Home Balance Training Intervention for People With Multiple Sclerosis

2007 ◽  
Vol 9 (3) ◽  
pp. 111-117 ◽  
Author(s):  
Kurt Jackson ◽  
Janet A. Mulcare ◽  
Betsy Donahoe-Fillmore ◽  
H. Ira Fritz ◽  
Mary M. Rodgers
Keyword(s):  
Multiple Sclerosis ◽  
Repeated Measures ◽  
Control Period ◽  
Balance Training ◽  
Exercise Program ◽  
Berg Balance Scale ◽  
Community Dwelling ◽  
Home Exercise ◽  
Training Intervention ◽  
Home Exercise Program

This study investigated the effects of a home balance training intervention on people with multiple sclerosis (MS). This quasi-experimental repeated-measures study involved 14 ambulatory community-dwelling individuals with MS. Subjects were assessed on three separate occasions: before and after a 6-week control period and after a 6-week home exercise program. After the intervention, subjects demonstrated significant improvement in measures of balance, including the Berg Balance Scale and specific components of the Sensory Organization and Limits of Stability Tests. In conclusion, a multidimensional home exercise program can improve certain measures of balance in individuals with MS who have mild to moderate disability. Whether these improvements lead to improved quality of life or a reduction in fall risk is yet to be determined.

scholarly journals Adherence to Physiotherapy-Guided Web-Based Exercise for Persons with Moderate-to-Severe Multiple Sclerosis

2020 ◽  
Vol 22 (5) ◽  
pp. 208-214
Author(s):  
Sarah J. Donkers ◽  
Darren Nickel ◽  
Lorna Paul ◽  
Shyane R. Wiegers ◽  
Katherine B. Knox
Keyword(s):  
Multiple Sclerosis ◽  
Adverse Events ◽  
Exercise Program ◽  
Effect Sizes ◽  
Home Exercise ◽  
Web Based ◽  
Home Exercise Program ◽  
Wheelchair Users ◽  
Secondary Outcomes ◽  
The Web

Abstract Background: Options to support adherence to physical activity in moderate-to-severe multiple sclerosis (MS) are needed. The primary aim was to evaluate adherence to a Web-based, individualized exercise program in moderate-to-severe MS. Secondary aims explored changes in 29-item Multiple Sclerosis Impact Scale, Hospital Anxiety and Depression Scale (HADS), grip strength, Timed 25-Foot Walk test, and Timed Up and Go (TUG) results. Methods: Participants were randomized (2:1) to a physiotherapist-guided Web-based home exercise program or a physiotherapist-prescribed written home exercise program. The primary outcome was adherence (number of exercise sessions over 26 weeks). Secondary outcomes were described in terms of means and effect sizes. Results: There were 48 participants: mean ± SD age, 54.3 ± 11.9 years; disease duration, 19.5 ± 11.0 years; and Patient-Determined Disease Steps scale score, 4.4 ± 1.6. There was no significant difference in mean ± SD adherence in the Web-based group (38.9 ± 28.1) versus the comparator group (34.6 ± 40.8; U = 198.5, P = .208, Hedges’ g = 0.13). Nearly 50% of participants (23 of 48) exercised at least twice per week for at least 13 of the 26 weeks. Adherence was highest in the Web-based subgroup of wheelchair users. Medium effect sizes were found for the HADS anxiety subscale and in ambulatory participants for TUG. There were no adverse events. Conclusions: There was no difference in exercise adherence between the Web-based and active comparator groups. There was no worsening of secondary outcomes or adverse events, supporting the safety of Web-based physiotherapy. More research is needed to determine whether wheelchair users might be most likely to benefit from Web-based physiotherapy.

Partnering to Increase Access to Community Exercise Programs for People With Stroke, Acquired Brain Injury, and Multiple Sclerosis

2014 ◽  
Vol 11 (4) ◽  
pp. 838-845 ◽  
Author(s):  
Nancy Margaret Salbach ◽  
Jo-Anne Howe ◽  
Karen Brunton ◽  
Kathryn Salisbury ◽  
Lorene Bodiam
Keyword(s):  
Multiple Sclerosis ◽  
Brain Injury ◽  
Physical Therapists ◽  
Exercise Program ◽  
Acquired Brain Injury ◽  
Berg Balance Scale ◽  
Community Dwelling ◽  
Municipal Recreation ◽  
Neurological Conditions ◽  
Exercise Classes

Background:The purpose of this article is to describe the development and evaluation of a task-oriented group exercise program, delivered through a municipal recreation program, for community-dwelling people with neurological conditions.Methods:Physical therapists (PTs) at a rehabilitation hospital partnered with a municipal recreation provider to develop and evaluate a 12-week exercise program for people with stroke, acquired brain injury, and multiple sclerosis at 2 community centers. Fitness instructors who were trained and supported by PTs taught 1-hour exercise classes twice a week. In a program evaluation of the safety, feasibility and effects of the program, standardized measures of physical function were administered before and after the program.Results:Fourteen individuals (mean age: 63 years) participated and attended 92% of exercise classes, on average. Two minor adverse events occurred during 293 attendances. Improvement in mean score on all measures was observed. In people with stroke, a statistically significant improvement in mean Berg Balance Scale (mean ± SD change = 3 ± 2 points, P = .016, n = 7) and 6-minute walk test scores (change = 26 ± 26 m, P = .017, n = 9) was observed.Conclusions:This model of exercise delivery provides people with neurological conditions with access to a safe, feasible and potentially beneficial exercise program in the community.

