The study hypothesis is that for people with moderate to severe multiple sclerosis postural balance and walking improve and the risk of accidental falls are reduced after participating in a specific training intervention of 7 weeks. The hypothesis is also the the effect remain a further 7 weeks post training. Multiple Sclerosis (MS) is disease affecting the central nervous system. Walking and postural balance are often affected early in the course of the disease. The risk of falls is large. Many persons with MS have decreased trunk stability compared to healthy persons . In an earlier study including people with mild to moderate MS we found that a period of core stability exercises reduced the risk of falls. In this study the training concept will be applied for persons with more severe walking limitations.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
52
Group balance training 60 minutes 2 times per week plus 3-5 home exercises 2 times/week. Exercises focus om core stability in sitting, standing and lying.
Neurorehab Mälarsjukhuset
Eskilstuna, Sweden
Physiotherapy department Gävle hospital
Gävle, Sweden
Rehab unit Karlskoga hospital
Karlskoga, Sweden
Primary Health Care
Linköping, Sweden
Nyköping hospital
Nyköping, Sweden
Physiotherapy department University hospital
Örebro, Sweden
Rehab unit Västerås hospital
Västerås, Sweden
Change from baseline in Berg Balance Scale at 8 weeks
Time frame: baseline, 8 weeks
Change from baseline in 10 repetitions Sit to stand test at 15 weeks
Time frame: baseline, 15 weeks
Change from baseline in Trunk Impairment scale at 8 weeks
Time frame: baseline, 8 weeks
Change from baseline in the Trunk Impairment Scale at 15 weeks
Time frame: baseline, 15 weeks
Change from baseline in the 10 repetition Si to stand test at 8 weeks
Time frame: baseline, 8 weeks
Change from baseline in the Berg Balance scale at 15 weeks
Time frame: baseline, 15 weeks
Change from baseline on the Timed Up and Go test at 8 weeks
Time frame: baseline, 8 weeks
Change from baseline on the Timed Up and Go test at 15 weeks
Time frame: baseline, 15 weeks
Change from baseline on the10 meter walking test at 8 weeks
Time frame: baseline, 8 weeks
Change from baseline on the 10 meter walking test at 15 weks
Time frame: baseline, 15 weeks
Change from baseline on the 2 minutes walking test at 8 weeks
Time frame: baseline, 8 weeks
Change from baseline on the 2 minutes walking test at 15 weeks
Time frame: baseline, 15 weeks
Change from baseline in postural sway at 8 weeks
Time frame: baseline, 8 weeks
Change from baseline in postural sway at 15 weeks
postural sway in standing on the floor is assessed
Time frame: baseline, 15 weeks
Change from baseline on the Falls-Efficacy scale at 8 weeks
Time frame: baseline, 8 weeks
Change from baseline on the Falls Efficacy scale at 15 weeks
Time frame: baseline, 15 weeks
Change from baseline on the Fatigue Scale for Motor and Cognitive functions at 8 weeks
Time frame: baseline, 8 weeks
Change from baseline on the Fatigue Scale for Motor and Cognitive functions at 15 weeks
Time frame: baseline, 15 weeks
Change from baseline on the MS Walking Scale-12 at 8 weeks
Time frame: baseline, 8 weeks
Change from baseline on the MS Walking scale-12 at 15 weeks
Time frame: baseline, 15 weeks
The number of falls and accidental falls
the number of falls and accidental falls are noted by the participant in a study-specific falls diary.
Time frame: from baseline to 15 weeks
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