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Titre : | Two Different Types of High-Frequency Physical Therapy Promote Improvements in the Balance and Mobility of Persons With Multiple Sclerosis (2016) |
Auteurs : | Brenda L. Davies ; David J. Arpin ; Min Liu |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2016/12, 2016) |
Article en page(s) : | pp. 20952101 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Exercice physique ; Posture ; Rééducation et réadaptation |
Mots-clés: | Exercise ; Gait ; Démarche ; Walking ; Marche à pied |
Résumé : |
Objective To evaluate the mobility and postural balance improvements that could be achieved in a cohort of persons with multiple sclerosis (MS) who participated in a motor adaptation protocol and a cohort of persons with MS who participated in a therapeutic exercise protocol. Design A cohort design, where subjects were evaluated before and after a 6-week intervention period. Setting Clinical laboratory setting. Participants Individuals (N=42) with relapsing-remitting or secondary progressive MS (Expanded Disability Status Scale [EDSS] scores, 3.06.5) were initially screened for eligibility for participation in the study, from which those who fit the inclusion criteria (n=32) were enrolled in the study. Subjects were pseudorandomly assigned to a treatment group and matched based on EDSS scores. Fourteen individuals in the motor adaptation cohort (MAC) (mean age + SD, 52.6+9y; mean EDSS score + SD, 5.5+0.9) and 13 individuals in the therapeutic exercise cohort (TEC) (mean age + SD, 54.0+9y; mean EDSS score + SD, 5.3+0.9) completed the entire duration of their respective programs. Interventions Both cohorts completed their therapy twice a day, 5 days each week, for 6 weeks. Each session of the MAC program consisted of balance and gait training that encouraged new ways to adapt to challenging task demands. The TEC program was similar to a traditional exercise program. Main Outcome Measures The Sensory Organization Test, 6-minute walk test, and gait spatiotemporal kinematics. Results Collectively, both treatment groups had improvements in postural balance (P=.001), walking endurance (P=.002), walking speed (P=.004), and step length (P<.001 after therapy. however there were no statistical differences between the treatment groups for any of outcome variables values>.01). Conclusions Our exploratory results suggest that a high frequency of physical therapy rather than a specific activity focus might be an important parameter for persons with MS. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999316302660 |