gms | German Medical Science

15th Congress of the European Forum for Research in Rehabilitation (EFRR)

15.04. - 17.04.2019, Berlin

The effects of balance training with balance system in patients with multiple sclerosis

Meeting Abstract

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  • corresponding author presenting/speaker Hilal Gur - Kirikkale University, School of Medicine, Department of Physical Medicine and Rehabilitation, Kirikkale, Turkey
  • author Gulten Karaca - Kirikkale University, School of Medicine, Department of Physical Medicine and Rehabilitation, Kirikkale, Turkey
  • author Murat Alpua - Kirikkale University, School of Medicine, Department of Neurology, Kirikkale, Turkey
  • author Ayse Nur Demir - Kirikkale University, School of Medicine, Department of Physical Medicine and Rehabilitation, Kirikkale, Turkey

15th Congress of the European Forum for Research in Rehabilitation (EFRR). Berlin, 15.-17.04.2019. Düsseldorf: German Medical Science GMS Publishing House; 2019. Doc100

doi: 10.3205/19efrr100, urn:nbn:de:0183-19efrr1005

Published: April 16, 2019

© 2019 Gur et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.


Outline

Text

Background: Patients with Multiple Sclerosis (MS) can present with different combinations of functional deficits, such as loss of balance, poor coordination, weakness, spasticity, gait disabilities and fall risk [1].

Aim: The objective of this study to determine the effects of balance training and conventional rehabilitation program on balance, gait and quality of life in patients with MS.

Method: Thirty MS patients aged 30–50 years were included combined rehabilitation program consisting of 30 minute conventionel rehabilitation program and 30 minute postural balance training with Biodex Balance System for six weeks (5 times/week). Five times sit to stand test (5xSST), Get up and go test (GUG), Berg Balance Scale (BBS), Tinetti Balance And Gait Assessment, Activity specific balance confidence scale (ABC), Multiple Skleroz walking scale-12 (MSYS-12), Multiple Skleroz impact scale-29 (MSIS-29), Expanded disability status scale (EDSS) and BBS (Medial-Lateral Stability Index: MLSI, Anterior-Posterior Stability Index: APSI, Overall Stability Index: GSI ve Fall Risk Index: DRI) were assessed at the enrollment (t0), immediately postintervention (t1) and at the 1-month follow-up (t2).

Results/findings: There was a statistically significant improvement in 5xSST, GUG, BBS, Tinetti Balance And Gait Assessment, ABC, MSYS-12, MSIS-29 scores and BBS data (MLSI, APSI, GSI, DRI) at t1 compared to baseline. Benefits persisted at the t2 for Tinetti Balance And Gait Assessment, MSYS-12, BBS parameters MLSI and GSI.

Discussion and conclusions: The combination of conventional rehabilitation and postural balance training with Biodex Balance System could improve the balance, gait functions, activities of daily living, and participation to social life of MS patients.


References

1.
Amatya B, Khan F, Galea M. Rehabilitation for people with multiple sclerosis: an overview of Cochrane Reviews. Cochrane Database Syst Rev. 2017:CD012732. DOI: 10.1002/14651858.CD012732 External link