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CoDuSe group exercise programme improves balance and reduces falls in people with multiple sclerosis: A multi-centre, randomized, controlled pilot study
Örebro University, School of Medical Sciences. Department of Physiotherapy; Örebro University Hospital, Örebro, Sweden. (University Healthcare Research Centre)
Örebro University, School of Health Sciences. (University Healthcare Research Centre)ORCID iD: 0000-0002-6768-5740
Örebro University, School of Medical Sciences. Department of Neurology.
Örebro University, School of Health Sciences. (University Healthcare Research Centre)ORCID iD: 0000-0002-9760-3785
2016 (English)In: Multiple Sclerosis, ISSN 1352-4585, E-ISSN 1477-0970Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: Imbalance leading to falls is common in people with multiple sclerosis (PwMS).

Objective: To evaluate the effects of a balance group exercise programme (CoDuSe) on balance and walking in PwMS (Expanded Disability Status Scale, 4.0-7.5).

Methods: A multi-centre, randomized, controlled single-blinded pilot study with random allocation to early or late start of exercise, with the latter group serving as control group for the physical function measures. In total, 14 supervised 60-minute exercise sessions were delivered over 7 weeks. Pretest-posttest analyses were conducted for self-reported near falls and falls in the group starting late. Primary outcome was Berg Balance Scale (BBS). A total of 51 participants were initially enrolled; three were lost to follow-up.

Results: Post-intervention, the exercise group showed statistically significant improvement (p = 0.015) in BBS and borderline significant improvement in MS Walking Scale (p = 0.051), both with large effect sizes (3.66; -2.89). No other significant differences were found between groups. In the group starting late, numbers of falls and near falls were statistically significantly reduced after exercise compared to before (p < 0.001; p < 0.004).

Conclusion: This pilot study suggests that the CoDuSe exercise improved balance and reduced perceived walking limitations, compared to no exercise. The intervention reduced falls and near falls frequency.

Place, publisher, year, edition, pages
London, United Kingdom: Sage Publications, 2016.
Keyword [en]
Accidental falls, exercise, multiple sclerosis, postural balance, core stability
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:oru:diva-53488DOI: 10.1177/1352458516677591PubMedID: 27834736OAI: oai:DiVA.org:oru-53488DiVA: diva2:1046495
Available from: 2016-11-14 Created: 2016-11-14 Last updated: 2016-11-14Bibliographically approved

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Carling, AnnaForsberg, AnetteGunnarsson, MartinNilsagård, Ylva
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