Relationship Between Balance Confidence and Social Engagement in People with Multiple Sclerosis

2021 ◽  
pp. 103440
Author(s):  
Grace I. Judd ◽  
Andrea D. Hildebrand ◽  
Myla D. Goldman ◽  
Michelle H. Cameron
Keyword(s):  
Multiple Sclerosis ◽  
Social Engagement ◽  
Balance Confidence

scholarly journals Factors for Lower Walking Speed in Persons with Multiple Sclerosis

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Leandro Alberto Calazans Nogueira ◽  
Luciano Teixeira dos Santos ◽  
Pollyane Galinari Sabino ◽  
Regina Maria Papais Alvarenga ◽  
Luiz Claudio Santos Thuler
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Physical Activity Level ◽  
Walking Speed ◽  
Motor Planning ◽  
Activity Level ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Balance Confidence ◽  
Significant Difference

Objective. The purpose of this study was to analyze factors related to lower walking speed in persons with multiple sclerosis (PwMS).Methods. A cross-sectional survey was conducted. The study participants were 120 consecutive PwMS, who were able to walk, even with device assistance. Demographic and clinical data were collected. Walking speed was measured in 10 m walk test. Possible factors were assessed: disability, fatigue, visual functioning, balance confidence, physical activity level, walking impact, cognitive interference, and motor planning. A forward linear multiple regression analysis examined the correlation with lower speed.Results. Lower walking speed was observed in 85% of the patients. Fatigue (41%), recurrent falls (30%), and balance problems were also present, even with mild disability (averageEDSS=2.68). A good level of physical activity was noted in most of the subjects. Dual-task procedure revealed 11.58% of walking speed reduction. Many participants (69.57%) imagined greater walking speed than motor execution (mean ≥ 28.42%). Physical activity level was the only characteristic that demonstrated no significant difference between the groups (lower versus normal walking speed). Many mobility measures were correlated with walking speed; however, disability, balance confidence, and motor planning were the most significant.Conclusions. Disability, balance confidence, and motor planning were correlated with lower walking speed.

scholarly journals The Role of Clinical and Instrumented Outcome Measures in Balance Control of Individuals with Multiple Sclerosis

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Neeta Kanekar ◽  
Alexander S. Aruin
Keyword(s):  
Multiple Sclerosis ◽  
Balance Control ◽  
Clinical Test ◽  
Balance Performance ◽  
Performance Deficits ◽  
Clinical Scales ◽  
Balance Confidence ◽  
High Fatigue ◽  
Healthy Control ◽  
Stability Limits

Purpose. The aim of the study was to investigate differences in balance control between individuals with multiple sclerosis (MS) and healthy control subjects using clinical scales and instrumented measures of balance and determine relationships between balance measures, fatigue, and disability levels in individuals with MS with and without a history of falls.Method. Twelve individuals with MS and twelve healthy controls were evaluated using the Berg Balance and Activities-specific Balance Confidence Scales, Modified Clinical Test of Sensory Interaction on Balance, and Limits of Stability Tests as well as Fatigue Severity Scale and Barthel Index.Results. Mildly affected individuals with MS had significant balance performance deficits and poor balance confidence levels (P<0.05). MS group had higher sway velocities and diminished stability limits (P<0.05), significant sensory impairments, high fatigue and disability levels (P<0.05). Sway velocity was a significant predictor of balance performance and the ability to move towards stability limits for the MS group. For the MS-fallers group, those with lower disability levels had faster movement velocities and better balance performance.Conclusion. Implementation of both clinical and instrumented tests of balance is important for the planning and evaluation of treatment outcomes in balance rehabilitation of people with MS.

The Relationship Between Balance Confidence and Cognitive Motor Interference in Individuals With Multiple Sclerosis

2015 ◽  
Vol 48 (1) ◽  
pp. 66-71 ◽  
Author(s):  
Douglas A. Wajda ◽  
Kathleen L. Roeing ◽  
Edward McAuley ◽  
Robert W. Motl ◽  
Jacob J. Sosnoff
Keyword(s):  
Multiple Sclerosis ◽  
Balance Confidence ◽  
The Relationship

scholarly journals Community Delivery of a Comprehensive Fall-Prevention Program in People with Multiple Sclerosis

2016 ◽  
Vol 18 (1) ◽  
pp. 42-48 ◽  
Author(s):  
Cinda L. Hugos ◽  
Debra Frankel ◽  
Sara A. Tompkins ◽  
Michelle Cameron
Keyword(s):  
Multiple Sclerosis ◽  
Fall Prevention ◽  
Berg Balance Scale ◽  
Timed Up And Go ◽  
Balance Confidence ◽  
Balance Scale ◽  
Scale Scores ◽  
The Impact ◽  
Confidence Scale

