Balance performance in three forms of multiple sclerosis

Soyuer, Ferhan; Mirza, Meral; Erkorkmaz, Ünal

doi:10.1179/016164105x49373

Cited by 108 publications

(94 citation statements)

References 26 publications

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“…Several systematic studies demonstrated that balance abnormalities are common in people with MS, including those with significant impairments [1,2] as well as those with minimal [3][4][5]11] or even no clinically assessable impairments [6]. Overall, these studies demonstrate that people with MS have three related abnormalities of balance control: first, they have decreased ability to maintain position; second, they have limited and slow movement toward their limits of stability; and third, they have delayed responses to postural displacements or perturbations.…”

Section: Balance Control In Msmentioning

confidence: 99%

“…Many people with MS have abnormal balance and gait control, and many also fall frequently [1][2][3][4][5][6]. Imbalance is also often the initial symptom of MS. Because MS may affect all areas of the CNS and may cause such a wide range of impairments, it was initially thought that changes in postural control in people with MS had multifactorial cumulative causes that differed from one person to the next [4].…”

Section: Introductionmentioning

confidence: 99%

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Postural Control in Multiple Sclerosis: Implications for Fall Prevention

Cameron

Lord

2010

Curr Neurol Neurosci Rep

255

176

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People with multiple sclerosis (MS) often have poor postural control, which likely underlies their increased risk of falls. Based on several studies of balance and gait in MS, it appears that the primary mechanisms underlying the observed changes are slowed somatosensory conduction and impaired central integration. This review of the published research on balance, gait, and falls in people with MS demonstrates that people with MS have balance impairments characterized by increased sway in quiet stance, delayed responses to postural perturbations, and a reduced ability to move toward their limits of stability. These impairments are likely causes of falls in people with MS and are consistent with the reduced gait speed, as well as decreased stride length, cadence, and joint movement, observed in most studies of gait in MS. Based on these findings, we identify several factors that may be amenable to intervention to prevent falls in people with MS.

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Section: Balance Control In Msmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Postural Control in Multiple Sclerosis: Implications for Fall Prevention

Cameron

Lord

2010

Curr Neurol Neurosci Rep

255

176

View full text Add to dashboard Cite

show abstract

“…Tasks suggested by Gensicke et al [3] were standing on one leg with eyes open on a firm surface and foam support surface for 20 s (s1eo, s1eof). The Romberg test was included but with feet together and performed for 30 s on a foam support surface [4] with eyes open and closed-abbreviated s30ftfeo and s30ftfec. Tandem stance tasks for 30 s eyes open and closed (s30tseo, s30tsec) were chosen because these showed significant differences between MS patients and HCs [4].…”

Section: Protocolmentioning

confidence: 99%

“…The Romberg test was included but with feet together and performed for 30 s on a foam support surface [4] with eyes open and closed-abbreviated s30ftfeo and s30ftfec. Tandem stance tasks for 30 s eyes open and closed (s30tseo, s30tsec) were chosen because these showed significant differences between MS patients and HCs [4]. Walking eight tandem steps with eyes closed (w8tsec) is part of the Fregly ataxia battery, a widely used clinical test for the assessment of balance [5].…”

