title: The respiratory muscle capabilities of Jordanian patients with multiple sclerosis.
abstract: The aim of this study was to evaluate the maximum expiratory pressure (MEP) and maximum inspiratory pressure (MIP) of Jordanian patients (19 females and 20 males) with multiple sclerosis (MS). A control group of 28 females and 26 males was included for the purposes of comparison. For the MS group, MIP results were as follows: female = 53.5 ± 36, male = 88.6 ± 40.9. MEP results were: female = 37.7 ± 13, male = 8.94 ± 30.3. The control group results were as follows: MIP female = 56.2 ± 43.8, male = 109.2 ± 49.8; MEP results were female = 70.9 ± 16.7, male = 115 ± 44.8). The control group results were as follows: MIP female = 56.2 ± 43.8, male = 109.2 ± 49.8; MEP results were female = 70.9 ± 16.7, male = 115 ± 44.8). In the patient group, there were significant differences between the two genders' MIP and MEP values (P=0.00). Significant differences were also found between the MS group and control group in MEP values (P=0.00) but not in MIP values (P=0.208). Possible psychosocial consequences of MS on Jordanian patients were measured using the Voice Handicap Index (VHI)-Arab with the following results for female patients: functional=7.3±6.9, physical=6.7±7.1, emotional=5±6.8, and total=19±19.7 and for male patients: functional=8.4±8.5, physical=9.8±9.3, emotional=9.6±11.4, and total=27.7±19.7. The VHI-Arab scores for female controls were as follows: functional = 5.1 ± 3.6, physical = 4.4 ± 2.9, emotional = 1.9 ± 2, and total = 11.4 ± 6.3). Male controls VHI-Arab scores were as follows: functional = 3.8 ± 3.4, physical = 5 ± 3.6, emotional = 1.2 ± 1.4, and total = 10.1 ± 6.2. Significant differences were found between the MS group and control group in the VHI-Arab functional domain (VHIF) (P=0.006), physical domain (VHIP) (P=0.006), emotional domain (VHIE) (P=0.00), and total score (VHIT) (P=0.00) values. In conclusion, MS can limit effective communication and may cause higher perception of voice handicap.
authors.affiliation: Department of Special Education, Faculty of Education, United Arab Emirates University, Al-Ain, United Arab Emirates. yaser.natour@uaeu.ac.ae
authors.forename: Yaser
authors.initials: Y
authors.lastname: Natour
authors.forename: Basem
authors.initials: B
authors.lastname: Marie
authors.forename: Lena
authors.initials: L
authors.lastname: Aljunidy
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D016022:Case-Control Studies; D004185:Disability Evaluation; D004644:Emotions; D045853:Exhalation; D005260:Female; D006801:Humans; D001239:Inhalation; D007597:Jordan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology* / Q000523:psychology; D053580:Muscle Strength; D010465:Perception; D011312:Pressure; D012129:Respiratory Function Tests; D012132:Respiratory Muscles / Q000503:physiopathology*; D014832:Voice Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology* / Q000523:psychology; D014833:Voice Quality; D055815:Young Adult