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Volume 27, Issue 122 (May & June 2019)
J Adv Med Biomed Res 2019, 27(122): 43-49 |
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Najafi B, Rajabi R, Seidi F, Golipoor Maemodan F. Effect of Combined Training Protocol on Postural Control and Motor Functions of Individuals with Multiple Sclerosis. J Adv Med Biomed Res 2019; 27 (122) :43-49
URL: http://journal.zums.ac.ir/article-1-5422-en.html
URL: http://journal.zums.ac.ir/article-1-5422-en.html
1- Dept. of Sport Medicine and Health, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran , Behzad.najafi@ut.ac.ir
2- Dept. of Sport Medicine and Health, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran
3- Dept. of Neurology, Vali-e-Asr Hospital, Zanjan University of Medical Sciences, Zanjan, Iran
2- Dept. of Sport Medicine and Health, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran
3- Dept. of Neurology, Vali-e-Asr Hospital, Zanjan University of Medical Sciences, Zanjan, Iran
Abstract: (147299 Views)
Background & Objective: Multiple Sclerosis (MS) is a common chronic inflammatory disease of the central nervous system. Postural control and motor function disorders are the most common MS related symptoms. Currently, exercise therapy seems to be the most effective non-pharmacological approach in controlling and improving these disorders. Thus, the present study intends to study the effect of combined training protocol on postural control and motor functions of individuals with MS.
Materials & Methods: After selecting 60 women with MS as the study sample, they were randomly assigned to two training intervention and control groups, each comprised of 30 subjects. The training intervention group performed the combined training protocol for eight weeks.
Results: The results of the covariance analysis showed that the combined training protocol had a significant effect on all postural control (postural sway indexes and Berg Balance Scale) and motor function (Timed 25 Feet Walk test and Timed Up and Go test) variables in individuals with MS (P≤0.05).
Conclusion: The results of this study indicated that the combined training protocol improved postural control and motor functions of individuals with MS. Therefore, these results may be recommended to all individuals who are making an effort to treat and improve individuals with MS.
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✅ The results of this study indicated that the combined training protocol improved postural control and motor functions of individuals with MS. Therefore, these results may be recommended to all individuals who are making an effort to treat and improve individuals with MS.
Type of Study: Original Research Article |
Subject:
Clinical Medicine
Received: 2018/11/19 | Accepted: 2019/12/12 | Published: 2019/12/12
Received: 2018/11/19 | Accepted: 2019/12/12 | Published: 2019/12/12
References
1. Motl RW, Learmonth YC, Pilutti LA, Gappmaier E, Coote S. Top 10 research questions related to physical activity and multiple sclerosis. Res Q Exerc Sport. 2015;86(2):117-29. [DOI:10.1080/02701367.2015.1023099] [PMID]
2. Etemadifar M, Sajjadi S, Nasr Z, Firoozeei TS, Abtahi SH, Akbari M, Fereidan-Esfahani M. Epidemiology of multiple sclerosis in Iran: a systematic review. Eur Neurol. 2013;70(5-6):356-63. [DOI:10.1159/000355140] [PMID]
3. Eskandarieh S, Heydarpour P, Minagar A, Pourmand S, Sahraian MA. Multiple Sclerosis Epidemiology in East Asia, South East Asia and South Asia: A Systematic Review. Neuroepidemiology. 2016;46(3):209-21. [DOI:10.1159/000444019] [PMID]
4. Eskandarieh S, Molazadeh N, Moghadasi AN, Azimi AR, Sahraian MA. The prevalence, incidence and familial recurrence of multiple sclerosis in Tehran, Iran. Multiple scler Relat Disord. 2018;25:143. [DOI:10.1016/j.msard.2018.07.023] [PMID]
5. Davies BL, Hoffman RM, Kurz MJ. Individuals with multiple sclerosis redistribute positive mechanical work from the ankle to the hip during walking. Gait Posture. 2016;49:329-33. [DOI:10.1016/j.gaitpost.2016.07.267] [PMID]
6. Motl RW. Ambulation and multiple sclerosis. Phys Med Rehabil Clin N Am. 2013;24(2):325-36. [DOI:10.1016/j.pmr.2012.11.004] [PMID]
7. Kiers H, van Dieën JH, Brumagne S, Vanhees L. Postural sway and integration of proprioceptive signals in subjects with LBP. Hum Mov Sci. 2015;39:109-20. [DOI:10.1016/j.humov.2014.05.011] [PMID]
8. Ivanenko Y, Gurfinkel VS. Human Postural Control. Front Neurosci. 2018;12:171. [DOI:10.3389/fnins.2018.00171] [PMID] [PMCID]
9. Zackowski KM, Cameron M, Wagner JM. 2nd International Symposium on Gait and Balance in Multiple Sclerosis: interventions for gait and balance in MS. Disabil Rehabil. 2014;36(13):1128-32. [DOI:10.3109/09638288.2013.833306] [PMID]
10. Dibble LE, Lopez-Lennon C, Lake W, Hoffmeister C, Gappmaier E. Utility of disease-specific measures and clinical balance tests in the prediction of falls in persons with multiple sclerosis. J Neurol Phys Ther. 2013;37(3):99-104. [DOI:10.1097/NPT.0b013e3182a18460] [PMID]
