Postural control in women with multiple sclerosis: Effects of task, vision and symptomatic fatigue

Emmerik, Richard E.A. van; Remelius, Jebb G.; Johnson, Molly; Chung, Linda H.; Kent‐Braun, Jane A.

doi:10.1016/j.gaitpost.2010.09.002

Cited by 119 publications

(88 citation statements)

References 22 publications

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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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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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“…The center of pressure variables used in this study reflect both the balance control processes necessary to maintain stance and movement of the entire body's center of mass [14]. Previous studies have shown that even when standing with eyes open, PwMS exhibit a larger center of pressure sway area [4,30], greater sway velocity [3,30], and greater RMS of sway than nondisabled controls [31][32]. The direction of correlations found in the present study suggest that the PwMS who report poor balance also have higher sway RMS, range, velocity, and area.…”

Section: Discussionmentioning

confidence: 99%

“…Clinical experience and extensive research using a variety of measures indicate that balance problems are common in people with multiple sclerosis (PwMS) [1][2][3][4][5]. PwMS subjectively report reduced balance confidence, frequent falls, and an increased fear of falling [6][7].…”

Section: Introductionmentioning

confidence: 99%

“…PwMS subjectively report reduced balance confidence, frequent falls, and an increased fear of falling [6][7]. Additionally, objective posturography demonstrates that multiple sclerosis (MS) is associated with balance impairments in individuals with clearly apparent disability as well as in those with minimal disability [4] or without clinically apparent disability [8]. These findings suggest that while PwMS may appear to have normal balance on clinical inspection, MS can cause changes that subtly alter postural control.…”

Section: Introductionmentioning

confidence: 99%

“…For this study, we used dynamic posturography to objectively quantify balance in PwMS because this is the gold standard objective measure of standing postural control and because this has been used previously to quantify balance in PwMS [3][4][11][12]. Recent posturography studies have demonstrated specific performance abnormalities on posturography in PwMS, including delayed automatic postural responses to backward translations [13] and abnormal postural sway when sensory inputs are removed [5].…”

Section: Introductionmentioning

confidence: 99%

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Objective and subjective measures reflect different aspects of balance in multiple sclerosis

Cameron¹,

Huisinga

2013

J Rehabil Res Dev

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Abstract-The objective of this study was to evaluate relationships between subjective and objective measures of balance in multiple sclerosis (MS). In 54 subjects with MS, balance was measured objectively with the Sensory Organization Test (SOT) using dynamic posturography and subjectively with the Activitiesspecific Balance Confidence (ABC) Scale and the Falls Efficacy Scale-International (FES-I). MS-related disability was assessed with the Expanded Disability Status Scale (EDSS). Relationships between the magnitude (root mean square, range, and area) as well as velocity of center of pressure sway (calculated from the center of pressure signal from the SOT), composite SOT, ABC Scale, FES-I, and EDSS scores were assessed. The magnitude and velocity of center of pressure sway was statistically significantly correlated with the ABC Scale (rho = 0.2 to 0.5), FES-I (rho = 0.3 to 0.5), and EDSS (rho = 0.3 to 0.4). The composite SOT was also statistically significantly correlated with the ABC Scale, FES-I, and EDSS. Objective balance measures, as reflected by posturography, were significantly related to subjective reports of imbalance and clinical measures of disability in MS. The relationships are moderate to weak, indicating that a comprehensive description of balance problems in people with MS likely requires both objective and subjective balance measures.

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