CoDuSe group exercise programme improves balance and reduces falls in people with multiple sclerosis: A multi-centre, randomized, controlled pilot study

被引:48
作者
Carling, Anna [1 ,2 ]
Forsberg, Anette [1 ]
Gunnarsson, Martin [3 ]
Nilsagard, Ylva [1 ]
机构
[1] Orebro Univ, Univ Healthcare Res Ctr, Fac Med & Hlth, Orebro, Sweden
[2] Orebro Univ, Sch Med Sci, Dept Physiotherapy, Orebro Univ Hosp, Orebro, Sweden
[3] Orebro Univ, Sch Med Sci, Dept Neurol, Orebro, Sweden
关键词
Accidental falls; exercise; multiple sclerosis; postural balance; core stability; CONTROLLED-TRIAL; SCALE; WALKING; RELIABILITY; VALIDATION; MOBILITY; MS; IMPAIRMENT; DISABILITY; DISORDERS;
D O I
10.1177/1352458516677591
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Imbalance leading to falls is common in people with multiple sclerosis (PwMS). Objective: To evaluate the effects of a balance group exercise programme (CoDuSe) on balance and walking in PwMS (Expanded Disability Status Scale, 4.0-7.5). Methods: A multi-centre, randomized, controlled single-blinded pilot study with random allocation to early or late start of exercise, with the latter group serving as control group for the physical function measures. In total, 14 supervised 60-minute exercise sessions were delivered over 7 weeks. Pretest-posttest analyses were conducted for self-reported near falls and falls in the group starting late. Primary outcome was Berg Balance Scale (BBS). A total of 51 participants were initially enrolled; three were lost to follow-up. Results: Post-intervention, the exercise group showed statistically significant improvement (p = 0.015) in BBS and borderline significant improvement in MS Walking Scale (p = 0.051), both with large effect sizes (3.66; -2.89). No other significant differences were found between groups. In the group starting late, numbers of falls and near falls were statistically significantly reduced after exercise compared to before (p < 0.001; p < 0.004). Conclusion: This pilot study suggests that the CoDuSe exercise improved balance and reduced perceived walking limitations, compared to no exercise. The intervention reduced falls and near falls frequency.
引用
收藏
页码:1394 / 1404
页数:11
相关论文
共 40 条
  • [1] Brown H., 2015, Applied mixed models in medicine
  • [2] 2-MINUTE, 6-MINUTE, AND 12-MINUTE WALKING TESTS IN RESPIRATORY-DISEASE
    BUTLAND, RJA
    PANG, J
    GROSS, ER
    WOODCOCK, AA
    GEDDES, DM
    [J]. BRITISH MEDICAL JOURNAL, 1982, 284 (6329) : 1607 - 1608
  • [3] Effects of balcance exercises on people with multiple sclerosis: a pilot study
    Cattaneo, D.
    Jonsdottir, J.
    Zocchi, M.
    Regola, A.
    [J]. CLINICAL REHABILITATION, 2007, 21 (09) : 771 - 781
  • [4] Reliability of four scales on balance disorders in persons with multiple sclerosis
    Cattaneo, Davide
    Jonsdottir, Johanna
    Repetti, Stefania
    [J]. DISABILITY AND REHABILITATION, 2007, 29 (24) : 1920 - 1925
  • [5] Validity of six balance disorders scales in persons with multiple sclerosis
    Cattaneo, Davide
    Regola, Alberto
    Meotti, Matteo
    [J]. DISABILITY AND REHABILITATION, 2006, 28 (12) : 789 - 795
  • [6] Cattaneo Davide, 2014, Int J MS Care, V16, P198, DOI 10.7224/1537-2073.2014-062
  • [7] Factors related to agreement between self-reported and conventional Expanded Disability Status Scale (EDSS) scores
    Cheng, EM
    Hays, RD
    Myers, LW
    Ellison, GW
    Beckstrand, M
    Vickrey, BG
    [J]. MULTIPLE SCLEROSIS, 2001, 7 (06): : 405 - 410
  • [8] SIMPLE METHOD FOR MEASUREMENT OF LOWER-EXTREMITY MUSCLE STRENGTH
    CSUKA, M
    MCCARTY, DJ
    [J]. AMERICAN JOURNAL OF MEDICINE, 1985, 78 (01) : 77 - 81
  • [9] Effects of Pilates-Based Core Stability Training in Ambulant People With Multiple Sclerosis: Multicenter, Assessor-Blinded, Randomized Controlled Trial
    Fox, Esther E.
    Hough, Alan D.
    Creanor, Siobhan
    Gear, Margaret
    Freeman, Jennifer A.
    [J]. PHYSICAL THERAPY, 2016, 96 (08): : 1170 - 1178
  • [10] The effect of core stability training on balance and mobility in ambulant individuals with multiple sclerosis: A multi-centre series of single case studies
    Freeman, J. A.
    Gear, M.
    Pauli, A.
    Cowan, P.
    Finnigan, C.
    Hunter, H.
    Mobberley, C.
    Nock, A.
    Sims, R.
    Thain, J.
    [J]. MULTIPLE SCLEROSIS JOURNAL, 2010, 16 (11) : 1377 - 1384