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| Name | Class |
|---|---|
| Uppsala-Örebro Regional Research Council | OTHER |
| Norrbacka-Eugenia Foundation | OTHER |
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People with multiple sclerosis (MS) often have affected balance capacity and an increased risk for falls. A risk factor for falls are activities requiring dual attention. Another factor leading to reduced balance capacity is trunk stability, and decreased trunk stability has been seen in people with MS compared to healthy controls. Earlier studies using core stability exercises have shown positive effects on balance, compared to no training. In Sweden, physical therapy for people with MS has often included group training. However, evidence for this intervention is scarce. The aim of this study is therefore to investigate balance training in group. The balance training includes core stability exercises and dual attention activities. A multi-centre study is planned with a waiting-list design. Participants are randomised to either exercise group with early start or with late start. The group balance training includes training 60 minutes 2 times per week for 7 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group balance training early start | Experimental |
| |
| Group balance training late start | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group balance training | Other | Balance training i group with focus on core stability exercises and dual attention activities. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline in Bergs balance scale | Functional balance scale in sitting, standing and walking. | Change from Baseline in Bergs balance scale at 7 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline in Four Square step test | Dynamic balance | Change from Baseline in Four Square step test at 7 weeks |
| Change from baseline in Timed chair stands test | Functional leg strength, rising 10 times from a chair. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Anette Forsberg, PhD | Family Medicine Research Centre, Örebro county council | Study Chair |
| Ylva Nilsagård, PhD | Centre for Health Care Sciences, Örebro county council | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mälarsjukhuset | Eskilstuna | 63188 | Sweden | |||
| Karlstad hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25004466 | Derived | Nilsagard YE, von Koch LK, Nilsson M, Forsberg AS. Balance exercise program reduced falls in people with multiple sclerosis: a single-group, pretest-posttest trial. Arch Phys Med Rehabil. 2014 Dec;95(12):2428-34. doi: 10.1016/j.apmr.2014.06.016. Epub 2014 Jul 6. |
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| ID | Term |
|---|---|
| D009103 | Multiple Sclerosis |
| ID | Term |
|---|---|
| D020278 | Demyelinating Autoimmune Diseases, CNS |
| D020274 | Autoimmune Diseases of the Nervous System |
| D009422 | Nervous System Diseases |
| D003711 | Demyelinating Diseases |
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| Change from baseline in Times Chair stands test at 7 weeks |
| Change from baseline in Timed Up and Go test | Functional mobility. | Change from baseline in Timed Up and Go test at 7 weeks |
| Change from baseline in Functional Gait Assessment | Gait-related activities | Change from baseline in Functional Gait Assessment at 7 weeks |
| Change from baseline in Postural sway | Using a sway meter postural sway in standing still is assessed. | Change from baseline in Postural sway at 7 weeks |
| Change from baseline in Activities-specific Balance scale | 16 item questionnaire that includes items on balance self-efficacy | Change from baseline in Activities-specific Balance scale at 7 weeks |
| Change from baseline in 12-item Multiple Sclerosis Walking scale | self-reported limitations in walking. | Change from baseline in 12-item Multiple Sclerosis Walking scale at 7 weeks |
| Change from Baseline in Bergs balance scale | Functional balance in sitting, standing and walking | Change from Baseline in Bergs balance scale at 14 weeks |
| Change from Baseline in Four Square step test | Dynamic balance | Change from baseline in Four Square step test at 14 weeks |
| Change from baseline in Times Chair stands test | Functional lower extremity strength | Change from baseline in Times Chair stands test at 14 weeks |
| Change from baseline in Timed Up and Go test | Functional mobility | Change from baseline in Timed Up and Go test at 14 weeks |
| Change from baseline in Functional Gait Assessment | Gait-related activities | Change from baseline in Functional Gait Assessment at 14 weeks |
| Change from baseline in postoral sway | Using a sway meter postural sway in standing still is assessed. | Change from baseline in postoral sway at 14 weeks |
| Change from baseline in Activities-specific Balance scale | Balance self-efficacy | Change from baseline in Activities-specific Balance scale at 14 weeks |
| Change from baseline in 12-item Multiple Sclerosis Walking scale | self-reported limitations in walking | Change from baseline in 12-item Multiple Sclerosis Walking scale at 14 weeks |
| Karlstad |
| Sweden |
| Rörelse och hälsa neuro | Linköping | Sweden |
| Primärvård Mjölby | Mjölby | Sweden |
| Nyköpings hospital | Nyköping | Sweden |
| University Hospital Örebro | Örebro | 70185 | Sweden |
| Västerås hospital | Västerås | 72189 | Sweden |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |