmedcentral_primary_oai_pubmedcentral_nih_gov_9946742 proquest_miscellaneous_2780486573 proquest_journals_2779939042 gale_infotracmisc_A738723895 gale_infotracacademiconefile_A738723895 gale_healthsolutions_A738723895 pubmed_primary_36844028 crossref_primary_10_1155_2023_1121051 crossref_citationtrail_10_1155_2023_1121051 hindawi_primary_10_1155_2023_1121051 |
| PublicationCentury | 2000 |
| PublicationDate | 2023-02-15 |
| PublicationDateYYYYMMDD | 2023-02-15 |
| PublicationDate_xml | – month: 02 year: 2023 text: 2023-02-15 day: 15 |
| PublicationDecade | 2020 |
| PublicationPlace | Egypt |
| PublicationPlace_xml | – name: Egypt – name: New York |
| PublicationTitle | Multiple sclerosis international |
| PublicationTitleAlternate | Mult Scler Int |
| PublicationYear | 2023 |
| Publisher | Hindawi John Wiley & Sons, Inc |
| Publisher_xml | – name: Hindawi – name: John Wiley & Sons, Inc |
| References | 22 23 24 25 26 27 28 29 R. E. Hurworth (17) 1996; 5 American Physical Therapy Assocation (21) 2020 P. Lane (19) 2001; 8 30 31 10 32 11 33 12 D. Stewart (14) 2014 R. McDaniel (20) 1996; 5 34 13 15 16 18 1 2 3 4 P. Plummer (35) 2019; 33 5 6 7 8 P. Plummer (36) 2019; 21 9 |
| References_xml | – ident: 23 doi: 10.1123/japa.2013-0236 – ident: 34 doi: 10.1080/09638288.2021.2018055 – ident: 10 doi: 10.1212/01.wnl.0000326213.89576.0e – ident: 15 doi: 10.12968/ijtr.2017.24.7.297 – ident: 8 doi: 10.1177/1352458508088916 – volume: 5 start-page: 53 year: 1996 ident: 20 article-title: Focus group research: the question of scientific rigor publication-title: Rehabilitation Nursing Research – volume: 33 issue: 12, article 1067 year: 2019 ident: 35 article-title: On the importance of gait speed: perspectives from people with multiple sclerosis and neurologic physical therapists publication-title: Neurorehabilitation and Neural Repair – ident: 12 doi: 10.1016/j.apmr.2015.02.011 – ident: 18 doi: 10.1177/104973200129118453 – volume: 21 start-page: 97 issue: S1 year: 2019 ident: 36 article-title: On the importance of gait speed: perspectives from people with multiple sclerosis and neurologic physical therapists publication-title: International Journal of Multiple Sclerosis Care – ident: 4 doi: 10.1037/a0037739 – ident: 9 doi: 10.1016/S1474-4422(20)30347-1 – ident: 27 doi: 10.1123/jsr.2018-0303 – ident: 6 doi: 10.1097/NPT.0b013e3182097190 – ident: 5 doi: 10.1007/s11136-012-0149-z – ident: 13 doi: 10.7224/1537-2073.2014-114 – ident: 29 doi: 10.1111/sms.13764 – ident: 32 doi: 10.1177/1545968308318473 – ident: 25 doi: 10.7224/1537-2073.2014-072 – ident: 1 doi: 10.1093/qjmed/hch105 – ident: 2 doi: 10.2165/11591150-000000000-00000 – ident: 24 doi: 10.1016/j.msard.2020.101966 – ident: 26 doi: 10.1016/j.msard.2020.102203 – ident: 31 doi: 10.1080/14038190701288785 – ident: 11 doi: 10.1002/ana.22240 – ident: 33 doi: 10.1371/journal.pone.0257809 – ident: 3 doi: 10.1111/j.1600-0404.1982.tb06856.x – ident: 7 doi: 10.1007/s00415-008-0910-y – volume-title: Focus Groups: Theory and Practice year: 2014 ident: 14 – volume-title: APTA Physical Therapy Workforce Analysis year: 2020 ident: 21 – volume: 8 start-page: 45 year: 2001 ident: 19 article-title: Focus group methodology publication-title: Nursing Research – ident: 16 doi: 10.12968/ijtr.2017.24.8.345 – ident: 28 doi: 10.1186/s12883-020-1611-0 – volume: 5 start-page: 48 issue: 1 year: 1996 ident: 17 article-title: Qualitative methodology: common questions about running focus groups during evaluations publication-title: Evaluation News and Comment – ident: 22 doi: 10.1177/1756285613488434 – ident: 30 doi: 10.1177/1352458519833901 |
