Multiple Sclerosis, Relapsing-Remitting
Conditions
Keywords
CoDuSe, balance, step square exercises, risk of fall, Multiple Sclerosis
Brief summary
To investigate the effect of CoDuSe balance training and step square exercises on the risk of falls in multiple sclerosis. BACKGROUND: risk of fall & balance disabilities are considered serious problems in multiple sclerosis which results in loss of balance & physical inactivity. ………HYPOTHESES: This study hypothesized that: CoDuSe balance training and step square exercises will have a significant effect on the risk of falling in multiple sclerosis RESEARCH QUESTION: Is there an effect of CoDuSe balance training and step square exercises on risk of fall in multiple sclerosis?
Detailed description
Fifty-two patients with multiple sclerosis will participate in this study. The patients will randomly be divided into two equal groups; the control group which received the conventional selected exercise program and the study group received the same exercise training program in addition to CoDuSe balance training and step square exercises, three times per week for four weeks. The Evaluation will done pre and post interventions included: Biodex balance system (Risk falling), Short Physical Performance Battery (SPPB) & Morse Fall Scale.
Interventions
OTHERCoDuSe balance training and step square exercises
The standardized intervention targeted visual, somatosensory, and vestibular aspects of balance and will be included with balance exercises Examples of core stability exercises as follows: in supine position with knees bent, slowly slide one heel forward to straighten leg; and, in four-point kneeling position, slide one foot in a straight line away from the body and lift the leg off the floor. Examples of dual-task exercises as walking while turning one's head and juggling a balloon. Examples of sensory strategies as standing and walking on uneven surfaces and standing with eyes closed.
static and dynamic balance training exercises from sitting, standing and ambulation activities
Sponsors
Lama Saad El-Din Mahmoud
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
control group which received conventional selected exercise program in form of static and dynamic balance training exercises and study group received the same exercise training program in addition to CoDuSe balance training and step square exercises, three times per week for four weeks.
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Fifty-two Remitting-relapsing multiple sclerosis RRMS patients, * Age will range as (20:40) years old * Illness duration not more than 10 years, * with no relapses over the past three months, * body mass index (25:35)
Exclusion criteria
* difficulty to communicate or to understand program instructions * any other neurological deficits or orthopedic abnormalities, * secondary musculoskeletal complication * peripheral vestibulopathy, hepatic, renal, hemopoeitic, thyroid and cardiovascular diseases, cognitive dysfunction, * hearing deficits, epilepsy or EEG abnormalities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Biodex balance system | 4 weeks | fast, accurate Fall Risk Screening and Conditioning Programme |
| Short Physical Performance Battery (SPPB) | 4 weeks | The short physical performance battery (SPPB) is a group of measures that combines the results of the gait speed, chair stand and balance tests . It has been used as a predictive tool for possible disability and can aid in the monitoring of function in older people. The Short Physical Performance Battery (SPPB)test is designed to measure functional status and physical performance. |
| Morse Fall Scale | 4 weeks | The Morse Fall Scale (MFS) is a rapid and simple method of assessing a patient's likelihood of falling A patient who scores under 25 points is considered to be at low risk of falling, a patient who scores between 25-45 points is considered to be at moderate risk of falling, and a patient who scores higher than 45 points is considered to be at high risk of falling. |
Countries
Egypt
Outcome results
None listed