scholarly journals Potential Benefits of Nintendo Wii Fit Among People with Multiple Sclerosis

2011 ◽  
Vol 13 (1) ◽  
pp. 21-30 ◽  
Author(s):  
Matthew Plow ◽  
Marcia Finlayson
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Repeated Measures ◽  
Short Form ◽  
Control Period ◽  
Exercise Program ◽  
Nintendo Wii ◽  
Repeated Measures Design ◽  
Wii Fit ◽  
Nintendo Wii Fit

We examined the potential of Nintendo Wii Fit (Nintendo Co, Ltd, Kyoto, Japan) to increase physical activity (PA) behavior and health among people with multiple sclerosis (MS). The study consisted of a repeated-measures design with a baseline control period and involved 30 people with MS who had the ability to walk 25 feet with or without a cane (26 individuals were included in the analyses). Nintendo Wii was set up in the homes of participants, who were prescribed a Wii Fit exercise program lasting 14 weeks, 3 days a week. The Physical Activity and Disability Survey, Modified Fatigue Impact Scale, and 36-item Short Form Health Status Survey were administered three times before participants gained access to Wii Fit (control period, at 2-week intervals), and three times after they received Wii Fit (posttest 1: immediately after; posttest 2: 7 weeks after; posttest 3: 14 weeks after). Mobility, balance, strength, and weight were assessed at the first pretest, immediately prior to obtaining access to Wii Fit, and 7 weeks after obtaining access to Wii Fit. Results from the questionnaires indicated that PA significantly improved at week 7, but at week 14, PA levels declined relative to week 7 and the difference was no longer significant compared with the control period. Physical assessments indicated that balance and strength significantly improved at week 7. One adverse event was reported (repetitive knee injury). Physical assessments indicated that people with MS may be able to improve their fitness levels by using Wii Fit. Future studies should incorporate behavior change strategies to promote long-term use of Wii Fit, and explore whether individuals with more severe symptoms of MS can safely use Wii Fit.

Core Muscle Strengthening’s Improvement of Balance Performance in Community-Dwelling Older Adults: A Pilot Study

2014 ◽  
Vol 22 (1) ◽  
pp. 65-73 ◽  
Author(s):  
Nicole Kahle ◽  
Michael A. Tevald
Keyword(s):  
Older Adults ◽  
Balance Training ◽  
Exercise Program ◽  
Exercise Group ◽  
Community Dwelling ◽  
Home Exercise ◽  
Balance Performance ◽  
Balance Test ◽  
Community Dwelling Older Adults

To determine the effect of core muscle strengthening on balance in community-dwelling older adults, 24 healthy men and women between 65 and 85 years old were randomized to either exercise (EX;n= 12) or control (CON;n= 12) groups. The exercise group performed a core strengthening home exercise program thrice weekly for 6 wk. Core muscle (curl-up test), functional reach (FR) and Star Excursion Balance Test (SEBT) were assessed at baseline and follow-up. There were no group differences at baseline. At follow-up, EX exhibited significantly greater improvements in curl-up (Cohen’sd= 4.4), FR (1.3), and SEBT (>1.9 for all directions) than CON. The change in curl-up was significantly correlated with the change in FR (r= .44,p= .03) and SEBT (r> .61,p≤ .002). These results suggest that core strengthening should be part of a comprehensive balance-training program for older adults.

Effect of a Home Exercise Program on Dynamic Balance in Elderly With a History of Falls

2011 ◽  
Vol 19 (4) ◽  
pp. 291-305 ◽  
Author(s):  
Sharon L. Olson ◽  
Shu-Shi Chen ◽  
Ching-Yi Wang
Keyword(s):  
Reaction Time ◽  
Dynamic Balance ◽  
Exercise Program ◽  
Community Dwelling ◽  
Home Exercise ◽  
Control Group ◽  
Significant Group ◽  
Home Exercise Program ◽  
Phone Calls ◽  
Directional Control

Objective:To determine exercise efficacy in improving dynamic balance in community-dwelling elderly with a fall history.Methods:Thirty-five participants were randomly assigned to a treatment (TG; n = 19, 77 ± 7 yr) or control group (CG; n = 16, 75 ± 8 yr). The TG received an individualized home exercise program, and the CG received phone calls twice per week for 12 weeks. Participants’ dynamic-balance abilities— directional control (DC), endpoint excursion (EE), maximum excursion (ME), reaction time (RT), and movement velocity (MV)—were measured using the Balance Master at 75% limits of stability. Functional reach (FR) was also measured.Results:At 12 weeks the TG demonstrated significant improvements in DC (p < .0025), EE (p < .0005), and ME (p < .0005), but the CG did not. No significant group differences were found for MV, RT, or FR.Conclusions:Excursion distances and directional control improved but not reaction time, suggesting that exercises requiring quick responses may be needed.

scholarly journals Effect of a simple and adherent home exercise program on the physical function of community dwelling adults sixty years of age and older with pre-sarcopenia or sarcopenia

2016 ◽  
Vol 28 (11) ◽  
pp. 3183-3188 ◽  
Author(s):  
Kohei Maruya ◽  
Yasuyoshi Asakawa ◽  
Hideaki Ishibashi ◽  
Hiroaki Fujita ◽  
Tomoyuki Arai ◽  
...  
Keyword(s):  
Physical Function ◽  
Exercise Program ◽  
Community Dwelling ◽  
Home Exercise ◽  
Home Exercise Program
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