The effect of core stability training on balance and mobility in ambulant individuals with multiple sclerosis: A multi-centre series of single case studies

Freeman, Jenny; Gear, Margaret; Pauli, A; Cowan, Paula; Finnigan, C; Hunter, Heather L.; Mobberley, C; Nock, Alison; Sims, Rebecca; Thain, J

doi:10.1177/1352458510378126

Cited by 99 publications

(85 citation statements)

References 33 publications

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“…Other studies 12,17,22,23 who have included subjects with similar levels of disability have also reported large standard deviations. Thus even with a narrow EDSS range (5-6.5) heterogeneity was event within the sample.…”

Section: Discussionmentioning

confidence: 98%

“…Cattaneo et al 3 did not find any significant difference in the results of the ABC questionnaire over time, nor did Freeman et al 22 whose participants (with a similar disability level to our subjects) followed eight weeks of one to one out-patient physiotherapy core balance sessions, with additional home exercises. The ABC includes questions in relation to everyday experiences (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…The benefits of exercise in those with MS has been investigated in relation to aerobic interventions [11][12][13][14][15] , resistance interventions [16][17][18][19][20][21] or balance interventions 3,22 . Some studies have investigated combined exercise which includes aerobic, resistance and/or balance components in each session [23][24][25][26][27][28] .…”

Section: Introductionmentioning

confidence: 99%

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The effects of a 12-week leisure centre-based, group exercise intervention for people moderately affected with multiple sclerosis: a randomized controlled pilot study

et al. 2011

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Objective: To establish the effects of a twelve week, community based, group exercise intervention for people moderately affected with Multiple Sclerosis (MS) (Extended Disability Status Score 5-6.5). Design: Randomised controlled pilot trialSetting: Two community leisure centres.Participants: 32 subjects with MS were randomised into an intervention or control group. Intervention:The intervention group received twelve weeks of twice weekly, 60 minute group exercise sessions, which included mobility, balance and resistance exercises. The control group received usual care. Main Outcome measures:An assessor blinded to group allocation assessed participants at baseline, after eight weeks and after twelve weeks (i.e after the intervention period). The primary outcome measure was 25 Foot Walk time (T25FW), secondary outcomes assessed walking endurance, balance, physical function, leg strength, body mass index, activity levels, fatigue, anxiety and depression, quality of life and goal attainment. ResultsThe intervention led to an improvement in all outcome measures. Physical activity results showed a significant group effect (p<0.001) and interaction effect (p=0.009), post hoc analysis revealed this was significant at week eight (p<0.001) and week twelve (p=0.005).Balance confidence results showed a significant group effect (p=0.001). Good effect sizes were found for activity levels (d=1.05), dynamic balance (d=0.80), perceived balance (d=0.94) and leg strength (d=1.33). Conclusion:Although further research is required, the results of the study suggest that community based group exercise classes are a feasible option for people moderately affected with MS, and offer benefits such as improved physical activity levels, balance and leg strength.3

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The effects of a 12-week leisure centre-based, group exercise intervention for people moderately affected with multiple sclerosis: a randomized controlled pilot study

et al. 2011

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“…The effects of on MS patients have been studied [12] and incremental improvements in body balance, joint mobility and upper body muscle strength have been observed. Marandi et al [13] compared the Pilates method with microgravity exercises among MS patients and the outcomes revealed positive benefits on dynamic body balance, in keeping with Freeman et al [14], who demonstrated that Pilates also positively influences ambulation. Moreover, 10 weeks of proprioceptive training prove to be efficacy in the improvement of the stability and in the reduction of the energy required to maintain it [15].…”

Section: Journal Of Neurology and Neurophysiologymentioning

confidence: 71%

“…Lim et al [31] studied the effect of a Pilates protocol on nineteen individuals affected by unilateral chronic hemi-paretic strokes, and they highlighted significant improvements in both static and dynamic body balance. However, among the MS patients involved in this study, this technique was useful in improving performance in the Sit and Reach and the Sit to Stand test after 16 weeks of training, with no effects on body balance, confirming the greater utility of other training methods to this end, such as core stability [14]. Our outcomes seem to be consistent with a previous study [32] which revealed the great importance of Pilates in the improvement of performance in the sit to stand test after 8 weeks of training.…”

Section: Discussionmentioning

confidence: 93%

Benefits of Static Stretching, Pliates® and Elastic Bands Resistance Training on Patients with Relapsing-Remitting Multiple Sclerosis: A Longitudinal Study

Ponzano¹,

Beratto²,

Mazza³

et al. 2017

J Neurol Neurophysiol

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Objective: To compare the effects of Pilates ® , a 30 s static stretching protocol and elastic bands resistance training on lower and hand-grip strength, rachis morphology, flexibility and body balance among RRMS patients.Methods: Twenty-two subjects affected by relapsing-remitting multiple sclerosis (RRMS, EDSS ≤ 6) were randomly divided into 3 groups whose members each performed 16 weeks of training. Stabilometry, rachis morphology, sit and reach, handgrip and sit to stand tests were performed three times: T0, after a month of learning training protocols; T1, after eight weeks of training; and T2, after sixteen weeks of training. Results Conclusion:Static stretching, Pilates and resistance training are useful to increase the autonomy in the daily life of people with MS thanks to the adoption of these three different training methods.

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Balance exercise facilitates everyday life for people with multiple sclerosis: A qualitative study

Carling

Nilsagård

Forsberg

2018

Physiotherapy Res Intl

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ObjectivesThe aim of this qualitative study was to describe the experience and perceived effects on everyday life for people with multiple sclerosis after participating in a balance exercise programme focusing on core stability, dual tasking, and sensory strategies (the CoDuSe programme).MethodsA qualitative approach was chosen, using face‐to‐face interviews analysed with content analysis. Twenty‐seven people with multiple sclerosis (20 women, 7 men) who had participated in the CoDuSe programme were included. All could walk 20 m with or without walking aids but could not walk further than 200 m. The CoDuSe programme was given twice weekly during a 7‐week period.ResultsThe analysis revealed five categories. Learning to activate the core muscles described how the participants gained knowledge of using their core muscles and transferred this core muscle activation into everyday life activities. Improved bodily confidence covered narratives of being more certain of the ability to control their bodies. Easier and safer activities showed how they could now perform activities in everyday life more safely and easily. Increased independence and participation involved the participants' improved ability and self‐confidence to execute activities by themselves, as well as their increased participation in activities in daily living. Experiences of the balance exercise programme revealed that they found the programme novel and challenging.The overall theme was balance exercise facilitates everyday life.ConclusionParticipating in the CoDuSe programme was perceived to facilitate everyday life for people with multiple sclerosis. Taking part in the balance exercise programme taught the participants how to activate and use the core muscles, which increased their bodily confidence. Having increased bodily confidence helped them to perform everyday life activities with more ease and safety, which increased their independence and participation. The participants described the CoDuSe programme as novel and challenging, yet feasible.

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The effect of core stability training on balance and mobility in ambulant individuals with multiple sclerosis: A multi-centre series of single case studies

Cited by 99 publications

References 33 publications

The effects of a 12-week leisure centre-based, group exercise intervention for people moderately affected with multiple sclerosis: a randomized controlled pilot study

The effects of a 12-week leisure centre-based, group exercise intervention for people moderately affected with multiple sclerosis: a randomized controlled pilot study

Benefits of Static Stretching, Pliates® and Elastic Bands Resistance Training on Patients with Relapsing-Remitting Multiple Sclerosis: A Longitudinal Study

Balance exercise facilitates everyday life for people with multiple sclerosis: A qualitative study

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