|
[article] | Titre : |
ADSTEP: Preliminary Investigation of a Multicomponent Walking Aid Program in People With Multiple Sclerosis |
| Type de document : |
Article |
| Auteurs : |
Douglas N. Martini ; Andrea Hildebrand ; Brett W. Fling |
| Article en page(s) : |
p. 2050-2058 |
| Langues : |
Anglais (eng) |
| Descripteurs : |
HE Vinci
Exercice physique ; Rééducation et réadaptation ; Sclérose en plaques
|
| Mots-clés : |
Accidental falls Chutes accidentelles Multiple sclerosis Exercise Randomized controlled trial Essai contrôlé randomisé Walking Marche à pied |
| Résumé : |
Objective
To evaluate the effect of the Assistive Device Selection, Training and Education Program (ADSTEP) on falls and walking and sitting activity in people with multiple sclerosis (PwMS).
Design
Randomized controlled trial.
Setting
Veterans affairs medical center.
Participants
PwMS (N=40) using a walking aid at baseline who had fallen in the previous year.
Interventions
Participants were randomly assigned to ADSTEP or control. ADSTEP had 6 weekly, 40-minute, 1-on-1 sessions with a physical therapist, starting with walking aid selection and fitting, followed by task-oriented progressive gait training. Control was usual medical care with the option of ADSTEP after the study.
Main Outcome Measures
The following were assessed at baseline, intervention completion, and 3 months later: falls, timed Up and Go, timed 25-foot walk, 2-minute walk, Four Square Step Test, International Physical Activity Questionnaire, Quebec User Evaluation of Satisfaction with Assistive Technologies, Multiple Sclerosis Walking Scale-12, Activities-Specific Balance Confidence Scale, and Multiple Sclerosis Impact Scale-29. Effect on these outcomes was estimated by a 2-by-2 repeated measures general linear model.
Results
Fewer ADSTEP than control participants fell (χ2=3.96, P<.05. number needed to treat="3.3)." time spent sitting changed significantly differently with adstep than control from baseline intervention completion p=".002." adstep: reduced control: increased d="0.88)" and follow-up yielded a moderate effect on walking compared at>.05. ADSTEP 117.53+148.40min/d; control 46.43+58.55min/d; d=0.63).
Conclusions
ADSTEP prevents falls, reduces sitting, and may increase walking in PwMS. |
| Disponible en ligne : |
Oui |
| En ligne : |
https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] |
| Permalink : |
https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118992 |
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 10 (2018) . - p. 2050-2058
[article] ADSTEP: Preliminary Investigation of a Multicomponent Walking Aid Program in People With Multiple Sclerosis [Article] / Douglas N. Martini ; Andrea Hildebrand ; Brett W. Fling . - p. 2050-2058. Langues : Anglais ( eng) in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 10 (2018) . - p. 2050-2058 | Descripteurs : |
HE Vinci
Exercice physique ; Rééducation et réadaptation ; Sclérose en plaques
|
| Mots-clés : |
Accidental falls Chutes accidentelles Multiple sclerosis Exercise Randomized controlled trial Essai contrôlé randomisé Walking Marche à pied |
| Résumé : |
Objective
To evaluate the effect of the Assistive Device Selection, Training and Education Program (ADSTEP) on falls and walking and sitting activity in people with multiple sclerosis (PwMS).
Design
Randomized controlled trial.
Setting
Veterans affairs medical center.
Participants
PwMS (N=40) using a walking aid at baseline who had fallen in the previous year.
Interventions
Participants were randomly assigned to ADSTEP or control. ADSTEP had 6 weekly, 40-minute, 1-on-1 sessions with a physical therapist, starting with walking aid selection and fitting, followed by task-oriented progressive gait training. Control was usual medical care with the option of ADSTEP after the study.
Main Outcome Measures
The following were assessed at baseline, intervention completion, and 3 months later: falls, timed Up and Go, timed 25-foot walk, 2-minute walk, Four Square Step Test, International Physical Activity Questionnaire, Quebec User Evaluation of Satisfaction with Assistive Technologies, Multiple Sclerosis Walking Scale-12, Activities-Specific Balance Confidence Scale, and Multiple Sclerosis Impact Scale-29. Effect on these outcomes was estimated by a 2-by-2 repeated measures general linear model.
Results
Fewer ADSTEP than control participants fell (χ2=3.96, P<.05. number needed to treat="3.3)." time spent sitting changed significantly differently with adstep than control from baseline intervention completion p=".002." adstep: reduced control: increased d="0.88)" and follow-up yielded a moderate effect on walking compared at>.05. ADSTEP 117.53+148.40min/d; control 46.43+58.55min/d; d=0.63).
Conclusions
ADSTEP prevents falls, reduces sitting, and may increase walking in PwMS. |
| Disponible en ligne : |
Oui |
| En ligne : |
https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] |
| Permalink : |
https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118992 |
|
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