11. Forsberg A, von Koch L, Nilsagård Y. Effects on Balance and Walking with the CoDuSe Balance Exercise Program in People with Multiple Sclerosis: A Multicenter Randomized Controlled Trial. Mult Scler Int. 2016;1-10. [DOI:10.1155/2016/7076265] [PMID] [PMCID]
12. Normann B, Salvesen R, Christin Arntzen E. Group-based individualized core stability and balance training in ambulant people with multiple sclerosis: a pilot feasibility test-retest study. Eur J Physiother. 2016;18(3):173-8. [DOI:10.3109/21679169.2016.1170204]
13. Tarakci E, Yeldan I, Huseyinsinoglu BE, Zenginler Y, Eraksoy M. Group exercise training for balance, functional status, spasticity, fatigue and quality of life in multiple sclerosis: a randomized controlled trial. Clin Rehabil. 2013;27(9):813-22. [DOI:10.1177/0269215513481047] [PMID]
14. Cattaneo D, Rasova K, Gervasoni E, Dobrovodská G, Montesano A, Jonsdottir J. Falls prevention and balance rehabilitation in multiple sclerosis: a bi-centre randomised controlled trial. Disabil Rehabil. 2018;40(5):522-6. [DOI:10.1080/09638288.2016.1258089] [PMID]
15. Soysal Tomruk M, Uz MZ, Kara B, İdiman E. Effects of Pilates exercises on sensory interaction, postural control and fatigue in patients with multiple sclerosis. Mul Scler Relat Disord. 2016;7:70-3. [DOI:10.1016/j.msard.2016.03.008] [PMID]
16. Kalron A, Rosenblum U, Frid L, Achiron A. Pilates exercise training vs. physical therapy for improving walking and balance in people with multiple sclerosis: A randomized controlled trial. Clin Rehabil. 2017;31(3):319-28. [DOI:10.1177/0269215516637202] [PMID]
17. Carling A, Forsberg A, Gunnarsson M, Nilsagård Y. CoDuSe group exercise programme improves balance and reduces falls in people with multiple sclerosis: A multi-centre, randomized, controlled pilot study. Mult Scler. 2017;23(10):1394-404. [DOI:10.1177/1352458516677591] [PMID] [PMCID]
18. Downs S. The Berg Balance Scale. J Physiother. 2015;61(1):46. [DOI:10.1016/j.jphys.2014.10.002] [PMID]
19. Wirth K, Hartmann H, Mickel C, Szilvas E, Keiner M, Sander A. Core stability in athletes: A Critical Analysis of Current Guidelines. Sports Med. 2017;47(3):401-14 [DOI:10.1007/s40279-016-0597-7] [PMID]
20. Ketelhut NB, Kindred JH, Manago MM, Herbert JR, Rudroff T. Core muscle characteristics during walking of patients with multiple sclerosis. J Rehabil Res Dev. 2015;52(6):713 [DOI:10.1682/JRRD.2015.01.0006] [PMID]
21. Kjølhede T, Vissing K, Langeskov-Christensen D, Stenager E, Petersen T, Dalgas U. Relationship between muscle strength parameters and functional capacity in persons with mild to moderate degree multiple sclerosis. Mult Scler Relat Disord. 2015;4(2):151-8. [DOI:10.1016/j.msard.2015.01.002] [PMID]
22. Dalgas U, Stenager E, Lund C, Rasmussen C, Petersen T, Sørensen H, et al. Neural drive increases following resistance training in patients with multiple sclerosis. J Neurol. 2013;260(7):1822-32. [DOI:10.1007/s00415-013-6884-4] [PMID]
23. Huisinga JM, Filipi M, Stergiou N. Supervised resistance training results in changes in postural control in patients with multiple sclerosis. Motor Control. 2012;16:50-63. [DOI:10.1123/mcj.16.1.50] [PMID]
24. Hilfiker R, Vaney C, Gattlen B, Meichtry A, Deriaz O, Lugon-Moulin V, et al. Local dynamic stability as a responsive index for the evaluation of rehabilitation effect on fall risk in patients with multiple sclerosis: a longitudinal study. BMC Res Notes. 2013;6:260. [DOI:10.1186/1756-0500-6-260] [PMID] [PMCID]
25. Yahia A, Ghroubi S, Mhiri C, Elleuch M. Relationship between muscular strength, gait and postural parameters in multiple sclerosis. Ann Phys Rehabil Med. 2011;54(3):144-55. [DOI:10.1016/j.rehab.2011.02.004] [PMID]
26. Cameron MH, Horak FB, Herndon RR, Bourdette D. Imbalance in multiple sclerosis: a result of slowed spinal somatosensory conduction. Somatosens Mot Res. 2008;25(2):113-22. [DOI:10.1080/08990220802131127] [PMID] [PMCID]
27. Gandolfi M, Geroin C, Picelli A, Munari D, Waldner A, Tamburin S, et al. Robot-assisted vs. sensory integration training in treating gait and balance dysfunctions in patients with multiple sclerosis: a randomized controlled trial. Front Hum Neurosci. 2014;8:318. [DOI:10.3389/fnhum.2014.00318] [PMID] [PMCID]
28. Elwishy A. Effect of sensorimotor integration balance program in patients with Multiple Sclerosis: a single blinded randomized controlled study. Med J Cairo Univ. 2012;80(2).
29. Brichetto G, Piccardo E, Pedullà L, Battaglia MA, Tacchino A. Tailored balance exercises on people with multiple sclerosis: a pilot randomized, controlled study. Mult Scler. 2015;21(8):1055-63. [DOI:10.1177/1352458514557985] [PMID]
30. Hebert JR, Corboy JR, Manago MM, Schenkman M. Effects of vestibular rehabilitation on multiple sclerosis-related fatigue and upright postural control: a randomized controlled trial. Phys Ther. 2011;91(8):1166-83. [DOI:10.2522/ptj.20100399] [PMID]
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