Multiple Sclerosis, Physical Therapy
Conditions
Keywords
Vojta therapy, core stability, postural balance
Brief summary
This Study evaluates the effectiveness of a Vojta locomotion reflex program as short-term automatic postural control in patients with Multiple sclerosis
Detailed description
In two consecutive weeks two interventions will be conducted: Vojta group(A) and standard therapy group(B). The last one is based on balance exercises targeting core stability, Bobath concept and sensory strategies. In the Vojta group 5 sessions will be conducted for a duration of 2 weeks and the same will be realised on the standard group. In addition, during the study, a daily activity shall be prescribed in both groups: Vojta exercise during 20 minutes for group A and walking for 20 minutes in group B.
Interventions
OTHERVojta Therapy
Each session will consist of a 45-minute Vojta thera between py protocol based on three exercises, 15 minutes per exercise: Crawling reflex, and 1st phase and 2nd phase Rolling reflex.
OTHERStandard Program
The program consist in balance exercises targeting core stability, exercises of coordination and Pilates as well as individual sessions using the Bobath concept.
Sponsors
Multiple Sclerosis Foundation of Madrid
Fisiovillalba Clinical center
NUMEN Foundation
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Final diagnosis of MS according to McDonald criteria. * Walkability with or without assistance (4.0 to 6.5 in EDSS) and dysfunctions defined by the inability to hold the tandem position for 30 seconds with the arms close to body. * Older than 18 years-old. * Escorted sessions, a family member or close person.
Exclusion criteria
* Phase outbreak or outbreak in the 3 months before the study. * Medication that prevents or limits the performance of the Locomotion reflex. * Participation in other studies during the conduct of this study. * Score inferior to 6 in the Abbreviated Mental Test that prevents understanding of the study consent or that limits the understanding of the test during its realisation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Berg Balance Scale | 2 weeks | This test measures the automatic postural control. The Berg scale comprises 14 items (score included 0-4). The total scores can range from 0 (severely affected balance) to 56 (excellent balance). |
| 10 metres walk | 2 weeks | This Test measures the speed during 10 meter walking at normal pace |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Tandem 6 metres test | 2 weeks | This test measures the balance when walking with one foot in front of the other |
Countries
Spain
Outcome results
None listed