Supervised Perturbation Training Results in Changes in Balance and Falling in Patients With Multiple Sclerosis

Suleyman Demirel University15 enrolled

Overview

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.

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Multiple Sclerosis

Interventions

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;

Eligibility

Sex: ALLMin age: 18 YearsMax age: 45 Years

Medical Language ↔ Plain English

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.

Outcomes

Primary Outcomes

dynamic balance

the effects of perturbation dynamic balance training assessed with four square step test \>15 seconds = increased risk of falls

Time frame: 6 week

walking

the effects of perturbation dynamic balance training assessed with 10 meter walking test

Time frame: 6 week

walking

the effects of perturbation dynamic balance training assessed with time up and go test(TUG).A score of 30 seconds or more suggests that the person may be prone to falls

Time frame: 6 week

falling

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.

Time frame: 6 week

fear of falling

The short FES-I is a 7-item self-report questionnaire for measuring perceived self-efficacy to avoid a fall in various situations

Time frame: 6 week

Supervised Perturbation Training Results in Changes in Balance and Falling in Patients With Multiple Sclerosis

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes