Effects of a home-based step training programme on balance, stepping, cognition and functional performance in people with multiple sclerosis – a randomized controlled trial

Phu Hoang; Daniel Schoene; Simon Gandevia; Stuart T Smith; Stephen R Lord

doi:10.1177/1352458515579442

Back

Effects of a home-based step training programme on balance, stepping, cognition and functional performance in people with multiple sclerosis – a randomized controlled trial

Journal article

Peer reviewed

Effects of a home-based step training programme on balance, stepping, cognition and functional performance in people with multiple sclerosis – a randomized controlled trial

Phu Hoang, Daniel Schoene, Simon Gandevia, Stuart T Smith and Stephen R Lord

Multiple Sclerosis Journal, Vol.22(1), pp.94-103

2016

DOI: https://doi.org/10.1177/1352458515579442

Files and links (1)

url

https://doi.org/10.1177/1352458515579442View

Published Version

Abstract

Clinical Sciences

Neurosciences

rehabilitation

multiple sclerosis

Background: Stepping impairments increase fall risk in people with MS. No studies have evaluated step training for reducing fall risk in this population. Objectives: To determine if step training can improve physical and neuropsychological measures associated with falls in MS. Methods: 50 PwMS with moderate disability participated in a randomized controlled trial in which intervention group participants (n= 28) performed step training for 12 weeks while controls (n= 22) continued usual physical activity. The primary outcomes were choice stepping reaction time (CSRT) and Stroop stepping test (SST) time. Secondary outcomes included balance test (postural sway, CSRT components), gait speed and cognitive tests, nine-hole peg test (9-HPT) and MS functional composite (MSFC) score. Results: 44 participants completed the study and no adverse events were reported. Compared with the control group, the intervention group performed significantly better at retest in CSRT and SST times, and tests of sway with eyes open, 9-HPT, single and dual task gait speed and MSFC score. There was a non-significant trend for fewer falls in the intervention group. Conclusions: The findings indicate that the step training programme is feasible, safe and effective in improving stepping, standing balance, coordination and functional performance in people with MS.

Details

Title: Effects of a home-based step training programme on balance, stepping, cognition and functional performance in people with multiple sclerosis – a randomized controlled trial
Authors: Phu Hoang (Author) - Neuroscience Research Australia
Daniel Schoene (Author) - Neuroscience Research Australia
Simon Gandevia (Author) - Neuroscience Research Australia
Stuart T Smith (Author) - University of Tasmania
Stephen R Lord (Author) - Neuroscience Research Australia
Publication details: Multiple Sclerosis Journal, Vol.22(1), pp.94-103
Publisher: Sage Publications Ltd.
Date published: 2016
DOI: 10.1177/1352458515579442
ISSN: 1352-4585
Organisation Unit: University of the Sunshine Coast, Queensland
Language: English
Record Identifier: 99449142002621
Output Type: Journal article

Metrics

14 File views/ downloads

926 Record Views

103 Times Cited - Web of Science

InCites Highlights

These are selected metrics from InCites Benchmarking & Analytics tool, related to this output

Collaboration types: Domestic collaboration
Web Of Science research areas: Clinical Neurology; Neurosciences

UN Sustainable Development Goals (SDGs)

This output has contributed to the advancement of the following goals:

Source: InCites