Effects of balance exercises on people with multiple sclerosis: a pilot study

Cattaneo, Davide; Jonsdottir, Johanna; Zocchi, Michael Robert; Regola, Alberto

doi:10.1177/0269215507077602

Cited by 213 publications

(208 citation statements)

References 31 publications

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“…Balance was evaluated by the Berg Balance Scale (BBS) [7,[18][19][20], which consists of 14 standardized subtests scored on 5-point scales (0-4), with a maximum (best) score of 56. Coordination was evaluated by the International Cooperative Ataxia Rating Scale (ICARS) [21], which has been found to be valid and safe in degenerative ataxia patients [22][23][24].…”

Section: Outcome Measuresmentioning

confidence: 99%

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Comparing routine neurorehabilitation program with trunk exercises based on Bobath concept in multiple sclerosis: Pilot study

Keser

Kırdı²,

Meriç³

et al. 2013

JRRD

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Abstract-This study compared trunk exercises based on the Bobath concept with routine neurorehabilitation approaches in multiple sclerosis (MS). Bobath and routine neurorehabilitation exercises groups were evaluated. MS cases were divided into two groups. Both groups joined a 3 d/wk rehabilitation program for 8 wk. The experimental group performed trunk exercises based on the Bobath concept, and the control group performed routine neurorehabilitation exercises. Additionally, both groups performed balance and coordination exercises. All patients were evaluated with the Trunk Impairment Scale (TIS), Berg Balance Scale (BBS), International Cooperative Ataxia Rating Scale (ICARS), and Multiple Sclerosis Functional Composite (MSFC) before and after the physiotherapy program. In group analysis, TIS, BBS, ICARS, and MSFC scores and strength of abdominal muscles were significantly different after treatment in both groups (p < 0.05). When the groups were compared, no significant differences were found in any parameters (p > 0.05). Although trunk exercises based on the Bobath concept are rarely applied in MS rehabilitation, the results of this study show that they are as effective as routine neurorehabilitation exercises. Therefore, trunk exercises based on the Bobath concept can be beneficial in MS rehabilitation programs.

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Section: Outcome Measuresmentioning

confidence: 99%

“…The trunk has a critical role in the organization of postural reactions [7][8]. The Bobath approach underlines the critical role of postural stability [9].…”

Section: Introductionmentioning

confidence: 99%

Comparing routine neurorehabilitation program with trunk exercises based on Bobath concept in multiple sclerosis: Pilot study

Keser

Kırdı²,

Meriç³

et al. 2013

JRRD

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“…Among patients with neurological disorders, the slower they move, the higher are the sensory-motor and cognitive dysfunctions 3,20,21 .…”

Section: Reliability Testmentioning

confidence: 99%

Validation of the "Six Step Spot Test" for gait among patients with multiple sclerosis in Brazil

Pavan¹,

Tilbery²,

Lianza³

et al. 2010

Arq. Neuro-Psiquiatr.

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The clinical manifestations of multiple sclerosis (MS) are variable among patients, and the course of disease is not linear. Different symptoms are presented, with gradual accumulation of disability. These variations are difficult to quantify in clinical practice, and several studies have attempted to create instruments capable of measuring these disabilities. The Six Step Spot Test (SSST) was developed for quantitative evaluation of the lower limbs (LL) over time. Performance in this test reflects the complexity of sensory-motor function, including LL strength, spasticity, coordination and balance, going beyond vision and cognition. The aim of the present study was to validate the SSST in a population of MS patients in Brazil. This prospective study included 75 patients with MS, with EDSS 0 to 6.5 in the study group. Ninety-one healthy subjects were randomly selected for the control group. The results showed that the groups were similar, and that the SSST is a reliable and reproducible test. According to the statistical analysis on the data in this study, the SSST is a valid, reliable and reproducible tool for use in the Brazilian MS patient population. Key words: gait, multiple sclerosis, disability evaluation, validation studies, reproducibility of results.Validação do teste de marcha "six step spot test" em pacientes com esclerose múltipla no brasil resumo As manifestações clínicas da esclerose múltipla (EM) são variáveis e o curso da doença não é linear, caracterizado por sintomas, acúmulo progressivo de incapacidades. Estas variações são difíceis de quantificar na prática clínica, motivo pelo qual surgiram diversos estudos para criação de instrumentos capazes de mensurar essas incapacidades. O Six Step Spot Test (SSST) foi desenvolvido para avaliar função dos membros inferiores (MMII) de forma quantitativa, mensurado no domínio tempo, avaliando a complexa função sensório-motora, como força em MMII, espasticidade, coordenação e equilíbrio, além da visão e cognição. Este estudo teve como objetivo validar o SSST para pacientes com EM no Brasil. Estudo prospectivo do qual participaram 75 pacientes com EM e EDSS de 0 a 6,5 no grupo de estudo e 91 indivíduos saudáveis no controle que foram selecionados aleatoriamente. Segundo os dados estatísticos deste estudo, o SSST é válido, confiável e reprodutível para pacientes com EM no Brasil. Palavras-chave: marcha, esclerose múltipla, avaliação da deficiência, estudos de validação, reprodutibilidade dos testes.

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“…Although complete loss of sensation is rare, up to 80% of patients present with some sensory impairments, [1][2][3] and this is often the first sign of MS. Sensory loss can be a significant cause of disability, 4,5 and several studies have found that somatosensory impairments have a significant effect on gait 6,7 and balance 8,9 and lead to decreased mobility, independence, and quality of life 9,10 in people with MS.…”

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confidence: 99%

Interrater Reliability of Four Sensory Measures in People with Multiple Sclerosis

Uszynski¹,

Purtill²,

Coote³

2016

International Journal of MS Care

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Background: Sensory disturbances are a major problem for people with multiple sclerosis (MS), and up to 80% of people with MS present with various sensory deficits. To date, only one study has investigated the reliability of sensory measures in people with MS. We sought to determine the interrater reliability of the verbal analogue scale (VAS), the Erasmus MC modifications to the revised Nottingham Sensory Assessment (EmNSA), Semmes-Weinstein monofilaments (SWMs), and the neurothesiometer (NT) in people with MS.

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Effects of balance exercises on people with multiple sclerosis: a pilot study

Abstract: Balance rehabilitation appeared to be a useful tool in reducing the fall rate and improving balance skills in subjects with multiple sclerosis. Exercises in different sensory contexts may have an impact in improving dynamic balance.

Cited by 213 publications

References 31 publications

Comparing routine neurorehabilitation program with trunk exercises based on Bobath concept in multiple sclerosis: Pilot study

Comparing routine neurorehabilitation program with trunk exercises based on Bobath concept in multiple sclerosis: Pilot study

Validation of the "Six Step Spot Test" for gait among patients with multiple sclerosis in Brazil

Interrater Reliability of Four Sensory Measures in People with Multiple Sclerosis

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