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Effects on Balance and Walking with the CoDuSe Balance Exercise Program in People with Multiple Sclerosis: A Multicenter Randomized Controlled Trial
Örebro University, School of Health Sciences.ORCID iD: 0000-0002-6768-5740
Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Örebro University, School of Health Sciences.ORCID iD: 0000-0002-9760-3785
2016 (English)In: Multiple Sclerosis International, ISSN 2090-2654, E-ISSN 2090-2662, 7076265Article in journal (Refereed) Published
Abstract [en]

Background: Balance and walking impairments are frequent in people with multiple sclerosis (MS).

Objective: The aim was to investigate the effects of a group-based balance exercise program targeting core stability, dual tasking, and sensory strategies (CoDuSe) on balance, postural sway, walking, perceived walking limitations, and balance confidence.

Design: A single-blinded randomized multicenter trial. No intervention was given to controls. Participants. People with MS able to walk 100 meters but unable to maintain tandem stance >= 30 seconds. Eighty-seven participants were randomized to intervention or control.

Intervention: The 60-minute CoDuSe group program, twice weekly for seven weeks, supervised by physical therapists.

Measurements: Primary outcome was dynamic balance (Berg Balance Scale (BBS)). Secondary outcomes were postural sway, walking (Timed-Up and Go test; Functional Gait Assessment (FGA)), MS Walking Scale, and Activities-specific Balance Confidence (ABC) Scale. Assessments were performed before and after (week 8) the intervention.

Results: 73 participants fulfilled the study. There were significant differences between the intervention and the control groups in change in the BBS and in the secondary measures: postural sway with eyes open, FGA, MS Walking Scale, and ABC scale in favor of the intervention.

Conclusions: The seven-week CoDuSe program improved dynamic balance more than no intervention.

Place, publisher, year, edition, pages
New York, USA: Hindawi Publishing Corporation, 2016. 7076265
National Category
Research subject
URN: urn:nbn:se:oru:diva-54248DOI: 10.1155/2016/7076265ISI: 000389255600001PubMedID: 28042485OAI: oai:DiVA.org:oru-54248DiVA: diva2:1061906
Available from: 2017-01-04 Created: 2017-01-03 Last updated: 2017-01-04Bibliographically approved

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