Sensory integration balance training in patients with multiple sclerosis: A randomized, controlled trial

Gandolfi, Marialuisa; Munari, Daniele; Geroin, Christian; Gajofatto, Alberto; Benedetti, Maria Donata; Midiri, A.; Fontana, Carlos Eduardo; Picelli, Alessandro; Waldner, Andreas; Smania, Nicola

doi:10.1177/1352458514562438

Cited by 62 publications

(65 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…18 The mean ABC scale scores for the current MS and control groups were consistent with previous research. 11,18,19,28 The results of the present investigation reveal that the internal consistency of the Abbreviations: ABC, Activities-specific Balance Confidence; ABC-6, short 6-item version of ABC; MS, multiple sclerosis.…”

Section: Discussionmentioning

confidence: 58%

Use of a Short Version of the Activities-specific Balance Confidence Scale in Multiple Sclerosis

Wood¹,

Wajda²,

Sosnoff³

2019

International Journal of MS Care

View full text Add to dashboard Cite

Background: Multiple sclerosis (MS) is a neurologic disease that results in balance and mobility impairments that are associated with elevated fall risk. One common patient-reported outcome measure of balance is the 16-item Activities-specific Balance Confidence (ABC) scale. The ABC scale is valid and reliable in assessing balance confidence in people with MS. However, a shorter, six-question version of the ABC scale, the ABC-6 scale, has been proposed to save time in a clinical setting. Thus, we assessed the convergent validity and internal consistency reliability of the ABC-6 scale in people with MS.

show abstract

Section: Discussionmentioning

confidence: 58%

Use of a Short Version of the Activities-specific Balance Confidence Scale in Multiple Sclerosis

Wood¹,

Wajda²,

Sosnoff³

2019

International Journal of MS Care

View full text Add to dashboard Cite

show abstract

“…Two studies demonstrated that sensory integration balance training43 and robot-assisted gait training44 significantly improve the primary outcomes of balance43 44 and walking endurance,44 and the secondary outcome of fatigue43compared with conventional rehabilitation control. However, Nilsagård et al found no effect of Nintendo Wii Fit balance training on patient balance compared with a non-exercise control group 45…”

Section: Resultsmentioning

confidence: 99%

Complementary and alternative treatments of multiple sclerosis: a review of the evidence from 2001 to 2016

Claflin

Mei

Taylor

2017

J Neurol Neurosurg Psychiatry

View full text Add to dashboard Cite

People with multiple sclerosis (PwMS) commonly use complementary and alternative medicines (CAM), but an understanding of their efficacy is lacking. Here, we quantitatively review the class I and class II studies of treatment efficacy for multiple sclerosis from January 2001 to January 2017, in order to assess the modern evidence for CAM use. The 38 studies included in this review are divided across five CAM types (cannabis, diet, exercise, psychological approaches and other). We found little evidence to support CAM efficacy. The studies contained little replication in intervention, primary outcomes or study design. Six of 16 CAMs included in this review were only researched in a single study. Future work in this area should build consensus around study methodologies and primary outcomes.

show abstract

“…In healthy individuals, vision (to locate the desired object relative to the hand) and intrinsic proprioception (to sense body configuration and movement) play key roles in these processes (Sober and Sabes 2003). Unfortunately, diseases such as Parkinson's Disease (Vaugoyeau et al 2007), multiple sclerosis (Gandolfi et al 2015), and neuromotor injury [e.g., spinal cord injury (Crewe and Krause 2009) and stroke (Dukelow et al 2009)], can interrupt sensory feedback pathways that normally contribute to the accuracy and coordination of movements [c.f., (Sainburg et al 1993;Sainburg et al 1995)]. Recent efforts in the development of non-invasive body-machine interfaces (BMIs) have sought to mitigate sensorimotor impairments due to disease and injury using technology to compensate for the sensory and/or motor deficits (Mussa-Ivaldi and Miller 2003).…”

Section: Introductionmentioning

confidence: 99%

Supplemental vibrotactile feedback of real-time limb position enhances precision of goal-directed reaching

Risi

Shah

Mrotek

et al. 2019

Journal of Neurophysiology

View full text Add to dashboard Cite

We examined vibrotactile stimulation as a form of supplemental limb state feedback to enhance planning and ongoing control of goal-directed movements. Subjects wore a two-dimensional vibrotactile display on their nondominant arm while performing horizontal planar reaching with the dominant arm. The vibrotactile display provided feedback of hand position such that small hand displacements were more easily discriminable using vibrotactile feedback than with intrinsic proprioceptive feedback. When subjects relied solely on proprioception to capture visuospatial targets, performance was degraded by proprioceptive drift and an expansion of task space. By contrast, reach accuracy was enhanced immediately when subjects were provided vibrotactile feedback and further improved over 2 days of training. Improvements reflected resolution of proprioceptive drift, which occurred only when vibrotactile feedback was active, demonstrating that benefits of vibrotactile feedback are due, in part to its integration into the ongoing control of movement. A partial resolution of task space expansion persisted even when vibrotactile feedback was inactive, demonstrating that training with vibrotactile feedback also induced changes in movement planning. However, the benefits of vibrotactile feedback come at a cognitive cost. All subjects adopted a stereotyped strategy wherein they attempted to capture targets by moving first along one axis of the vibrotactile display and then the other. For most subjects, this inefficient approach did not resolve over two bouts of training performed on separate days, suggesting that additional training is needed to integrate vibrotactile feedback into the planning and online control of goal-directed reaching in a way that promotes smooth and efficient movement. NEW & NOTEWORTHY A two-dimensional vibrotactile display provided state (not error) feedback to enhance control of a moving limb. Subjects learned to use state feedback to perform blind reaches with accuracy and precision exceeding that attained using intrinsic proprioception alone. Feedback utilization incurred substantial cognitive cost: subjects moved first along one axis of the vibrotactile display, then the other. This stereotyped control strategy must be overcome if vibrotactile limb state feedback is to promote naturalistic limb movements.

show abstract

Sensory integration balance training in patients with multiple sclerosis: A randomized, controlled trial

Abstract: Specific training to improve central integration of afferent sensory inputs may ameliorate balance disorders in patients with MS. Clinical Trial Registration (NCT01040117).

Cited by 62 publications

References 32 publications

Use of a Short Version of the Activities-specific Balance Confidence Scale in Multiple Sclerosis

Use of a Short Version of the Activities-specific Balance Confidence Scale in Multiple Sclerosis

Complementary and alternative treatments of multiple sclerosis: a review of the evidence from 2001 to 2016

Supplemental vibrotactile feedback of real-time limb position enhances precision of goal-directed reaching

Contact Info

Product

Resources

About