Controlled randomised crossover trial of the effects of physiotherapy on mobility in chronic multiple sclerosis

Wiles, C M

doi:10.1136/jnnp.70.2.174

Cited by 201 publications

(145 citation statements)

References 19 publications

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“…that improvements observed during treatment for MS patients decline over time. Wiles et al 35 reported that treatment benefits lasted only a few weeks after intervention completion and recommended that rehabilitation be continuous or repeated to achieve long-term benefits. The optimal dose of treatment and intervals between treatment episodes are unknown and require continued research.…”

Section: Discussionmentioning

confidence: 99%

Developing a Wellness Program for People with Multiple Sclerosis

Hart¹,

Memoli²,

Mason³

et al. 2011

International Journal of MS Care

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Because multiple sclerosis (MS) is a multidimensional chronic disease, effective management of the illness requires a multidimensional approach. We describe a wellness program that was designed to facilitate positive health choices throughout the course of MS and present initial data analyses. We hypothesized that over the course of the program, participants would demonstrate improvement in the domains assessed. The wellness program included educational sessions in physical, mental, social, intellectual, and spiritual domains specifically targeting improved self-efficacy, physical functioning, coping skills, symptom management, and nutrition. An outcomes data collection software program was adapted to facilitate real-time patient self-report and clinician entry data collection for many domains throughout the wellness program. Initial assessment of serial measures (intake to discharge) from 65 people with MS showed improvement in several domains, including functional status (P < .05), fatigue (P < .05), fear-avoidance beliefs regarding physical activities (P < .05), depression (P < .05), somatization (P < .05), and pain (P < .05). In addition, using a model of risk for interpersonal distress, patients whose risk of elevated depression and anxiety decreased over the course of the program reported greater gains in functional status (P < .05). The results suggest possible future treatment strategies and indicate strengths and weaknesses of the wellness program, which are being used to improve the program. Int J MS Care. 2011;13:154-162.

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Section: Discussionmentioning

confidence: 99%

Developing a Wellness Program for People with Multiple Sclerosis

Hart¹,

Memoli²,

Mason³

et al. 2011

International Journal of MS Care

View full text Add to dashboard Cite

show abstract

“…23,26 Lord et al com pa red two ne u roph ysio lo gi cal ap pro ac hes; Fa ci li ta ti on ap pro ach and task-ori en ted ap pro ach. 23 Pa ti ents in each gro up sho wed ove rall sig ni fi cant im pro ve ment in ga it out co mes (10 me ter walk test-MWT, stri de length and ri ver me ad vi su al ga it as sess ment-RVGA), howe ver the re was no sig ni fi cant dif fe ren ce bet we en two ne u roph ysi o lo gi cal ap pro ach gro ups.…”

Section: Ne U Roph Ysi O Lo Gi Cal Ap Pro Ac Hesmentioning

confidence: 99%

“…Facilitation approach, Task-oriented approach, Neuromuscular Rehabilitation, Awareness Through Movement, Individual Problem Solving approach) were included in three studies. 23,26,28 Re sis ted exerci ses we re per for med in thre e stu di es. 21,22,24 One study 27 used tre ad mill tra i ning, one study 25 electrot he rapy mo da li ti es and one study 20 pres su re splint app li ca ti on in the ir the rapy pro to cols.…”

Section: In Ter Ven Ti Onsmentioning

confidence: 99%

“…Eight stu di es we re consi de red as high-qu a lity (PED ro sco re ≥ 6). [20][21][22][23][24][25][26][27] Only one study was con si de red as low-qu a lity (PED ro sco re < 6). 28 Blin ding of the ra pists and blin ding of pa ti ents we re the most com mon fa i lu re; no ne of the stu di es ac hi e ved the se two cri te ri a.…”

Section: Met Ho Do Lo Gi Cal Qu a Litymentioning

confidence: 99%

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Is Physiotherapy Effective in Improving Balance and Gait in Patients with Multiple Sclerosis?: A Systematic Review