| SSID | ssj0000502783 |
| Score | 2.234153 |
| Snippet | Gait speed is frequently the primary efficacy endpoint in clinical trials of interventions targeting mobility in people with multiple sclerosis (MS). However,... |
| SourceID | pubmedcentral proquest gale pubmed crossref hindawi |
| SourceType | Open Access Repository Aggregation Database Index Database Enrichment Source Publisher |
| StartPage | 1 |
| SubjectTerms | Care and treatment Focus groups Gait Intervention Mobility Multiple choice Multiple sclerosis Physical therapists Physical therapy Qualitative research Recording equipment Rehabilitation Therapeutics, Physiological Walking |
| SummonAdditionalLinks | – databaseName: Publicly Available Content Database dbid: PIMPY link: http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1ba9VAEB70VEEQq1Vr9KgrVHwo4eS22eRJilr0oSXQgvUp7C00UHJqc1r_vjPZPakpXl583iG7yUzmtjPfAOyYAm0wVxTklEmYyVSECh3lUGcm0rnRNpbRMGxCHB4WJydl5duje19WudaJg6J2aM9Ut41KeGGWmjLmi0QINKwlStz78-8hzZCiu1Y_UOM2bBDwVjGDjerLQfVtzLlEnO7Z6NI5icooTHKerWvhOac0QLqICVCLxxMr5XX13VOKkn-0v_NFb5ZU_mKj9jf_79s9hAfeV2V7TrgewS3bbcFm5TnLjh0gwRbcd7k_5lqaHoOtHFgrk51hDngUhZBV132dPVs27OaDGPrP7Ks8o-Q9-0i5JIIFwUietR078IWP7AiPgt-s7Z_A0f6n4w-fQz_OARkv8lWoc2S8SDNtdCZtEfNGRY0srTBNzo00hS0bqQXXCmM2tJroGUkTK8WlyFGLPIVZt-zsM2DIo1TFFp0THWU25arhhSqVSjT6dkbGAeyumVdrj3ROAzfO6iHi4bwmVtee1QG8HanPHcLHH-hekxzUrj91VAz1nkgLmtxW8gDeDRSkGnA_LX2HA56aQLYmlPMJJf7SerK842XtHyear4Wp9pqnr69lJ4A34zJtQNV0nV1eEk1BSItcpAFsO7kdN0rzIsvQ6QxATCR6JCA88ulK154OuORlSaNrkud_P9YLuEcvQZXvMZ_DbHVxaV_CHX21avuLV_6X_QlLGE6q priority: 102 providerName: ProQuest |
| Title | Patient and Clinician Perspectives of Physical Therapy for Walking Difficulties in Multiple Sclerosis |
| URI | https://dx.doi.org/10.1155/2023/1121051 https://www.ncbi.nlm.nih.gov/pubmed/36844028 https://www.proquest.com/docview/2779939042 https://www.proquest.com/docview/2780486573 https://pubmed.ncbi.nlm.nih.gov/PMC9946742 |
| Volume | 2023 |
| WOSCitedRecordID | wos000938049200001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVPQU databaseName: Health & Medical Collection customDbUrl: eissn: 2090-2662 dateEnd: 20240131 omitProxy: false ssIdentifier: ssj0000502783 issn: 2090-2654 databaseCode: 7X7 dateStart: 20130101 isFulltext: true titleUrlDefault: https://search.proquest.com/healthcomplete providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest Central customDbUrl: eissn: 2090-2662 dateEnd: 20240131 omitProxy: false ssIdentifier: ssj0000502783 issn: 2090-2654 databaseCode: BENPR dateStart: 20130101 isFulltext: true titleUrlDefault: https://www.proquest.com/central providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest Publicly Available Content Database customDbUrl: eissn: 2090-2662 dateEnd: 20240131 omitProxy: false ssIdentifier: ssj0000502783 issn: 2090-2654 databaseCode: PIMPY dateStart: 20130101 isFulltext: true titleUrlDefault: http://search.proquest.com/publiccontent providerName: ProQuest – providerCode: PRVWIB databaseName: Wiley Online Library Open Access customDbUrl: eissn: 2090-2662 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0000502783 issn: 