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Titre : | Effects of Virtual Reality vs Conventional Balance Training on Balance and Falls in People With Multiple Sclerosis: A Randomized Controlled Trial (2021) |
Auteurs : | Farshad Molhemi ; Saeideh Monjezi ; Mohammad Mehravar ; Mohammad Jafar Shaterzadeh-Yazdi ; Reza Salehi ; Saeed Hesam ; Ehsan Mohammadianinejad |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 2, 2020) |
Article en page(s) : | p. 290-299 |
Note générale : | https://doi.org/10.1016/j.apmr.2020.09.395 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Chutes accidentelles ; Réadaptation ; Réalité de synthèse ; Sclérose en plaques |
Résumé : |
Objective
To assess the efficacy of virtual reality (VR)-based vs conventional balance training on the improvement of balance and reduction of falls in people with multiple sclerosis (PwMS). Design Single-blinded, randomized, controlled trial. Setting Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences. Participants PwMS (N=39), randomized into VR (n=19) and control (n=20) groups. Intervention The VR group performed exergames using Kinect, while the control group accomplished conventional balance exercises. Both groups received 18 training sessions for 6 weeks. Main Outcome Measures Limits of stability, timed Up and Go (TUG) test, and 10-m walk tests with and without cognitive task and their dual-task costs (DTCs), Berg Balance Scale, Multiple Sclerosis Walking Scale-12, Fall Efficacy Scale-International, Activities-specific Balance Confidence Scale, and fall history were obtained pre- and post intervention and after a 3-month follow-up. Results At both post intervention and follow-up, TUGcognitive and DTCs on the TUG were significantly lower and the 10-m walkcognitive was significantly higher in the VR group. At follow-up, reaction time and the number of falls demonstrated significant differences favoring the VR group, whereas the directional control revealed significant difference in favor of the control group (P<.05 the other outcomes showed no statistically significant difference at post intervention or follow-up.> Conclusions Both the VR-based and conventional balance exercises improved balance and mobility in PwMS, while each acted better in improving certain aspects. VR-based training was more efficacious in enhancing cognitive-motor function and reducing falls, whereas conventional exercises led to better directional control. Further studies are needed to confirm the effectiveness of recruiting VR-based exercises in clinical settings. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320312120#! |