Contributions
Abstract: EP1686
Type: Poster Sessions
Abstract Category: Therapy - Symptomatic treatment
Background: Impaired balance is common in people with multiple sclerosis (MS) and can be present even in persons with mild disability level. With increasing disability level gait and balance impairment progress and lead to increased risk of falls. In some recent studies interactive commercial video games were used for improving balance but their limitation is lack of individual training parameters settings.
The aim of this study was to evaluate the effect of balance exercise in home setting using Homebalance® system.
Methods: Participants were assessed at baseline, after 4 weeks of home training and follow up after 4 weeks. The primary outcome was the Berg Balance test and the Mini-Best test. The secondary outcome measures include Timed Up and Go test, Timed 25 foot walk test and spatio-temporal gait parameters evaluation using GAITRite instrument. Patient reported outcome include 12-item MS Walking Scale, Activities-Specific Balance Confidence Scale a Falls Efficacy Scale.
The intervention consisted of home-based balance training performed daily for 15-20 minutes for 4 weeks using Homebalance® system in standing position. First exercise session was supervised by physiotherapist who individually set exercise parameters.
Results: Total number of 23 people with relapsing-remiting MS (4 men) were enrolled to the study. Mean age was 39,3 (SD 9,6), disease duration 14,9 (SD 8,5) and EDSS 3,9 (SD 1,9). After training significance improvement was reached in Berg balance (p=0.001) and in Mini-Best test (p=0.001). This improvement did not persist at follow-up assessment after interrupting training. Gait performance measured did not reach improvement. Patient reported outcomes did not reach significant improvement.
Conclusion: Short term home balance training using Homebalance® (stabilometric platform providing audio-visual biofeedback) showed positive effect on balance but not on gait performance in people with MS. Long term study is needed to confirm this results.
The study was supported by Grant Progres Q27/LF1, grant provided by SGS17/206/OHK4/3T/17 and by the Impuls Endowment.
Disclosure: KN- has received personal compensation and speaking for Merck, Novartis, Roche, and Teva.
MJ-nothing to disclose
KH-nothing to disclose
JPL-nothing to disclose
EKH- has received personal compensation for consulting and speaking for Actelion, Biogen, Celgene , Merck, Novartis, Sanofi, Roche, and Teva, and is supported by Czech Ministry of Education, project PROGRES Q27/LF1.
Abstract: EP1686
Type: Poster Sessions
Abstract Category: Therapy - Symptomatic treatment
Background: Impaired balance is common in people with multiple sclerosis (MS) and can be present even in persons with mild disability level. With increasing disability level gait and balance impairment progress and lead to increased risk of falls. In some recent studies interactive commercial video games were used for improving balance but their limitation is lack of individual training parameters settings.
The aim of this study was to evaluate the effect of balance exercise in home setting using Homebalance® system.
Methods: Participants were assessed at baseline, after 4 weeks of home training and follow up after 4 weeks. The primary outcome was the Berg Balance test and the Mini-Best test. The secondary outcome measures include Timed Up and Go test, Timed 25 foot walk test and spatio-temporal gait parameters evaluation using GAITRite instrument. Patient reported outcome include 12-item MS Walking Scale, Activities-Specific Balance Confidence Scale a Falls Efficacy Scale.
The intervention consisted of home-based balance training performed daily for 15-20 minutes for 4 weeks using Homebalance® system in standing position. First exercise session was supervised by physiotherapist who individually set exercise parameters.
Results: Total number of 23 people with relapsing-remiting MS (4 men) were enrolled to the study. Mean age was 39,3 (SD 9,6), disease duration 14,9 (SD 8,5) and EDSS 3,9 (SD 1,9). After training significance improvement was reached in Berg balance (p=0.001) and in Mini-Best test (p=0.001). This improvement did not persist at follow-up assessment after interrupting training. Gait performance measured did not reach improvement. Patient reported outcomes did not reach significant improvement.
Conclusion: Short term home balance training using Homebalance® (stabilometric platform providing audio-visual biofeedback) showed positive effect on balance but not on gait performance in people with MS. Long term study is needed to confirm this results.
The study was supported by Grant Progres Q27/LF1, grant provided by SGS17/206/OHK4/3T/17 and by the Impuls Endowment.
Disclosure: KN- has received personal compensation and speaking for Merck, Novartis, Roche, and Teva.
MJ-nothing to disclose
KH-nothing to disclose
JPL-nothing to disclose
EKH- has received personal compensation for consulting and speaking for Actelion, Biogen, Celgene , Merck, Novartis, Sanofi, Roche, and Teva, and is supported by Czech Ministry of Education, project PROGRES Q27/LF1.