Section: Protocolmentioning

confidence: 99%

Screening for balance disorders in mildly affected multiple sclerosis patients

et al. 2011

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Multiple sclerosis (MS) patients often complain about balance problems when Romberg's test and tandem gait are normal. The aim of the study was to determine if measures of trunk sway taken during a battery of stance and gait tasks could be used to detect subclinical balance disorders. We recorded trunk angular sway in the pitch and roll directions from 20 MS patients (EDSS 1.4 ± 0.5) and 20 age- and gender-matched healthy controls (HCs), during 12 stance and gait tasks. We filmed 22 subjects simultaneously. Two neurologists assessed the videos, deciding whether task performance was pathological. Sway measures were significantly different between patients and HCs in eight out of 12 balance tasks. The most significant differences between MS patients and HCs were pitch angle range standing on one leg with eyes open on a firm surface (mean 3.13° vs. 2.09°, p = 0.005), and on a foam support surface (mean 6.24° vs. 2.96°, p = 0.006), pitch velocity range walking 8 m with eyes closed (mean 75.5 vs. 50.2°/s, p < 0.001) and pitch velocity range walking 3 m on heels (mean 85.37 vs. 60.9°/s, p = 0.002). Multivariate analysis revealed a model with three tasks which detected balance disorders in 84% of the MS patients and 90% of the HCs correctly. The neurologists achieved accuracies of 30% for the MS patients and 82% for the HCs. Using trunk sway measures during stance and gait tasks is a sensitive screening method for balance problems in MS patients, and is more accurate than assessment by trained neurologists.

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“…Some studies conducted on patients with MS, showed that the slightest change in the physical condition of these patients leads to postural instability, and changes in their physical condition has more fluctuation and requires more time to achieve stability than the control group (13,14), and postural control when standing in people with mild to moderate MS is defective (15). Besides, forward head leads to headaches, neck pain, and pain between two scapula (16).…”

Section: Introductionmentioning

confidence: 99%

Spinal Cord Analysis in People with Multiple Sclerosis

Meymand

Daneshmandi

Al-Zamani

et al. 2018

Ann. Appl. Sport Sci

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Background. Multiple Sclerosis (MS) is an autoimmune, inflammatory, and chronic disease which, under the effect of the wastes of myelin degradation occurs in the white matter of the brain, spinal cord, and visual nerves. The main complications of this disease are fatigue, muscle cramps, tremor, imbalance, and walking imbalance. Objectives. The purpose of this study is to investigate the spine orientation in people with multiple sclerosis. Methods. The statistical population of this study included all patients with MS in Kerman province and the sample of this study includes 30 patients with mild MS (mean age of 33.83±8.72 years, mean height of 159.77±4.54 cm, mean weight of 63.1±11.16 kg) and 30 healthy subjects (mean age of 31.07±8.84 years, mean height of 162.58±6.61 cm, mean weight of 61.43±11.3 kg), targeted randomly selected as the subjects. First, the patients were examined by a neurologist and the EDSS of each subject was evaluated. Then their demographic data including age, height, and weight were collected. For evaluation of spinal abnormalities including torticollis and forward head, shooting method with the use of -Power shot A1200 HD Canon camera, with 0.73 validity was used; and kyphosis and lordosis abnormalities were measured using a flexible ruler, the validity of the device in comparison with the radiography technique was reported by Thylatson and Borton (1991) as 93%. In research, Hart & Rose (1986) and Lowell et al. (1989) stated the reliability of this device as 97% and 84%, respectively, and scoliometer was used for scoliosis abnormalities. The validity of this device was reported by Guillemhem et al. as 0.87. Results. The results showed that there was a significant relationship between forward head, torticollis, and lordosis abnormalities in patients with mild MS and healthy subjects (p˂0.05), while there is significant relationship between kyphosis and scoliosis (p˂0.05). Conclusion. Regarding factors such as fatigue, muscle cramping, tremor, walking abnormalities in people with multiple sclerosis and observation of some spinal abnormalities in these individuals, the implementation of corrective exercises and programs to correct postures, in them, seems necessary.

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Balance performance in three forms of multiple sclerosis

Abstract: Balance in MS patients is impaired. The results of the present study show that there is more impairment in progressive MS forms than in RRMS. Meanwhile, patients with progressive MS are more likely to fall.

Cited by 108 publications

References 26 publications

Postural Control in Multiple Sclerosis: Implications for Fall Prevention

Postural Control in Multiple Sclerosis: Implications for Fall Prevention

Screening for balance disorders in mildly affected multiple sclerosis patients

Spinal Cord Analysis in People with Multiple Sclerosis

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