Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Balance Exercise Program Reduced Falls in People With Multiple Sclerosis: A Single-Group, Pretest-Posttest Trial (2014) |
Auteurs : | Ylva Elisabet Nilsagård ; Lena Kristina von Koch ; Malin Nilsson |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/12, 2014) |
Article en page(s) : | p. 2428-2434 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Exercice physique ; Rééducation et réadaptation ; Sclérose en plaques |
Mots-clés: | Accidental falls ; Chutes accidentelles ; Exercise ; Multiple sclerosis ; Postural balance ; Équilibre postural ; Walking ; Marche à pied |
Résumé : |
Objective To evaluate the effects of a balance exercise program on falls in people with mild to moderate multiple sclerosis (MS). Design Multicenter, single-blinded, single-group, pretest-posttest trial. Setting Seven rehabilitation units within 5 county councils. Participants Community-dwelling adults with MS (N=32) able to walk 100m but unable to maintain 30-second tandem stance with arms alongside the body. Intervention Seven weeks of twice-weekly, physiotherapist-led 60-minute sessions of group-based balance exercise targeting core stability, dual tasking, and sensory strategies (CoDuSe). Main Outcome Measures Primary outcomes: number of prospectively reported falls and proportion of participants classified as fallers during 7 preintervention weeks, intervention period, and 7 postintervention weeks. Secondary outcomes: balance performance on the Berg Balance Scale, Four Square Step Test, sit-to-stand test, timed Up and Go test (alone and with cognitive component), and Functional Gait Assessment Scale; perceived limitations in walking on the 12-item MS Walking Scale; and balance confidence on the Activities-specific Balance Confidence Scale rated 7 weeks before intervention, directly after intervention, and 7 weeks later. Results Number of falls (166 to 43; P≤.001) and proportion of fallers (17/32 to 10/32; P≤.039) decreased significantly between the preintervention and postintervention periods. Balance performance improved significantly. No significant differences were detected for perceived limitations in walking, balance confidence, the timed Up and Go test, or sit-to-stand test. Conclusions The CoDuSe program reduced falls and proportion of fallers and improved balance performance in people with mild to moderate MS but did not significantly alter perceived limitations in walking and balance confidence. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314004730 |