Back to Search
Start Over
Effects of different exercise modalities on ataxia in multiple sclerosis patients: a randomized controlled study.
- Source :
- Disability & Rehabilitation; Dec2017, Vol. 39 Issue 26, p2626-2632, 7p
- Publication Year :
- 2017
-
Abstract
- Purpose: To investigate the effects of different exercise protocols on ataxia in patients with multiple sclerosis (MS). Method: A total of 42 MS patients, 17 male and 25 female (Expanded Disability Status Scale (EDSS): 3-5), were enrolled in this randomized controlled study. The patients were divided into three groups: a balance training (BT) group, a lumbar stabilization (LS) group and a task-oriented training (TT) group. All groups received balance training; additionally, the LS group received lumbar stabilization exercises, and the TT group received task-oriented training. The Berg Balance Scale (BBS), International Cooperative Ataxia Rating Scale (ICARS), Functional Reach Test (FRT), 2-Minute Walk Test (2MWT), Sensory Organization Test (SOT), and measurement of Somatosensory Evoked Potentials (SSEPs) were performed before and at the end of the 18 training sessions. Results: The BBS, ICARS, FRT, 2MWT, and composite balance score of the SOT were improved in all groups. The ICARS kinetic function sub-score and the left limb cortical onset amplitudes of SSEPs were increased significantly in both the TT and the LS groups. The ICARS total score, composite balance score, and 2MWT were different between groups (p < 0.05). According to multiple comparison analyses of the ICARS total score and the composite balance score, the LS, and the TT group were different from the BT group (p < 0.005), while the LS and the TT groups improved similarly (p > 0.005). The 2MWT results were better for the LS group than the BT group, while the BT and the TT groups improved similarly. Conclusion: Balance training alone is not sufficient for rehabilitation of ataxic MS patients. A combination of lumbar stabilization exercises or task-oriented training increases the success of balance rehabilitation. [ABSTRACT FROM AUTHOR]
- Subjects :
- ATAXIA
ACADEMIC medical centers
COMBINED modality therapy
CONFIDENCE intervals
DIAGNOSIS
POSTURAL balance
EXERCISE therapy
LONGITUDINAL method
LUMBAR vertebrae
MULTIPLE sclerosis
POSTURE
PROBABILITY theory
SOMATOSENSORY evoked potentials
STATISTICS
THERAPEUTICS
DATA analysis
TASK performance
RANDOMIZED controlled trials
TREATMENT effectiveness
PRE-tests & post-tests
DATA analysis software
DESCRIPTIVE statistics
MANN Whitney U Test
KRUSKAL-Wallis Test
DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 09638288
- Volume :
- 39
- Issue :
- 26
- Database :
- Complementary Index
- Journal :
- Disability & Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 125064661
- Full Text :
- https://doi.org/10.1080/09638288.2016.1236411