2090-2654 databaseCode: 24P dateStart: 20100101 isFulltext: true titleUrlDefault: https://authorservices.wiley.com/open-science/open-access/browse-journals.html providerName: Wiley-Blackwell |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwjV3db9QwDLfYAAkJIb5XOI4gDfGAqvUrTfI4YNN42KnaJnE8VUmaapWmHlpv49_HbnOFDhC83OkUn5LGdm0n9s8Au5VEG8wNBTkqCTOditCgoxzarIpsXlkX66hvNiEWC7lcqsKDJHW_X-GjtaPwPN2LCeiKSqW3JCfhPTlajkcpEafrM7pLTiIVhUnOs02K-42_T4yPfwXfPafg93vzJxfzZqbkL6bn8CE88D4j2x-Y_AhuufYx3B8O3NhQR_QEXDEgpDLdVmxA-0TOs-JnMWXHVjUrPF_Y2QAnwNBpZV_0BZ2Ys090gENYHBg-s6Zlxz7bkJ3ivPhETfcUTg8Pzj4ehb6HAu62yNehzXG3RZrZymbayZjXJqq1cqKqc17pSjpVayu4NRgooalCd0RXsTFcixxV9xlst6vW7QDDHUxN7NAjsFHmUm5qLo0yJrHoUFU6DuD9ZmtL6-HFqcvFRdmHGZyXxIjSMyKAtyP1twFW4y90r4lL5VAUOmpjuS9SSe3SFA_gXU9B-ojzWe3LCnDVhGw1oZxNKFGP7GR410vCP1Y024hJ6dW9KxMh0M9T-AIM4M04TBNQClvrVldEIwnekIs0gOeDVI0TpbnMMJCXAYiJvI0EBAI-HWmb8x4MXCnqF5O8-L_Vv4R79JPSzmM-g-315ZV7BXfs9brpLuewJZai_5RzuP3hYFGc4Hfx-bj4Ou9V7gezhh9c |
| linkProvider | Hindawi Publishing |
| linkToHtml | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1ba9RAFD6UqiiI1ao1utoRWnyQ0NwmkzyIFGtpabssdMF9MswtNFCybbO1-J_8kZ6TW03x8tQHn-eQmSTfuc2c-Q7AhknQB3NFSU4auJEMhaswUHZ1ZDwdG2196dXNJsR4nMxm6WQJfnR3YaissrOJtaE2c0175FuBEOhKU8TYx7Nzl7pG0elq10KjgcWB_X6FKVv1YX8H_-9mEOx-nn7ac9uuAji_iBeujnF-EUba6EjaxOe58nKZWmHymBtpEpvmUguuFaYOaLzRQUvjK8WliAVRL6HBv4NWXFABmZiJfkfH43SKR0fagZd6bhDzqKu055w2GcItn-i6uD_wga0nuHdCOfhV8btI92bB5i8ecHfl__p2j-FRG2mz7UY1nsCSLVdhZdLikk0bOoVVeNjsXLLmQtZTsJOGapbJ0rCGNhVViE2ub6VWbJ6zmw9iGP2zL_KUjh7YDu2EEalJgcJFyY7ask12jEvBf1JUz-D4Fl79OSyX89K-AIYYCJVvMbTSXmRDrnKeqFSpQGNkaqTvwPsOHJluedqpXchpVudrnGcEpayFkgObvfRZw0_yB7l1wlnW3K7tzVq2LcKE-s6l3IF3tQQZNpxPy_Z-Bq6aKMIGkqOBJBokPRjeaLH8jxWNOrBmrd2ssmukOvC2H6YJqBawtPNLkkmIJ5KL0IG1Ri_6icI4iSIMmR0QA43pBYhNfThSFic1q3qaUuOd4OXfl7UO9_emR4fZ4f744BU8oBeiGn6fj2B5cXFpX8Nd_W1RVBdvauPA4Ovt6tNPvKagLA |
| linkToPdf | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1ba9RAFD6UekEQq_UWXe0ILT6UsLlNJnkQKa6LpbostOA-GWYmExoo2dpsLf4zf57nJJPUFC9PffA5h52TzXduM2e-A7CdJxiDuaIiJw3cSIbCVZgouzrKPR3n2vjSa4ZNiNksWSzS-Rr86O7CUFtl5xMbR50vNe2RjwMhMJSmiLFxYdsi5pPp29OvLk2QopPWbpxGC5ED8_0Cy7f6zf4Ev_VOEEzfH7374NoJA6iLiFeujlEXEUY615E0ic8L5RUyNSIvYp7LPDFpIbXgWmEZgY4cg7XMfaW4FLEgGiZ0_jdEGAoaGiEWot_d8Tid6NHxduClnhvEPOq67jmnDYdw7BN1F_cH8dBGhVvHVI9flL_Leq82b_4SDacb_-__eB_u2Qyc7bUm8wDWTLUJG3OLV3bU0ixswt12R5O1F7Uegpm3FLRMVjlr6VTRtNj88rZqzZYFu_pDDKsC9lme0JEEm9AOGZGdlChcVuyTbedkh6gKfp-yfgSH1_Dqj2G9WlbmKTDEQ6h8gymX9iITclXwRKVKBRoz1lz6Dux2QMm05W-nMSInWVPHcZ4RrDILKwd2eunTlrfkD3JbhLmsvXXbu7tsT4QJzaNLuQOvGwlyeLielvbeBmpN1GEDydFAEh2VHjzetrj-h0ajDriZ9ad1dolaB171j2kB6hGszPKcZBLij-QidOBJayP9QmGcRBGm0g6IgfX0AsSyPnxSlccN23qa0kCe4Nnf1dqC22hG2cf92cFzuEPvQ639Ph_B-urs3LyAm_rbqqzPXjZ-gsGX6zWnn1V4qOA |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Patient+and+Clinician+Perspectives+of+Physical+Therapy+for+Walking+Difficulties+in+Multiple+Sclerosis&rft.jtitle=Multiple+sclerosis+international&rft.au=Plummer%2C+Prudence&rft.au=Stewart%2C+Andrea&rft.au=Anderson%2C+Jessica+N&rft.date=2023-02-15&rft.issn=2090-2654&rft.volume=2023&rft.spage=1121051&rft_id=info:doi/10.1155%2F2023%2F1121051&rft.externalDBID=NO_FULL_TEXT |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2090-2654&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2090-2654&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2090-2654&client=summon |