Critically appraised paper: Task-oriented gait training that focuses on the safe and correct use of a walking aid may reduce falls in people with multiple sclerosis commentary

Publication date: Available online 9 November 2019Source: Journal of PhysiotherapyAuthor(s): Herb Karpatkin
Source: Journal of Physiotherapy - Category: Physiotherapy Source Type: research

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Condition:   Multiple Sclerosis Interventions:   Other: Standard physiotherapy program+50 Hz local vibration;   Other: Standard physiotherapy program+100 Hz local vibration;   Other: Standard physiotherapy program Sponsor:   Hacettepe University Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Abstract Background and objectives: Patients with multiple sclerosis (MS) have many potential risk factors (spasticity, immobilization, glucocorticoids use) which can deteriorate the anthropometrical status and body composition and may have a potential negative impact on functional mobility and basic motor skill improvement after physiotherapy. The aim of the study was to assess the functional mobility and basic motor skills in patients with MS and to correlate them with disability and anthropometrical status and body composition parameters. Materials and Methods: Timed Up-and-Go Test (TUG) and six-min walk test (...
Source: Medicina (Kaunas) - Category: Universities & Medical Training Authors: Tags: Medicina (Kaunas) Source Type: research
CONCLUSIONS: The evidence regarding the effects of interventions for preventing falls in MS is sparse and uncertain. The evidence base demonstrates mixed risk of bias, with very low to low certainty of the evidence. There is some evidence in favour of exercise interventions for the improvement of balance function and mobility. However, this must be interpreted with caution as these secondary outcomes were not assessed under the GRADE criteria and as the results represent data from a small number of studies. Robust RCTs examining the effectiveness of multifactorial falls interventions on falls outcomes are needed. PMID...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
Conclusions: The MBT is reliable and valid in pwMS. MDC values will facilitate assessing the effectiveness of treatment. Because ceiling effects were found for two subscales, but not the total MBT, it is recommended that clinicians administer the MBT in its entirety. PMID: 31762543 [PubMed]
Source: Physiotherapy Canada - Category: Physiotherapy Authors: Tags: Physiother Can Source Type: research
Conclusion: Patients with multiple sclerosis in Malaysia have complex needs that are neglected due perceived lack of importance of the disease and the poor understanding of multiple sclerosis in general. Patients rely heavily on their finances to improve their quality of life. This perpetuates health inequities and reform of the national health financing system is needed to provide patients with the healthcare and support they need.Implications for rehabilitationPatients with multiple sclerosis in Malaysia prioritize being able to cope and adapt to their disabilities in order to continue performing their activities of dail...
Source: Disability and Rehabilitation - Category: Rehabilitation Authors: Tags: Disabil Rehabil Source Type: research
Background: Multiple sclerosis (MS) is an autoimmune, chronic and inflammatory disease characterized by an axonal loss that may be accompanied by respiratory muscle weakness.Objective: The aim of this study was to assess pulmonary function and respiratory muscle strength in MS patients and to identify differences between gender.Methods: This prospective, noninterventional study measured respiratory parameters in patients with MS by maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP) of the mouth, sniff nasal inspiratory pressure (SNIP) and lung capacity using a forced spirometry.Results: A total of 28 ...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Physiotherapists Source Type: research
Conclusions: There is preliminary evidence from individual studies which indicates that people with MS can improve their lower limb flexibility following participation in physical exercise programs, but the meta-analysis did not confirm these findings. PMID: 31684026 [PubMed - in process]
Source: Medicina (Kaunas) - Category: Universities & Medical Training Authors: Tags: Medicina (Kaunas) Source Type: research
Condition:   Multiple Sclerosis Interventions:   Behavioral: Video game-based physical activity training;   Behavioral: Conventional physiotherapy program Sponsor:   Dokuz Eylul University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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