-
Something wrong with this record ?
Falls prevention and balance rehabilitation in multiple sclerosis: a bi-centre randomised controlled trial
D. Cattaneo, K. Rasova, E. Gervasoni, G. Dobrovodská, A. Montesano, J. Jonsdottir,
Language English Country England, Great Britain
Document type Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't
- MeSH
- Middle Aged MeSH
- Humans MeSH
- Postural Balance physiology MeSH
- Multiple Sclerosis physiopathology rehabilitation MeSH
- Physical Therapy Modalities * MeSH
- Accidental Falls prevention & control statistics & numerical data MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Multicenter Study MeSH
- Research Support, Non-U.S. Gov't MeSH
- Randomized Controlled Trial MeSH
PURPOSE: People with Multiple Sclerosis (PwMS) have a high incidence of accidental falls that have a potentially detrimental effect on their daily life participation. The effect of balance specific rehabilitation on clinical balance measures and frequency of falls in PwMS was studied. METHOD: A bi-centre randomised rater-blinded controlled trial. Participants in both groups received 20 treatment sessions. Participants in the intervention group received treatment aimed at improving balance and mobility. Participants in the control group received treatments to reduce limitations at activity and body function level. Primary measures were frequency of fallers (>1 fall in two months) and responders (>3 points improvement) at the Berg Balance Scale (BBS). Data was analysed according to an intention to treat approach. RESULTS: One hundred and nineteen participants were randomised. Following treatment frequency of fallers was 22% in the intervention group and 23% in the control group, odds ratio (OR) and (confidence limits): 1.05 (0.41 to 2.77). Responders on the BBS were 28% in the intervention group and 33% in the control group, OR = 0.75 (0.30 to 1.91). At follow up ORs for fallers and responders at BBS were 0.98 (0.48 to 2.01) and 0.79 (0.26 to 2.42), respectively. CONCLUSIONS: Twenty sessions 2-3 times/week of balance specific rehabilitation did not reduce fall frequency nor improve balance suggesting the need for more frequent and challenging interventions. Implications for Rehabilitation Programs for balance rehabilitation can improve balance but their effects in fall prevention are unclear. Twenty treatments sessions 2/3 times per week did not reduced frequency of falls in MS. The comparison with similar studies suggests that higher intensity of practice of highly challenging balance activities appears to be critical to maximizing effectiveness.
References provided by Crossref.org
- 000
- 00000naa a2200000 a 4500
- 001
- bmc19001348
- 003
- CZ-PrNML
- 005
- 20190110095202.0
- 007
- ta
- 008
- 190107s2018 enk f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.1080/09638288.2016.1258089 $2 doi
- 035 __
- $a (PubMed)27927030
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a enk
- 100 1_
- $a Cattaneo, Davide $u a LaRiCE Lab: Gait and Balance Disorders Laboratory , Don Gnocchi Foundation I.R.C.C.S , Milan , Italy.
- 245 10
- $a Falls prevention and balance rehabilitation in multiple sclerosis: a bi-centre randomised controlled trial / $c D. Cattaneo, K. Rasova, E. Gervasoni, G. Dobrovodská, A. Montesano, J. Jonsdottir,
- 520 9_
- $a PURPOSE: People with Multiple Sclerosis (PwMS) have a high incidence of accidental falls that have a potentially detrimental effect on their daily life participation. The effect of balance specific rehabilitation on clinical balance measures and frequency of falls in PwMS was studied. METHOD: A bi-centre randomised rater-blinded controlled trial. Participants in both groups received 20 treatment sessions. Participants in the intervention group received treatment aimed at improving balance and mobility. Participants in the control group received treatments to reduce limitations at activity and body function level. Primary measures were frequency of fallers (>1 fall in two months) and responders (>3 points improvement) at the Berg Balance Scale (BBS). Data was analysed according to an intention to treat approach. RESULTS: One hundred and nineteen participants were randomised. Following treatment frequency of fallers was 22% in the intervention group and 23% in the control group, odds ratio (OR) and (confidence limits): 1.05 (0.41 to 2.77). Responders on the BBS were 28% in the intervention group and 33% in the control group, OR = 0.75 (0.30 to 1.91). At follow up ORs for fallers and responders at BBS were 0.98 (0.48 to 2.01) and 0.79 (0.26 to 2.42), respectively. CONCLUSIONS: Twenty sessions 2-3 times/week of balance specific rehabilitation did not reduce fall frequency nor improve balance suggesting the need for more frequent and challenging interventions. Implications for Rehabilitation Programs for balance rehabilitation can improve balance but their effects in fall prevention are unclear. Twenty treatments sessions 2/3 times per week did not reduced frequency of falls in MS. The comparison with similar studies suggests that higher intensity of practice of highly challenging balance activities appears to be critical to maximizing effectiveness.
- 650 _2
- $a úrazy pádem $x prevence a kontrola $x statistika a číselné údaje $7 D000058
- 650 _2
- $a ženské pohlaví $7 D005260
- 650 _2
- $a lidé $7 D006801
- 650 _2
- $a mužské pohlaví $7 D008297
- 650 _2
- $a lidé středního věku $7 D008875
- 650 _2
- $a roztroušená skleróza $x patofyziologie $x rehabilitace $7 D009103
- 650 12
- $a techniky fyzikální terapie $7 D026741
- 650 _2
- $a posturální rovnováha $x fyziologie $7 D004856
- 655 _2
- $a časopisecké články $7 D016428
- 655 _2
- $a multicentrická studie $7 D016448
- 655 _2
- $a randomizované kontrolované studie $7 D016449
- 655 _2
- $a práce podpořená grantem $7 D013485
- 700 1_
- $a Rasova, Kamila $u b Department of Rehabilitation, Third Faculty of Medicine , Charles University in Prague , Prague , Czech Republic.
- 700 1_
- $a Gervasoni, Elisa $u a LaRiCE Lab: Gait and Balance Disorders Laboratory , Don Gnocchi Foundation I.R.C.C.S , Milan , Italy.
- 700 1_
- $a Dobrovodská, Gabriela $u b Department of Rehabilitation, Third Faculty of Medicine , Charles University in Prague , Prague , Czech Republic.
- 700 1_
- $a Montesano, Angelo $u a LaRiCE Lab: Gait and Balance Disorders Laboratory , Don Gnocchi Foundation I.R.C.C.S , Milan , Italy.
- 700 1_
- $a Jonsdottir, Johanna $u a LaRiCE Lab: Gait and Balance Disorders Laboratory , Don Gnocchi Foundation I.R.C.C.S , Milan , Italy.
- 773 0_
- $w MED00001410 $t Disability and rehabilitation $x 1464-5165 $g Roč. 40, č. 5 (2018), s. 522-526
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/27927030 $y Pubmed
- 910 __
- $a ABA008 $b sig $c sign $y a $z 0
- 990 __
- $a 20190107 $b ABA008
- 991 __
- $a 20190110095405 $b ABA008
- 999 __
- $a ok $b bmc $g 1365225 $s 1039471
- BAS __
- $a 3
- BAS __
- $a PreBMC
- BMC __
- $a 2018 $b 40 $c 5 $d 522-526 $e 20161207 $i 1464-5165 $m Disability and rehabilitation $n Disabil Rehabil $x MED00001410
- LZP __
- $a Pubmed-20190107
