Factors influencing balance improvement in multiple sclerosis rehabilitation: A pragmatic multicentric trial

Cattaneo, Davide; Coote, Susan; Řasová, Kamila; Gervasoni, Elisa; Groppo, Elisabetta; Prokopiusová, Terezie; Řezníčková, Jitka; Montesano, Angelo; Jonsdottir, Johanna

doi:10.1016/j.rehab.2019.05.007

Cited by 14 publications

(12 citation statements)

References 31 publications

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“…This however introduces a potential bias, since sources for improvements for lower functioning patients are manifold, while a ceiling effect can be reached in patients with higher functional capacities. Cattaneo et al [ 8 ] focused on the effects of in- and outpatient rehabilitation on balance by the Berg Balance Scale [ 9 ]. The authors reported higher odd ratios to positively respond to rehabilitation in patients with a higher balance disability (a potential similar effect as described by Langdorn and Thompson [ 5 ]).…”

Section: Introductionmentioning

confidence: 99%

Inpatient Rehabilitation: Prediction of Changes in Sensorimotor Performance in Multiple Sclerosis: A Pilot Study

Gulde¹,

Hermsdörfer

Rieckmann³

2021

JCM

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Inpatient rehabilitation has been shown to be an effective intervention for sensorimotor performance in multiple sclerosis (MS) patients. So far, predictions of the rehabilitation outcomes are limited. The objective was to predict inpatient rehabilitation outcomes by changes in the Watzmann Severity Scale (WSS), a statistical estimation of the EDSS by sensorimotor capacity. Sensorimotor performance and physical activity during rehabilitation (by actigraphy) were assessed in a sample of 28 MS patients at a facility for neurorehabilitation. Daily changes in the WSS were predicted by a model of multiple linear regression. The resulting model had an R2adjusted of 0.48 (p < 0.01) and revealed five impacting factors (a reduction in the WSS represents an improvement): the number of steps (β-weight = 0.52, p < 0.01), the duration of nocturnal rest time (β-weight = 0.46, p = 0.01), the EDSS at entry (β-weight = 0.38, p = 0.03), a relapsing-remitting MS (β-weight = 0.37, p = 0.03), and the performance in a visuomotor pursuit task with time pressure (β-weight = −0.35, p = 0.04). One standard deviation improvement was predicted when the patient at admission yielded 6600 fewer steps per day, 94 min less rest per night, −2.7 points in the EDSS at entry, a relapsing-remitting MS, and a pursuit task performance that decreased by 2.2 standard deviations. Overall, the patients improved by −0.22 ± 0.51 WSS points during 19.3 ± 4.5 d of inpatient rehabilitation. Different potential explanations of the findings are discussed, one of which proposes that the results reflect an unhealthy lifestyle which, in addition to MS, would explain the higher predicted improvements by rehabilitation tackling both MS and the patients’ lifestyle.

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Section: Introductionmentioning

confidence: 99%

Inpatient Rehabilitation: Prediction of Changes in Sensorimotor Performance in Multiple Sclerosis: A Pilot Study

Gulde¹,

Hermsdörfer

Rieckmann³

2021

JCM

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“…The appreciable effect of consistently pursuing a target-oriented, physiotherapeutic management, specifically aimed at improving an individual sense of balance in various disorders, is already well addressed and documented in numerous studies [31][32][33][34].…”

Section: Discussionmentioning

confidence: 99%

The foot’s key structural variables as essential diagnostic predictors in assessing overall postural stability in school-aged children: a cross-sectional study

