{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T12:21:09Z","timestamp":1790079669466,"version":"4.0.1"},"reference-count":24,"publisher":"Wiley","issue":"13-14","license":[{"start":{"date-parts":[[2022,7,7]],"date-time":"2022-07-07T00:00:00Z","timestamp":1657152000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Spasticity is a frequent symptom of multiple sclerosis (MS), which may negatively influence daily living activities (ADL).<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To (1) explore the feasibility to conduct a structured interview by specialist nurses about limitations in ADL; (2) determine the percentage of people with MS (PwMS) with limitations in ADL related to spasticity; (3) to assess the knowledge about spasticity and describe its clinical features.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Observational, cross\u2010sectional, multicentre study in 16 MS units of Catalonia (Spain). Participants were recruited from the outpatient facility and day\u2010care hospital between July 2018 and June 2019 and met the following criteria: (1) age 18 or older, (2) diagnosis of MS according to McDonald criteria 2010 and (3) no clinical relapse in previous 30\u2009days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Specialist nurses conducted a structured interview divided in two parts: the assessment of (1) limitations in the ADL and (2) the presence of spasticity and associated symptoms. The usefulness of this intervention was requested. This study met the STROBE reporting guidelines checklist for observational studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three hundred sixty eight pwMS (244 women) with a mean age of 46\u2009years and a median Expanded Disability Status Scale score of 2.5 (range, 0\u20138.5) were included. 262 (71%) pwMS had limitations in the ADL, and spasticity was reported as the most limiting symptom in 59 (23%). As a result of the interview, spasticity was observed in 199 (76%) participants; 47 (24%) of them were unaware that they had spasticity and 102 (51%) would not have reported it spontaneously. The level of the interview satisfaction was high (90%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Spasticity is a complex and limiting symptom in MS. The structured interview conducted by specialist nurses is feasible and has good acceptance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient contribution<\/jats:title><jats:p>Specialist nurses can be proactive in MS clinical assessment, which may help to detect symptoms with negative impact on quality of life.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.16421","type":"journal-article","created":{"date-parts":[[2022,7,8]],"date-time":"2022-07-08T05:14:41Z","timestamp":1657257281000},"page":"3496-3503","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The role of specialist nurses in detecting spasticity and related symptoms in multiple sclerosis"],"prefix":"10.1111","volume":"32","author":[{"given":"Montse","family":"Artola","sequence":"first","affiliation":[{"name":"Unidad de Neuroinmunolog\u00eda\u2010 Esclerosis m\u00faltiple, Hospital Cl\u00ednic de Barcelona Institut d'Investigacions Biom\u00e8diques August Pi i Sunyer (IDIBAPS) |Universitat de Barcelona  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Hernando","sequence":"additional","affiliation":[{"name":"Unidad de Neuroinmunolog\u00eda\u2010 Esclerosis m\u00faltiple, Hospital Cl\u00ednic de Barcelona Institut d'Investigacions Biom\u00e8diques August Pi i Sunyer (IDIBAPS) |Universitat de Barcelona  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oscar","family":"Vidal","sequence":"additional","affiliation":[{"name":"Hospital Universitari M\u00fatua de Terrassa  Terrassa Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N\u00faria","family":"Vidal","sequence":"additional","affiliation":[{"name":"Hospital de la Santa Creu i Sant Pau  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ester","family":"Cuenca","sequence":"additional","affiliation":[{"name":"Hospital Residencia Sant Camil  Sant Pere de Ribes Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosal\u00eda","family":"Horno","sequence":"additional","affiliation":[{"name":"Centre d'Esclerosi M\u00faltiple de Catalunya Hospital Universitari Vall d'Hebron  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel \u00c1ngel","family":"Robles","sequence":"additional","affiliation":[{"name":"Centre d'Esclerosi M\u00faltiple de Catalunya Hospital Universitari Vall d'Hebron  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clara","family":"Oriol","sequence":"additional","affiliation":[{"name":"Centre d'Esclerosi M\u00faltiple de Catalunya Hospital Universitari Vall d'Hebron  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Peralta","sequence":"additional","affiliation":[{"name":"Hospital Universitari Arnau de Vilanova  Lleida Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. 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