Vestibular rehabilitation has positive effects on balance, fatigue and activities of daily living in highly disabled multiple sclerosis people: A preliminary randomized controlled trial

Autor:	Maria Grazia Grasso, Marco Tramontano, Carlo Caltagirone, Federico Francesco Tozzi, Leonardo Manzari, Alessandra Pompa, Alex Martino Cinnera, Giovanni Morone
Rok vydání:	2018
Předmět:	Adult Male 030506 rehabilitation medicine.medical_specialty Multiple Sclerosis Activities of daily living medicine.medical_treatment Statistics Nonparametric law.invention Disability Evaluation 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Developmental Neuroscience Randomized controlled trial law Activities of Daily Living Humans Medicine Disabled Persons Single-Blind Method Postural Balance Fatigue Gait Disorders Neurologic Aged Balance (ability) Expanded Disability Status Scale Rehabilitation business.industry Tinetti test Middle Aged Gait Exercise Therapy Treatment Outcome Neurology Berg Balance Scale Sensation Disorders Female Neurology (clinical) 0305 other medical science business 030217 neurology & neurosurgery Follow-Up Studies
Zdroj:	Restorative Neurology and Neuroscience. 36:709-718
ISSN:	1878-3627 0922-6028
DOI:	10.3233/rnn-180850
Popis:	BACKGROUND Balance disorders are present in patients with Multiple Sclerosis and part of these disorders could be of vestibular origin. Vestibular Rehabilitation was found to be effective in improving balance in patients with central vestibular dysfunction. OBJECTIVE To investigate the clinical effects of vestibular rehabilitation on balance skills and secondly on fatigue and activity of daily living in highly disabled multiple sclerosis people. METHODS Thirty hospitalized participants with severe multiple sclerosis (EDSS 6-7) were randomly assigned to the experimental group (15 patients -9F-; mean age 50.64±11.73) and the control group (15 patients -8F-; mean age 45.77±10.91). All patients were evaluated before and after treatment with the Expanded Disability Status Scale, Barthel Index Tinetti Balance and Gait scale, Berg Balance Scale, Fatigue Severity Scale, Two Minute Walking Test and Timed 25-foot walk test. Two follow-ups (i.e., at 30 and 60 days after treatment) were carried out with Barthel Index. RESULTS Significant improvement was found in the experimental group with respect to the control group (p < 0,05) in balance, fatigue perception, activities of daily living and short distance gait. No significant improvements were found for gait endurance as measured by Two Minute Walking Test. CONCLUSIONS Four weeks of Vestibular Rehabilitation training results in less fatigue, improved balance and performance of the activities of daily living in patients with severe Multiple Sclerosis.
Databáze:	OpenAIRE
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