Background: People with multiple sclerosis (MS) fall frequently. In 2011, the National Multiple Sclerosis Society launched a multifactorial fall-prevention group exercise and education program, Free From Falls (FFF), to prevent falls in MS. The objective of this study was to assess the impact of participation in the FFF program on balance, mobility, and falls in people with MS. Methods: This was a retrospective evaluation of assessments from community delivery of FFF. Changes in Activities-specific Balance Confidence scale scores, Berg Balance Scale scores, 8-foot Timed Up and Go performance, and falls were assessed. Results: A total of 134 participants completed the measures at the first and last FFF sessions, and 109 completed a 6-month follow-up assessment. Group mean scores on the Activities-specific Balance Confidence scale (F1,66 = 17.14, P &lt; .05, η2 = 0.21), Berg Balance Scale (F1,68 = 23.39, P &lt; .05, η2 = 0.26), and 8-foot Timed Up and Go (F1,79 = 4.83, P &lt; .05, η2 = 0.06) all improved significantly from the first to the last session. At the 6-month follow-up, fewer falls were reported (χ2 [4, N = 239] = 10.56, P &lt; .05, Phi = 0.21). Conclusions: These observational data suggest that the FFF group education and exercise program improves balance confidence, balance performance, and functional mobility and reduces falls in people with MS.

Use of Awareness Through Movement Improves Balance and Balance Confidence in People with Multiple Sclerosis

2001 ◽  
Vol 25 (2) ◽  
pp. 39-49 ◽  
Author(s):  
James Stephens ◽  
Dominique DuShuttle ◽  
Carla Hatcher ◽  
Jenifer Shmunes ◽  
Christine Slaninka
Keyword(s):  
Multiple Sclerosis ◽  
Balance Confidence

scholarly journals Activities-Specific Balance Confidence in People with Multiple Sclerosis

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Ylva Nilsagård ◽  
Anna Carling ◽  
Anette Forsberg
Keyword(s):  
Multiple Sclerosis ◽  
Convergent Validity ◽  
Ecological Validity ◽  
Cross Sectional Study ◽  
Step Test ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Balance Confidence ◽  
Rural And Urban ◽  
Four Square

Objective. To evaluate the validity of the Activities-specific Balance Confidence scale (ABC) in people with multiple sclerosis (PwMS).Design. A multicentre, cross-sectional study.Setting. Six rural and urban Swedish sites, including specialized units at hospitals and primary care centers.Participants. A sample of 84 PwMS with subjective gait and balance impairment but still able to walk 100 m (comparable with EDSS 1–6).Outcome Measures. Timed Up and Go, Timed Up and Gocog, 25-foot Timed Walk Test, Four Square Step Test, Dynamic Gait Index, Chair Stand Test, 12-item MS Walking Scale, self-reported falls, and use of assistive walking device were used for validation.Results. The concurrent convergent validity was moderate to good (0.50 to −0.75) with the highest correlation found for the 12-item MS Walking Scale. The ABC discriminated between multiple fallers and nonfallers but not between men and women. Ecological validity is suggested since ABC discriminated between users of assistive walking device and nonusers. The internal consistency was high atα=0.95,and interitem correlations were between 0.30 and 0.83.Conclusion. This study supports the validity of the ABC for persons with mild-to-moderate MS. The participants lacked balance confidence in many everyday activities, likely restricting their participation in society.

Sensory integration balance training in patients with multiple sclerosis: A randomized, controlled trial

2015 ◽  
Vol 21 (11) ◽  
pp. 1453-1462 ◽  
Author(s):  
Marialuisa Gandolfi ◽  
Daniele Munari ◽  
Christian Geroin ◽  
Alberto Gajofatto ◽  
Maria Donata Benedetti ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Sensory Integration ◽  
Controlled Trial ◽  
Balance Training ◽  
Control Group ◽  
Balance Disorders ◽  
Balance Confidence ◽  
Sensory Inputs ◽  
Randomized Controlled

Background: Impaired sensory integration contributes to balance disorders in patients with multiple sclerosis (MS). Objective: The objective of this paper is to compare the effects of sensory integration balance training against conventional rehabilitation on balance disorders, the level of balance confidence perceived, quality of life, fatigue, frequency of falls, and sensory integration processing on a large sample of patients with MS. Methods: This single-blind, randomized, controlled trial involved 80 outpatients with MS (EDSS: 1.5–6.0) and subjective symptoms of balance disorders. The experimental group ( n = 39) received specific training to improve central integration of afferent sensory inputs; the control group ( n = 41) received conventional rehabilitation (15 treatment sessions of 50 minutes each). Before, after treatment, and at one month post-treatment, patients were evaluated by a blinded rater using the Berg Balance Scale (BBS), Activities-specific Balance Confidence Scale (ABC), Multiple Sclerosis Quality of Life-54, Fatigue Severity Scale (FSS), number of falls and the Sensory Organization Balance Test (SOT). Results: The experimental training program produced greater improvements than the control group training on the BBS ( p < 0.001), the FSS ( p < 0.002), number of falls ( p = 0.002) and SOT ( p < 0.05). Conclusions: Specific training to improve central integration of afferent sensory inputs may ameliorate balance disorders in patients with MS. Clinical Trial Registration (NCT01040117).

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