A personalized, intense physical rehabilitation program improves walking in people with multiple sclerosis presenting with different levels of disability: A retrospective cohort
| Autor: | Uri Givon, Mark Dolev, Alon Kalron, Dalia Nitzani, Caroline Barmatz, Yael Stern, Gabi Zeilig, Shay Menascu, Lior Frid, Uri Rosenblum, Anat Achiron, David Magalashvili, Diana Pasitselsky |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Multiple Sclerosis Neurology neurological rehabilitation medicine.medical_treatment Clinical Neurology Poison control Walking multiple sclerosis gait rehabilitation Cohort Studies walking Multiple Sclerosis Relapsing-Remitting Physical medicine and rehabilitation Humans Medicine Aquatic therapy Aerobic exercise Disabled Persons Gait Exercise Hydrotherapy Retrospective Studies Rehabilitation exercise business.industry Neurological Rehabilitation Retrospective cohort study General Medicine Middle Aged hydrotherapy Exercise Test Physical therapy Female Neurology (clinical) business Research Article Cohort study |
| Zdroj: | BMC Neurology |
| Popis: | Copyright © 2015 Kalron et al.Background: People with multiple sclerosis (PwMS) endure walking limitations. To address this restriction, various physical rehabilitation programs have been implemented with no consensus regarding their efficacy. Our objective was to report on the efficacy of an integrated tailored physical rehabilitation program on walking in people with multiple sclerosis categorized according to their level of neurological disability. Methods: Retrospective data were examined and analyzed. Specifically, data obtained from all patients who participated in the Multiple Sclerosis Center's 3 week rehabilitation program were extracted for in depth exploration. The personalized rehabilitation program included three major components modified according to the patient's specific impairments and functional needs: (a) goal directed physical therapy (b) moderately intense aerobic exercise training on a bicycle ergometer and (c) aquatic therapy chiefly oriented to body structures appropriate to movement. Gait outcome measurements included the 10 meter, 20 meter, Timed up and go and 2 minute walking tests measured pre and post the rehabilitation program. Three hundred and twelve people with relapsing-remitting multiple sclerosis were included in the final analysis. Patients were categorized into mild (n = 87), moderate (n = 104) and severely (n = 121) disabled groups. Results: All clinical walking outcome measurements demonstrated statistically significant improvements, however, only an increase in the 2 minute walking test was above the minimal clinical difference value. The moderate and severe groups considerably improved compared to the mild gait disability group. Mean change scores (%) of the pre-post intervention period of the 2 minute walking test were 19.0 (S.E. = 3.4) in the moderate group, 16.2 (S.E. = 5.4) in the severe group and 10.9 (S.E. = 2.3) in the mild gait disability group. Conclusions: We presented comprehensive evidence verifying the effects of an intense goal-directed physical rehabilitation program on ambulation in people with multiple sclerosis presenting with different neurological impairment levels. |
| Databáze: | OpenAIRE |
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