Effect of Bobath Therapy on Balance Alterations in Patients With Multiple Sclerosis

Universidad Rey Juan Carlos45 enrolled

Overview

To evaluate the effects of a foot treatment to improve balance according to the Bobath Concept in people with Multiple sclerosis, comparing it with treatment through home exercise and with treatment from Bobath Concept combined with the use of virtual reality. As a secondary objective, we seek to know the state of the art of Bobath therapy in Multiple Sclerosis.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Bobath Therapy Postural Control Virtual Reality Home Exercise Program

Interventions

Bobath TherapyOTHER

Treatment with bobath therapy

Bobath therapy plus virtual realityOTHER

Treatment with bobath therapy plus virtual reality

Home exercisesOTHER

Treatment with home exercises

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Age: over 18 years old. 2. Have a diagnosis of multiple sclerosis, according to Mc Donald criteria at least 6 months before the start of the intervention. 3. Be able to walk independently in a closed environment with or without technical aids, having a maximum score of 6.5 on the Expanded Disability Status Scale or EDSS, according to its acronym in English: 6.5= constant bilateral help (canes, crutches or braces) to walk about 20 meters without rest. The usual functional system (FS) is equivalent to combinations with more than two FS of grade 3+. Exclusion Criteria: 1. Participants who are not able to understand instructions, 2. Participants who are in a clinically unstable situation or who have risk factors or concomitant pathologies of the musculoskeletal system, neurological or cardiovascular, which make it difficult to carry out the treatment. 3. Participants with visual disturbances or severe upper limb involvement who therefore have difficulty using the VR glasses or performing reaching exercises with them.

Locations (1)

Universidad Rey Juan Carlos

Alcorcón, Madrid, Spain

Outcomes

Primary Outcomes

Balance Evaluation Systems Test (Mini BESTest).

It assesses balance in six items (biomechanical restrictions, stability and verticality limits, anticipatory postural adjustments, postural responses, sensory orientation, and gait stability). It has excellent inter- and intra-observer reliability and construct validity in stroke patients. Furthermore, the items on anticipatory postural adjustments and sensory orientation are highly correlated with the risk of falls in this type of pathology.

Time frame: At the beginning, at the month and we would reevaluate after 15 days

Secondary Outcomes

Timed Up and Go Test

It assesses the risk of falls. It allows the measurement of functional movement. It has excellent inter- and intra-observer reliability and good construct validity. A test duration of more than 13.5 seconds is associated with an elevated risk of falls

Time frame: At the beginning, at the month and we would reevaluate after 15 days

Data from ClinicalTrials.gov

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