Effects of Core Stability Training on Gait in Multiple Sclerosis Patie
Randomized Controlled Trial of Core Stability Training in Patients With Multiple Sclerosis: Biomechanical and Performance Based Analysis of Gait
What it found
We found no results in the registry or in papers.
This trial finished 10 years ago. We found no results in the registry or in any paper that cites it.
What was tested
Treatment tested
- Physiotherapy - Study group
Compared with
- Physiotherapy - control group
What it measured
Main measures
6 Minutes Walk Test
Change from Baseline 6 Minutes Walking Distance at 6 weeks.
Walking and mobilityModified Borg Scale
Change from Baseline Fatigue Score at 6 weeks.
FatiguePlantar Pressure Distribution
Change from baseline peak pressure and contact area values at 6 weeks
Multiple Sclerosis Quality of Life Scale
Change from baseline mental and physical quality of life scores at 6 weeks
Quality of life (reported by participants)
Other measures (3)
Muscle strength with hand held dynamometer
Change from baseline muscle strength at 6 weeks
Physical functionMiniBESTest
Change from baseline MiniBESTest scores at 6 weeks
Walking and mobilityDynamic Gait Index
Change from baseline Dynamic Gait Index scores at 6 weeks
Walking and mobility
Who could take part
MS (type not specified) · 18 and over · EDSS 3 to 5
Show the full criteria
Inclusion criteria
* Older than 18 years old * EDSS score is between 3-5,5 * Patients who did not take corticosteroid therapy within three months * Patients who get at least 24 points from the Mini Mental Test were included in the study.
Exclusion criteria
* Patients who had an acute MS attack or had an attack within the last three months. * An orthopedic or systemic problem that would prevent participation in exercises * Patients who were using walking orthoses or walking aids were not included in the study.
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
Gait and mobility are among the functions frequently affected in Multiple Sclerosis (MS) and have a negative impact on quality of life. Strength losses in lower limb muscles, ataxia, sensory problems and fatigue are the most important reasons of walking problems in patients with MS. In addition to loss of strength and tonus problems, especially biomechanical disorders can be seen on foot and this problem affects gatin and balance negatively. The stabilizing muscles, defined as the "core" region and enveloping the body like a corset, are active in the context of postural preparation prior to lower extremity movements and stabilize for the limb movements to be performed. The aim of this study was to investigate the effects of spinal stabilization exercises on walking performance, fatigue, plantar pressure distribution, balance, muscle strength and quality of life in patients with Multiple Sclerosis.
Papers
Background
Bethoux F. Gait disorders in multiple sclerosis. Continuum (Minneap Minn). 2013 Aug;19(4 Multiple Sclerosis):1007-22. doi: 10.1212/01.CON.0000433286.92596.d5.Background
Givon U, Zeilig G, Achiron A. Gait analysis in multiple sclerosis: characterization of temporal-spatial parameters using GAITRite functional ambulation system. Gait Posture. 2009 Jan;29(1):138-42. doi: 10.1016/j.gaitpost.2008.07.011. Epub 2008 Oct 31.Background
Freeman JA, Gear M, Pauli A, Cowan P, Finnigan C, Hunter H, Mobberley C, Nock A, Sims R, Thain J. The effect of core stability training on balance and mobility in ambulant individuals with multiple sclerosis: a multi-centre series of single case studies. Mult Scler. 2010 Nov;16(11):1377-84. doi: 10.1177/1352458510378126. Epub 2010 Aug 10.Background
Hides J, Wilson S, Stanton W, McMahon S, Keto H, McMahon K, Bryant M, Richardson C. An MRI investigation into the function of the transversus abdominis muscle during "drawing-in" of the abdominal wall. Spine (Phila Pa 1976). 2006 Mar 15;31(6):E175-8. doi: 10.1097/01.brs.0000202740.86338.df.Background
Freeman J, Fox E, Gear M, Hough A. Pilates based core stability training in ambulant individuals with multiple sclerosis: protocol for a multi-centre randomised controlled trial. BMC Neurol. 2012 Apr 5;12:19. doi: 10.1186/1471-2377-12-19.
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History
Started
Jan 2015
Main results due
Feb 2016
Finished
May 2016