The Effect of Coduse Group Exercise Improves Balance and Reduce Falls in Patients with Multiple Sclerosis: A Comparative study

Deepak, J Prakash (2019) The Effect of Coduse Group Exercise Improves Balance and Reduce Falls in Patients with Multiple Sclerosis: A Comparative study. Masters thesis, Nandha College of Physiotherapy, Erode.

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Abstract

BACKGROUND: Imbalance leading to falls is common in people with multiple sclerosis (PwMS). OBJECTIVE: To evaluate the effects of a balance group exercise programme (CoDuSe) on balance and walking in PwMS (Expanded Disability Status Scale, 4.0–7.5). METHODS: A multi-centre, randomized, controlled single-blinded pilot study with random allocation to early or late start of exercise, with the latter group serving as control group for the physical function measures. In total, 14 supervised 60-minute exercise sessions were delivered over 7 weeks. Pretest–posttest analyses were conducted for self-reported near falls and falls in the group starting late. Primary outcome was Berg Balance Scale (BBS). A total of 51 participants were initially enrolled; three were lost to follow-up. RESULTS: Post-intervention, the exercise group showed statistically significant improvement (p = 0.015) in BBS and borderline significant improvement in MS Walking Scale (p = 0.051), both with large effect sizes (3.66; −2.89). No other significant differences were found between groups. In the group starting late, numbers of falls and near falls were statistically significantly reduced after exercise compared to before (p < 0.001 ; p < 0.004). CONCLUSION: This pilot study suggests that the CoDuSe exercise improved balance and reduced perceived walking limitations, compared to no exercise. The intervention reduced falls and near falls frequency.

Item Type: Thesis (Masters)
Additional Information: Reg.No.271720061
Uncontrolled Keywords: Coduse Group Exercise, Balance and Reduce Falls, Multiple Sclerosis.
Subjects: PHYSIOTHERAPY > Physiotherapy in Neurology
Depositing User: Ravindran C
Date Deposited: 15 Sep 2019 13:49
Last Modified: 20 Sep 2019 14:48
URI: http://repository-tnmgrmu.ac.in/id/eprint/11479

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