Multiple Sclerosis
Conditions
Keywords
Rehabilitation, Multiple sclerosis, Tailored interventions
Brief summary
Physical exercise can prevent falls, certain types of exercise may be more effective. Perturbation-based balance training is a novel intervention involving repeated postural perturbations aiming to improve control of rapid balance reactions. The purpose of this study was to estimate the effect of perturbation- based balance training on falls and balance in daily life.Thirty patients with multiple sclerosis (PwMS) will assess with regard to dynamic balance, walking and falling. Patients randomly will allocate to a personalized (PRG) or traditional (TRG) rehabilitation group.
Detailed description
Thirty patients with multiple sclerosis (PwMS) will assess with regard to dynamic balance, walking and falling. Patients randomly will allocate to a personalized (PRG) or traditional (TRG) rehabilitation group.
Interventions
PROCEDUREperturbation training
exercises for body stability in different positions (bridge, sitting, quadrupedal, half- kneeling, kneeling, standing, monopodalic) performed with visual biofeedback; transfers training performed in front of a mirror; ambulation training with courses drawn on the ground in a straight line and with more complex tracks with visual controlin particular using the protocols seated balance/strength training, standing bal- ance/weight-bearing training, mobility training and closed-chain training;
Sponsors
Suleyman Demirel University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* An age older than 18 years * Stable phase of the disease without relapses or worsening in the last three months * Referring fear of falling or a history of falls (at least one fall in the last year). * Individuals with a high level of balance.
Exclusion criteria
* Psychiatric disorders * Blurred vision * Severe cognitive impairment * Severely impaired upright postural control or limited participation in a rehabilitation program * Cardiovascular and respiratory disorders.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| dynamic balance | 6 week | the effects of perturbation dynamic balance training assessed with four square step test \>15 seconds = increased risk of falls |
| walking | 6 week | the effects of perturbation dynamic balance training assessed with 10 meter walking test |
| falling | 6 week | the effects of perturbation dynamic balance training assessed with Falling Efficacy Scale(FES). The FES is a 10-item test. On a scale from 1 to 10, with 1 being very confident and 10 being not confident at all. |
| fear of falling | 6 week | The short FES-I is a 7-item self-report questionnaire for measuring perceived self-efficacy to avoid a fall in various situations |
Countries
Turkey (Türkiye)
Outcome results
None listed