Szczepanowska-Wołowiec¹,

Sztandera²,

Kotela³

et al. 2022

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Introduction:The WHO Health Behaviour in School-aged Children study (2018) on the health status of adolescents in Europe highlights an escalation of factors instrumental in the development of postural defects, which may consequently deteriorate into serious postural complaints in adulthood. Aim of the research:To investigate the correlations between the morphological structure of the foot and postural stability in children and adolescents. Material and methods:The study sample comprised 627 children (aged 10-15 years), who had the plantar part of their feet assessed in static conditions with a 2D Podoscan. Individual foot loading paradigm variables were assessed with a baropodometric platform. Postural assessment was completed with 2D Videography, facilitating morphological measurements of body asymmetry. Results: Valgus of the knees, Clarke's left foot angle, and Wejsflog index values also doubled as strong predictors of centre of the foot's pressure (COP) length. A negative correlation was established between the COP length and obesity, hallux valgus of the left foot, flat-footedness, and lowered longitudinal foot arches. Conclusions: Higher COP surface area values were observed in the children affected by valgus of the knees, higher angle of the hallux valgus in the left foot, and those with longer feet. Clarke's L-foot angle, Wejsflog index, and valgus of the knees proved to be strong predictors affecting key postural stability variables. StreszczenieWprowadzenie: Badanie WHO Health Behaviour in School-aged Children (2018) dotyczące stanu zdrowia nastolatków w Europie wskazuje na eskalację czynników przyczyniających się do rozwoju wad postawy, które mogą przeradzać się w poważne dolegliwości w wieku dorosłym. Cel pracy: Zbadanie zależności między budową morfologiczną stopy a stabilnością postawy u dzieci i młodzieży. Materiał i metody: W badaniu wzięło udział 627 dzieci (w wieku 10-15 lat), u których oceniano podeszwową część stóp w warunkach statycznych za pomocą podoskanu 2D. Poszczególne zmienne obciążenia stopy analizowano za pomocą platformy baropodometrycznej. Ocenę postawy uzupełniono wideografią 2D, ułatwiającą morfologiczne pomiary asymetrii ciała. Wyniki: Koślawość kolan, kąt Clarke'a stopy lewej i wartości wskaźnika Wejsfloga to silne predyktory wpływające na długości COP. Stwierdzono ujemną korelację między długością COP a otyłością, paluchem koślawym lewej stopy, płaskostopiem i obniżonymi podłużnymi łukami stopy. Wnioski: Wyższe wartości pola powierzchni COP zaobserwowano u dzieci z koślawością kolan, większym kątem palucha koślawego w stopie lewej oraz u dzieci z dłuższymi stopami. Kąt L-stopy Clarke'a, indeks Wejsfloga i koślawość kolan okazały się silnymi czynnikami prognostycznymi wpływającymi na kluczowe zmienne stabilności postawy.

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“…[5][6][7] Gunn et al reported that specific interventions explicitly aimed at improving balance outcomes show the greatest effect in comparison to unspecific interventionsnot specifically focused to improve balance. 3,8 Considering walking outcomes, Wiles et al reported that conventional walking training (CWT) or traditional overground walking training, can be a specific and effective way to improve gait and mobility in PwMS. 9 Moreover, previous studies demonstrated that intense exercise practice leads to cortical reorganization and improved behavioral functions.…”

Section: What Is the Impact Of Robotic Rehabilitation On Balance And ...mentioning

confidence: 99%

“…Another meta-analysis by Xie et al 43 reported a higher effect of RAGT in walking endurance. Since PwMS with severe disability and severe balance impairment are at higher risk of falls, 8 it is possible that they could benefit more from RAGT than CWT, in terms of safety as well as walking performance. Indeed, this promising approach offers the possibility to provide passive and assisted as needed motor activities and to regulate body weight support allowing better performance, reducing the fall risk, and reducing the effort of physical therapists.…”

Section: Implications For Robotic Rehabilitation and Clinical Practicementioning

confidence: 99%

What is the impact of robotic rehabilitation on balance and gait outcomes in people with multiple sclerosis? A systematic review of randomized control trials

Bowman

Gervasoni

Amico³

et al. 2021

Eur J Phys Rehabil Med

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Factors influencing balance improvement in multiple sclerosis rehabilitation: A pragmatic multicentric trial

Cited by 14 publications

References 31 publications

Inpatient Rehabilitation: Prediction of Changes in Sensorimotor Performance in Multiple Sclerosis: A Pilot Study

Inpatient Rehabilitation: Prediction of Changes in Sensorimotor Performance in Multiple Sclerosis: A Pilot Study

The foot’s key structural variables as essential diagnostic predictors in assessing overall postural stability in school-aged children: a cross-sectional study

What is the impact of robotic rehabilitation on balance and gait outcomes in people with multiple sclerosis? A systematic review of randomized control trials

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