The effects of 6-weeks balance training on balance and walking speed in subjects with Multiple Sclerosis (MS).

Document Type : Original Articles

Authors

1 Department of Motor Behavior, School of Physical Education and Sport Sciences, University of Khorasgan, Isfahan, Iran AND Academic Member, Islamic azad University of khoy branch,khoy, Iran

2 Department of Motor Behavior, School of Physical Education and Sport Sciences, University of Isfahan, Isfahan, Iran

3 PhD Student , Islamic azad University of Tehran Markaz , Department of Sport Physiology, School of Physical Education and Sport Sciences, and Academic Member, Islamic azad University of khoy branch, khoy, Iran

10.22122/jrrs.v10i7.1280

Abstract

 Introduction: Multiple sclerosis (MS) is one of the most common diseases of the central nervous system which result in. It causes demyelination of nerve axons, which can lead to lack of normal action potentials as the central nervous system (CNS) attempts to communicate with the body, and vice versa.Materials and Methods: The purpose of this study The effects of 6-weeks balance training on balance and walking speed in subjects with Multiple Sclerosis (MS). 30 subjects with mild to moderate disability, by Kurtzke scale (Expanded Disability Statues Scale), Participated in this study and randomized into experimental (N=15) and control group(N=15) after being assessed with  Berg balance Scale. "Timed Walk" test was used to assess walking speed. Experimental group involved in balance training 3days a week and control group continued their activity, both groups were tested by walking speed and balance. The results were analyzed by t-test. Level of significant was 0.05.Results: Result of this study Show that balance training has a positive effect balance and  walking speed in people with multiple sclerosis. The results revealed a significant difference between control and experimental gropes in balance test  (t = 3/23, P<0/05 ) and walking speed test  (t= -4/44 , P< 0/05) Conclusion: The results indicated that balance training increased walking speed and balance and seemed to be a useful exercise therapy for MS.Key word: Multiple sclerosis, balance, balance training, walking speed