İyigün¹,

Yıldırım²,

Snowdon³

2010

Turkiye Klinikleri J Med Sci

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A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The pur po se of this syste ma tic re vi ew was to de ter mi ne whet her physi ot he rapy was ef fec ti ve in im pro ving ba lan ce and ga it in pa ti ents with mul tip le scle ro sis (MS). M Ma a t te e r ri i a al l a an nd d M Me et t h ho od ds s: : Me di cally stab le MS pa ti ents abo ve the age of 18 ye ars who we re di ag no sed by a ne u ro lo gist and had ba lan ce and/or ga it prob lems we re inc lu ded in this study. The stu di es in vol ving all types of physi ot he rapy ap pro ac hes (i.e. func ti o nal exer ci se, re sis ti ve exer ci se, tre ad mill tra i ning, physi cal the rapy using tra i ning with equ ip ment, elec trot he rapy) we re in cor po ra ted and in ter pre ted in this syste ma tic re vi ew. R Re e s su ul lt ts s: : Nine ran do mi zed con trol led tri als (RCTs) met the inc lu si on cri te ri a. Thre e stu di es inc lu ded ne u roph ysio lo gi cal ap pro ac hes, thre e stu di es per for med re sis ti ve exer ci ses, one study used tre ad mill tra i ning, one study used elec trot he rapy and one study used pres su re splint app li ca ti on in the ir the rapy pro to cols. Amongst the physi ot he rapy met hods, strong evi den ce was suggested that ne u roph ysi o lo gi cal ap pro ac hes were ef fec ti ve in im pro ving ga it (func ti o nal and tem po ral-spa ti al ga it pa ra me ters), as well as sta tic ba lance and, mo de ra te evi den ce was fo und for im pro ving dyna mic ba lan ce. Conf lic ting evi den ce was fo und for the ef fects of ot her physi ot he rapy met hods (i.e. re sis ti ve exer ci ses, tre ad mill tra i ning, who le-body vib rati on and pres su re splint app li ca ti on) in the im pro ve ment of ba lan ce and ga it in pa ti ents with MS. C Co on nc c --l lu u s si i o on n: : This syste ma tic re vi ew re ve a led that physi ot he rapy in ter ven ti ons, par ti cu larly ne u roph ysi o lo gi cal ap pro ac hes and in so me ex tend re sis ti ve exer ci ses, tre ad mill tra i ning, who le-body vib ra ti on and pres su re splint app li ca ti on can be ef fec ti ve in im pro ving ba lan ce and ga it in pa ti ents with MS. No ne of the RCTs inc lu ded in this study de fi ned any det ri men tal chan ges af ter physi ot he rapy in ter ven ti ons. Ho we ver, currently the pro ofs are not con vin cing to draw an evi den ce-ba sed prog ram in the tre at ment of ba lan ce and ga it prob lems in patients with MS. K Ke ey y W Wo or rd ds s: : Mul tip le scle ro sis; pos tu ral ba lan ce; ga it; physi cal the rapy mo da li ti es Ö ÖZ ZE ET T A Am ma aç ç: : Bu sis te ma tik der le me nin ama cı fiz yo te ra pi nin mu tipl skle roz (MS) has ta la rın da den ge ve yü rü yü şün ge liş ti ril me si üze rin de et ki li olup ol ma dı ğı nı be lir le mek tir. G Ge e r re eç ç v ve e Y Yö ön n t te em m l le er r: : On se kiz ya -şı nın üze rin de, nö ro log ta ra fın dan MS ta nı sı kon muş, me di kal ola rak du ru mu sa bit olan ve den ge ve/veya yü rü yüş prob lem le ri olan has ta lar bu ça lış ma da yer al dı. Tüm fiz yo te ra ...

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“…5 The GICS has previously been used during clinical trials in gerontology, [4][5][6] psychiatry, 7 chronic pain 8 and multiple sclerosis. 9 It has also been utilised in an SCI research on neuropathic pain and pharmacological therapies. [10][11][12] In addition, we have asked patients to rate their own performance of motor tasks using the GICS.…”

Section: Introductionmentioning

confidence: 99%

Using the unbiased perspectives of people living with a spinal cord injury in assessments of mobility

et al. 2013

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Study design: Clinometrics study. Objective: To devise a way of capturing the unbiased perspectives of people living with a spinal cord injury (SCI) in assessments of mobility. Setting: SCI unit and community. Methods: Three groups of raters used the Global Impression of Change Scale (GICS) to rate change in mobility of a cohort of patients with a recent SCI. The three groups of raters were as follows: 10 people with a recent SCI, 10 people with an established SCI and 10 physiotherapists. The ratings were done after viewing 51 pairs of videos depicting one of three motor tasks: sitting unsupported, transferring and walking. Each pair of videos showed the same person performing the same motor task on two occasions. The videos were taken between 1 h and 5 months apart and presented side by side, randomly left or right, on the screen. Raters were asked to score the amount of change in performance between the two videos on a 7-point Global Impression of Change Scale (GICS). Intra-rater reliability for the three motor tasks and three groups of raters was determined using intra-class correlation coefficients. Results: People with an SCI were reliable at rating change in patients' abilities to transfer and walk with ICC's ranging from 0.66 to 0.81 (95% Confidence interval bounds ranging from 0.51 to 0.94). Physiotherapists were consistently but only marginally more reliable at rating than people with an SCI. Conclusions: Videos and the GICS may provide a way of using the unbiased perspectives of people living with spinal cord injury in assessments of mobility.

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Controlled randomised crossover trial of the effects of physiotherapy on mobility in chronic multiple sclerosis

Cited by 201 publications

References 19 publications

Developing a Wellness Program for People with Multiple Sclerosis

Developing a Wellness Program for People with Multiple Sclerosis

Is Physiotherapy Effective in Improving Balance and Gait in Patients with Multiple Sclerosis?: A Systematic Review

Using the unbiased perspectives of people living with a spinal cord injury in assessments of mobility

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