Compensatory image of the stability of people with multiple sclerosis and atrial vertigo based on posturography examination

Kahl, Oliwer; Wierzbicka, Ewelina; Dębińska, Magdalena; Mraz, M.

doi:10.1038/s41598-021-85983-z

Cited by 7 publications

(8 citation statements)

References 33 publications

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“…Analysis of COP movements provides a wealth of information about postural stability. Based on the recorded data, it is possible to assess the variability of body deflection when maintaining balance in a standing position and this assessment is particularly important in conditions of disturbed postural stability [29].…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Cognitive Dysfunction and Postural Stability in Multiple Sclerosis

et al. 2021

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Background and Objectives: Multiple Sclerosis (MS) is a demyelinating disease of the central nervous system (CNS), most commonly characterized by balance dysfunction, fatigue syndrome and cognitive impairment. The goal of our study was to determine the association between cognitive functions and static posture control. Materials and Methods: The research group consisted of 76 randomized MS patients (ICDG 35.0) hospitalized at the Neurological Rehabilitation Clinic of the Medical University of Lodz. This group was divided into three subgroups according to the cognitive assessment based on the Mini Mental State Examination (MMSE) for patients over 65 years of age and the Montreal Cognitive Assessment (MoCA) under the age of 65. Fatigue syndrome was assessed using the Fatigue Severity Scale (FSS), and postural stability using a stabilometric platform. Results: The men demonstrated poorer stabilometric platform measurements than the women. Statistically significant differences were observed between patients without dysfunction and severe cognitive impairment. The results of the stabilometric platform were found to correlate with body mass index in all three groups of patients (Spearman’s test). Conclusions: Body mass index and cognition have impact on postural stability in MS patients with moderate disability and fatigue syndrome.

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Section: Discussionmentioning

confidence: 99%

The Relationship between Cognitive Dysfunction and Postural Stability in Multiple Sclerosis

et al. 2021

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“…It has been reported that balance requires vestibular, visual and somatosensory inputs (both proprioceptive and exteroceptive information) [ 5 ]. Therefore, vestibular deficits (vertigo or dizziness, for example) [ 6 ], visual impairments (such as, diplopia) [ 7 ], and proprioceptive disorders due to fatigue and muscle weakness [ 8 ] may impair balance in PwMS [ 9 ]. All these issues affect postural control and different balance domains (functional, static or dynamic), reducing patients’ confidence in their balance and increasing the risk and fear of falling [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Virtual reality-based therapy improves balance and reduces fear of falling in patients with multiple sclerosis. a systematic review and meta-analysis of randomized controlled trials

Cortés‐Pérez

Osuna-Pérez

Montoro-Cárdenas³

et al. 2023

J NeuroEngineering Rehabil

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Objective This study aims to conduct a meta-analysis to assess the effect of virtual reality-based therapy (VRBT) on balance dimensions and fear of falling in patients with multiple sclerosis (PwMS). Secondarily, to determine the most recommendable dose of VRBT to improve balance. Methods PubMed Medline, Web of Science, Scopus, CINAHL and PEDro were screened, without publication date restrictions, until September 30th, 2021. Randomized controlled trials (RCTs) comparing the effectiveness of VRBT against other interventions in PwMS were included. Functional and dynamic balance, confidence of balance, postural control in posturography, fear of falling and gait speed were the variables assessed. A meta-analysis was performed by pooling the Cohen's standardized mean difference (SMD) with 95% confidence interval (95% CI) using Comprehensive Meta-Analysis 3.0. Results Nineteen RCTs, reporting 858 PwMS, were included. Our findings reported that VRBT is effective in improving functional balance (SMD = 0.8; 95%CI 0.47 to 1.14; p < 0.001); dynamic balance (SMD = − 0.3; 95%CI − 0.48 to − 0.11; p = 0.002); postural control with posturography (SMD = − 0.54; 95%CI − 0.99 to − 0.1; p = 0.017); confidence of balance (SMD = 0.43; 95%CI 0.15 to 0.71; p = 0.003); and in reducing fear of falling (SMD = − 1.04; 95%CI − 2 to − 0.07; p = 0.035); but not on gait speed (SMD = − 0.11; 95%CI: − 0.35 to 0.14; p = 0.4). Besides, the most adequate dose of VRBT to achieve the greatest improvement in functional balance was at least 40 sessions, five sessions per week and 40–45 min per sessions; and for dynamic balance, it would be between 8 and 19 weeks, twice a week and 20–30 min per session. Conclusion VRBT may have a short-term beneficial role in improving balance and reducing fear of falling in PwMS.

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“…All pathological or functional changes that impair the functioning of the postural control system or the executive system are reflected in disturbances of posture balance and stability [ 47 , 48 ]. Dysfunctions of the sense organs and deep sensation disturb measurements of body balance [ 49 ]. In our own research, the exclusion criteria involved vision defects and problems with maintaining a balance of the body correlated with the aforementioned diseases, which allowed us to minimize the factors disturbing the reading of the balance parameters analyzed on the Zebris PDM-L platform.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Stability of the Body in a Standing Position When Shooting at a Stationary Target―A Randomized Controlled Trial

Krawczyk-Suszek

Martowska

Sapuła

2022

Sensors

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Postural stability of the body depends on many factors. One of them is physical activity. It is especially important in the case of sports or professional work, which combine mobility with the accuracy of a shot in a standing position. The smaller the body fatigue, the more accurate the shot. The aim of the study was the assessment of the impact of physical effort on the center of gravity deflection and length of the COP (center of pressure) path, as well as the reaction of ground forces in people who do not engage in systematic physical activity. The study group included 139 people (23.1 ± 5.2 yr; M: 46.8%; F: 53.2%). The test consisted of performing a static test twice, shooting at the target in a multimedia shooting range. Group X performed the Harvard test between the static tests. Group Y made no effort. The reaction parameters of the ground forces were assessed using the Zebris PDM-L Platform. In Group X performing the Harvard test, an increase in the average COP, VCOP, and 95% confidence ellipse area was noted. The path length and the average velocity of COP speed increased. There were no differences in Group Y (p > 0.05). Physical effort significantly affected the postural stability of the studied people, increasing the average parameters assessing balance when adopting static firing position.

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Compensatory image of the stability of people with multiple sclerosis and atrial vertigo based on posturography examination

Cited by 7 publications

References 33 publications

The Relationship between Cognitive Dysfunction and Postural Stability in Multiple Sclerosis

The Relationship between Cognitive Dysfunction and Postural Stability in Multiple Sclerosis

Virtual reality-based therapy improves balance and reduces fear of falling in patients with multiple sclerosis. a systematic review and meta-analysis of randomized controlled trials

Analysis of the Stability of the Body in a Standing Position When Shooting at a Stationary Target―A Randomized Controlled Trial

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