Group-based individualized core stability and balance training in ambulant people with multiple sclerosis: a pilot feasibility test–retest study

Normann, Britt; Salvesen, Rolf; Arntzen, Ellen Christin

doi:10.3109/21679169.2016.1170204

Cited by 11 publications

(10 citation statements)

References 36 publications

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“…Although the prevailing principle of individualization (European Multiple Sclerosis Platform, 2012) has been questioned in group settings (Kalron et al, 2019;Plow, Mathiowetz, and Lowe, 2009), an individualized intervention conducted in small groups was recently introduced and found feasible and effective on trunk control, balance and walking in individuals with MS (Arntzen et al, 2019;Dybesland and Normann, 2018;Normann, Salvesen, and Arntzen, 2016) From a professional perspective individualization within small groups is dependent on an initial individual assessment (Lahelle, Øberg, and Normann, 2018b), ongoing movement analyzes and adaptations through hands-on interactions (Lahelle, Øberg, and Normann, 2018a). Knowledge gained from the participant´s perspective regarding small groups is however limited.…”

Section: Introductionmentioning

confidence: 99%

Group-based, individualized exercises can provide perceived bodily changes and strengthen aspects of self in individuals with MS: a qualitative interview study

Arntzen

Øberg

Gallagher

et al. 2019

Physiotherapy Theory and Practice

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Background: Group-based physiotherapy is effective for individuals with MS; nevertheless individualization within groups is questioned and little is known regarding individuals´experiences with individualization in small groups. Objective: We aimed to explore the short-and long-term experiences of individuals with MS participating in a 6-week, group-based, individualized physiotherapy-intervention. Methods: Within a randomized controlled trial (RCT), 25 in-depth interviews with a strategic sample of 13 people (9 women; age 25-79 years old; European Disability Status Scale (EDSS) 1-6.5) were conducted at weeks 7 and 30 using systematic text condensation, with dynamic systems theory and phenomenology as analytical frameworks. Results: The main categories were: 1) movement control, orientation and insights: Bodily improvements were associated with targeted exercises, specific adjustments by the physiotherapist, emotional engagement and re-access to activities; and 2) the individual within the group: Equal distributions of one-to-one interactions and attention were important for experiencing success. Less attention and improvements turned attention toward own disability. Physical changes felt particularly emotional short term, implying that individuals' feelings of ownership and control of body and movement, new views of themselves and changed affordances in daily life were involved. Conclusion: Equally distributed attention and engagement, targeted exercises and hands-on adjustments resulting in visible and perceived bodily changes were experienced as key factors of individualization in small groups.

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Section: Introductionmentioning

confidence: 99%

Group-based, individualized exercises can provide perceived bodily changes and strengthen aspects of self in individuals with MS: a qualitative interview study

Arntzen

Øberg

Gallagher

et al. 2019

Physiotherapy Theory and Practice

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“…The sample size calculation for this study was based on data from the pilot study investigating the effectiveness of GroupCoreSIT on balance, walking and ADL in a similar sample of people with MS using the TIS-modNV [16] and additionally on the Mini-BESTest [35]. A difference of 0.75 SD on the Mini-BESTest between the intervention and the control group was considered as clinically significant.…”

Section: Sample Size Calculationmentioning

confidence: 99%

“…Two preliminary studies on this intervention have been conducted with ambulant individuals with MS, one using a test-retest design [16] and one using Single Subject Experimental Design [17]. These studies provided support for the feasibility of the intervention, preliminary scientific evidence of short-term effect on balance, walking and activities for daily living (ADL) in ambulant individuals with MS and justification for a larger scale clinical trial.…”

Section: Introductionmentioning

confidence: 99%

Innovative Physiotherapy and Continuity of Care in People with Multiple Sclerosis: A Randomized Controlled Trial and a Qualitative Study

Normann¹,

Zanaboni²,

Arntzen³

2016

J Clin Trials

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“…In a study, Forsberg et al (2016) found a significant difference in balance improvement and gait in individuals with MS after the performance of training intervention (11). Although Normann et al (2016) suggested that core stability exercise was an effective and feasible method for the rehabilitation of individuals with MS (12). Various studies suggested that training interventions (resistance or balance) had numerous benefits for postural control and motor function of the individuals with MS (12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

“…Although Normann et al (2016) suggested that core stability exercise was an effective and feasible method for the rehabilitation of individuals with MS (12). Various studies suggested that training interventions (resistance or balance) had numerous benefits for postural control and motor function of the individuals with MS (12)(13)(14). In spite of the availability of the various studies, there are few scientific evidences in this regard and various authors recommended further studies on the topic (1).…”

Section: Introductionmentioning

confidence: 99%

Effect of Combined Training Protocol on Postural Control and Motor Functions of Individuals with Multiple Sclerosis

Najafi

Rajabi

Seidi

et al. 2019

J Adv Med Biomed Res

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10.30699/jambs.27.122.43 Background & Objective: Multiple Sclerosis (MS) is a common chronic inflammatory disease of the central nervous system. Postural control and motor function disorders are the most common MS related symptoms. Currently, exercise therapy seems to be the most effective non-pharmacological approach in controlling and improving these disorders. Thus, the present study intends to study the effect of combined training protocol on postural control and motor functions of individuals with MS. Materials & Methods: After selecting 60 women with MS as the study sample, they were randomly assigned to two training intervention and control groups, each comprised of 30 subjects. The training intervention group performed the combined training protocol for eight weeks. Results: The results of the covariance analysis showed that the combined training protocol had a significant effect on all postural control (postural sway indexes and Berg Balance Scale) and motor function (Timed 25 Feet Walk test and Timed Up and Go test) variables in individuals with MS (P≤0.05). Conclusion: The results of this study indicated that the combined training protocol improved postural control and motor functions of individuals with MS. Therefore, these results may be recommended to all individuals who are making an effort to treat and improve individuals with MS.

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Group-based individualized core stability and balance training in ambulant people with multiple sclerosis: a pilot feasibility test–retest study

Cited by 11 publications

References 36 publications

Group-based, individualized exercises can provide perceived bodily changes and strengthen aspects of self in individuals with MS: a qualitative interview study

Group-based, individualized exercises can provide perceived bodily changes and strengthen aspects of self in individuals with MS: a qualitative interview study

Innovative Physiotherapy and Continuity of Care in People with Multiple Sclerosis: A Randomized Controlled Trial and a Qualitative Study

Effect of Combined Training Protocol on Postural Control and Motor Functions of Individuals with Multiple Sclerosis

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