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Titre : | Effect of Dynamic Neuromuscular Stabilization on Balance, Trunk Function, Falling, and Spasticity in People With Multiple Sclerosis: A Randomized Controlled Trial (2023) |
Auteurs : | Laleh Abadi Marand ; Shohreh Noorizadeh Dehkordi ; Mahtab Roohi-Azizi ; Mehdi Dadgoo |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 1, 2023) |
Article en page(s) : | p. 90-101 |
Note générale : | https://doi.org/10.1016/j.apmr.2022.09.015 |
Langues: | Français |
Descripteurs : |
HE Vinci Chutes accidentelles ; Équilibre postural ; Mobilisation ; Sclérose en plaques ; Spasticité musculaire |
Résumé : | Objective To compare the effects of core stabilization (CS) and dynamic neuromuscular stabilization (DNS) on balance, trunk function, mobility, falling, and spasticity, in people with multiple sclerosis (PWMS). Design Two-group randomized controlled trial. Setting General community and referral center. Participants A total of 64 PWMS, between 30 and 50 years old, and an expanded disability status scale between 2 and 5, participated in this study (N=64). Interventions Participants were randomly assigned to CS (n=32) and DNS (n=32) groups. Both groups received a total of 15 sessions of CS or DNS exercises, 60 minutes per session, 3 times a week during the 5 weeks. Outcome Measures Balance function was measured as the primary outcome measure. Trunk function, postural stability, falling rate, fear of falling, falling index, mobility, and spasticity were measured as secondary outcomes. Results DNS group had significant improvement in Berg balance scale, trunk impairment scale, postural stability, activities-specific balance confidence, reduced falling rate, the timed Up and Go (TUG), multiple sclerosis walking scale-12, and multiple sclerosis spasticity scale in PWMS compared with the CS group, (P<.0001 after weeks of intervention and follow-up. except for the modified ashworth scale significant improvements were seen in all outcome measures both groups intervention. conclusion this is first clinical evidence to support importance dns exercise improving balance trunk function fall prevention pwms. study provides that may be more effective pwms than cs.> |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999322016161 |