Effect of Bobath Therapy on Balance Alterations in Patients With Multiple Sclerosis

Effect of Bobath Therapy on Balance Alterations in Patients With Multiple Sclerosis

To evaluate the effects of a foot treatment to improve balance according to the Bobath Concept in people with Multiple sclerosis, comparing it with treatment through home exercise and with treatment from Bobath Concept combined with the use of virtual reality.

As a secondary objective, we seek to know the state of the art of Bobath therapy in Multiple Sclerosis.

Inclusion Criteria:

1. Age: over 18 years old.
2. Have a diagnosis of multiple sclerosis, according to Mc Donald criteria at least 6 months before the start of the intervention.
3. Be able to walk independently in a closed environment with or without technical aids, having a maximum score of 6.5 on the Expanded Disability Status Scale or EDSS, according to its acronym in English:

6.5= constant bilateral help (canes, crutches or braces) to walk about 20 meters without rest. The usual functional system (FS) is equivalent to combinations with more than two FS of grade 3+.

Exclusion Criteria:

1. Participants who are not able to understand instructions,
2. Participants who are in a clinically unstable situation or who have risk factors or concomitant pathologies of the musculoskeletal system, neurological or cardiovascular, which make it difficult to carry out the treatment.
3. Participants with visual disturbances or severe upper limb involvement who therefore have difficulty using the VR glasses or performing reaching exercises with them.