  1. Umphred DA, Carlson C. Neurorehabilitation for the physical therapist assistant. Thorofare, NJ: SLACK Incorporated; 2006.
  2. Stephens J, DuShuttle D, Hatcher C, Shmunes J., Slaninka C. Use of awareness through movement improves balance and balance confidence in people with multiple sclerosis: a randomized controlled study. Neurology Report 2001; 25(2): 39-4.
  3. Motl RW, Snook EM, Wynn DR, Vollmer T. Physical activity correlates with neurological neurological impairment and disability in multiple sclerosis. J Nerv Ment Dis 2008; 196(6): 492-5.
  4. Shumway-Cook A, Woollacott MH. Motor Control: Theory and practical applications.2nd ed. Philadelphia: Lippincott Williams &wilkins; 2001.
  5. White LJ, McCoy SC, Castellano V, Gutierrez G, Stevens JE, Walter GA, et al. Resistance training improves strength and functional capacity in persons with multiple sclerosis. Mult Scler 2004; 10(6): 668-74. Masoodi R, 6. Mohammadi E, Nabavi S, Ahmadi F. The effect of Orem based self-care program on physical quality of life in multiple sclerosis patients. J Shahrekord Univ Med Sci 2008, 10(2): 21-29.
  6. Jacobs LD, Wende KE, Brownscheidle CM, Apatoff B, Coyle PK, Gottesman MH, et al. A profile of multiple sclerosis: the New York State Multiple Sclerosis Consortium. Mult scler 1999; 5(5): 369-76.
  7. MotlR ,Gosney IL. Effect of exercise training on quality of life in multiple sclerosis: a meta-analysis. Mult Scler 2008; 14(1): 129-35.
  8. Jolle kM. Epidemiology, risk factor and clinical features of Multiple sclerosis. 2005; version 13.2.
  9. Schulz KH1, Gold SM, Witte J, Bartsch K, Lang UE, Hellweg R, et al. Impact of aerobic training on immune –endocrine parameters, neurotrophic factors quality of life and coordinative function in multiple sclerosis. J Neural Sci 2004; 225(1-2): 11-8.
  10. Cakt BD, Nacir B, Genç H, Saraçoğlu M, Karagöz A, Erdem HR, et al. Cycling progressive resistance for peoplewith Multiple Sclerosis: a randomized controlled study. Am J Phys Med Rehabil 2010; 89 (6):446-57.
  11. Pilutti LA, Lelli DA, Paulseth JE, Crome M, Jiang S, Rathbone MP, et al. Effects of 12 weeks supported treadmill training on functional ability and quality of Life in progressive multiple Sclerosis: a pilot study. Arch Phys Med Rehabil 2011; 92(1): 31-6.
  12. Cattane D, Jonsdottir J, Zocchi M, Regola A. Effect of balance exercise on people with multiple sclerosis: a pilot sudy. Clin Rehabil 2007; 21(9): 771-81.
  13. Ebrahimi Atri A, Sarvari F, Saeedi M , Khorshid Sokhangu M. Relationship between lower extremity muscle strength and dynamic balance in women with Multiple Sclerosis (MS). J Res Rehabil Sci 2013; 9(1):20-7.
  14. Yazdani M, Hemayattalab R, Sheikh M, Etemadifar M. The effect of a selected aquatic exercise balance in subject with Multiple Sclerosis (MS). J Res Rehabil Sci 2013; 9(2): 143-52.
  15. Kurtzke JF. Rating neurological impairment in multiple sclerosis: an expanded disability status Scale. Neurology 1983; 33: 1444-52.
  16. Cattaneo D, Jonsdottir J, Repetti S. Reliability of four Scales on balance disorders in persons with multiple sclerosis. Disabil Rehabil 2007; 29(24): 1920-5.
  17. Azad A, Taghizadeh G, Khaneghini A. Assessments of the reliability of the Iranian version of the Berg Balance Scale in patients with multiple sclerosis. Acta Neurol Taiwan 2011; 20(1): 22-8.
  18. Wade G. Reliability of Timed walk test for patient who survived a stroke. Journal of rehabilitation medicine. 1987; 83: 26.
  19. Schulz KH, Gold SM, Witte J, Bartsch K, Lang UE, Hellweg R, et al. Impact of aerobic training on immune endocrine parameters, neurotrophic factors, quality of life and coordinative function in multiple sclerosis. J Neurol Sci 2004; 225(1-2): 11-8.
  20. Jakson K, Mulcare J, Rodgers M, Barresi B. Effect of balance training on persons with multiple sclerosis. Journal of American physical therapy. 2002; 21: 37.
  21. Romberg A, Virtanen A, Ruutiainen J, Aunola S, Karppi SL, Vaara M, et al. Effects of a 6-month exercise program on patients with multiple sclerosis: a randomized study. Neurology 2004; 63(11): 2034-8.
  22. DeBolt LS, McCubbin JA. The effects of home-based resistance exercise on balance, power, and mobility in adults with multiple sclerosis. Arch Phys Med Rehabil 2004; 85(2): 290-7.
  23. Kasser S, Debra R, Sean C. Balance training for adults with multiple sclerosis. Neurology Report journal 1991; 34: 1-11.
  24. Fulk GD. Locomotors training and virtual reality-based balance training for an individual with multiple sclerosis: a case report. J Neurol Phys Ther 2005; 29(1): 34-42.
  25. Petajan JH, Wite AT. Recommendations for physical activity in patients with multiple sclerosis. sports medi 1999; 27(3): 179-91.
  26. Bandy WD, Sanders B. Therapeutic exercise for physical therapist assistants. Philadelphia: Lippincott William & Wilkins; 2001. pp. 240-61.
  27. M Hall C, Thein Brody L .Therapeutic exercise: Moving toward function. 2nd ed. Philadelphia: Lippincott William & Wilkins; 2005. pp. 149-64.