Getting the balance right: a randomised controlled trial of physiotherapy and Exercise Interventions for ambulatory people with multiple sclerosis.

Hdl Handle:
http://hdl.handle.net/10147/94170
Title:
Getting the balance right: a randomised controlled trial of physiotherapy and Exercise Interventions for ambulatory people with multiple sclerosis.
Authors:
Coote, Susan; Garrett, Maria; Hogan, Neasa; Larkin, Aidan; Saunders, Jean
Affiliation:
Department of Physiotherapy, University of Limerick, Limerick, Ireland. susan.coote@ul.ie
Citation:
Getting the balance right: a randomised controlled trial of physiotherapy and Exercise Interventions for ambulatory people with multiple sclerosis. 2009, 9:34 BMC Neurol
Journal:
BMC neurology
Issue Date:
2009
URI:
http://hdl.handle.net/10147/94170
DOI:
10.1186/1471-2377-9-34
PubMed ID:
19607666
Abstract:
BACKGROUND: People with Multiple Sclerosis have a life long need for physiotherapy and exercise interventions due to the progressive nature of the disease and their greater risk of the complications of inactivity. The Multiple Sclerosis Society of Ireland run physiotherapy, yoga and exercise classes for their members, however there is little evidence to suggest which form of physical activity optimises outcome for people with the many and varied impairments associated with MS. METHODS AND DESIGN: This is a multi-centre, single blind, block randomised, controlled trial. Participants will be recruited via the ten regional offices of MS Ireland. Telephone screening will establish eligibility and stratification according to the mobility section of the Guys Neurological Disability Scale. Once a block of people of the same strand in the same geographical region have given consent, participants will be randomised. Strand A will concern individuals with MS who walk independently or use one stick to walk outside. Participants will be randomised to yoga, physiotherapy led exercise class, fitness instructor led exercise class or to a control group who don't change their exercise habits.Strand B will concern individuals with MS who walk with bilateral support or a rollator, they may use a wheelchair for longer distance outdoors. Participants will be randomised to 1:1 Physiotherapist led intervention, group intervention led by Physiotherapist, group yoga intervention or a control group who don't change their exercise habits. Participants will be assessed by physiotherapist who is blind to the group allocation at week 1, week 12 (following 10 weeks intervention or control), and at 12 week follow up. The primary outcome measure for both strands is the Multiple Sclerosis Impact Scale. Secondary outcomes are Modified Fatigue Impact Scale, 6 Minute Walk test, and muscle strength measured with hand held dynamometry. Strand B will also use Berg Balance Test and the Modified Ashworth Scale. Confounding variables such as sensation, coordination, proprioception, range of motion and other impairments will be recorded at initial assessment. DISCUSSION: Data analysis will analyse change in each group, and the differences between groups. Sub group analysis may be performed if sufficient numbers are recruited. TRIAL REGISTRATION: ISRCTN77610415.
Language:
en
MeSH:
Adult; Analysis of Variance; Exercise Therapy; Female; Hand; Humans; Male; Middle Aged; Multiple Sclerosis; Muscle Strength Dynamometer; Outcome Assessment (Health Care); Physical Therapy Modalities; Postural Balance; Prospective Studies; Severity of Illness Index; Single-Blind Method; Statistics, Nonparametric; Walking; Young Adult
ISSN:
1471-2377

Full metadata record

DC FieldValue Language
dc.contributor.authorCoote, Susanen
dc.contributor.authorGarrett, Mariaen
dc.contributor.authorHogan, Neasaen
dc.contributor.authorLarkin, Aidanen
dc.contributor.authorSaunders, Jeanen
dc.date.accessioned2010-03-12T15:36:44Z-
dc.date.available2010-03-12T15:36:44Z-
dc.date.issued2009-
dc.identifier.citationGetting the balance right: a randomised controlled trial of physiotherapy and Exercise Interventions for ambulatory people with multiple sclerosis. 2009, 9:34 BMC Neurolen
dc.identifier.issn1471-2377-
dc.identifier.pmid19607666-
dc.identifier.doi10.1186/1471-2377-9-34-
dc.identifier.urihttp://hdl.handle.net/10147/94170-
dc.description.abstractBACKGROUND: People with Multiple Sclerosis have a life long need for physiotherapy and exercise interventions due to the progressive nature of the disease and their greater risk of the complications of inactivity. The Multiple Sclerosis Society of Ireland run physiotherapy, yoga and exercise classes for their members, however there is little evidence to suggest which form of physical activity optimises outcome for people with the many and varied impairments associated with MS. METHODS AND DESIGN: This is a multi-centre, single blind, block randomised, controlled trial. Participants will be recruited via the ten regional offices of MS Ireland. Telephone screening will establish eligibility and stratification according to the mobility section of the Guys Neurological Disability Scale. Once a block of people of the same strand in the same geographical region have given consent, participants will be randomised. Strand A will concern individuals with MS who walk independently or use one stick to walk outside. Participants will be randomised to yoga, physiotherapy led exercise class, fitness instructor led exercise class or to a control group who don't change their exercise habits.Strand B will concern individuals with MS who walk with bilateral support or a rollator, they may use a wheelchair for longer distance outdoors. Participants will be randomised to 1:1 Physiotherapist led intervention, group intervention led by Physiotherapist, group yoga intervention or a control group who don't change their exercise habits. Participants will be assessed by physiotherapist who is blind to the group allocation at week 1, week 12 (following 10 weeks intervention or control), and at 12 week follow up. The primary outcome measure for both strands is the Multiple Sclerosis Impact Scale. Secondary outcomes are Modified Fatigue Impact Scale, 6 Minute Walk test, and muscle strength measured with hand held dynamometry. Strand B will also use Berg Balance Test and the Modified Ashworth Scale. Confounding variables such as sensation, coordination, proprioception, range of motion and other impairments will be recorded at initial assessment. DISCUSSION: Data analysis will analyse change in each group, and the differences between groups. Sub group analysis may be performed if sufficient numbers are recruited. TRIAL REGISTRATION: ISRCTN77610415.-
dc.language.isoenen
dc.subject.meshAdult-
dc.subject.meshAnalysis of Variance-
dc.subject.meshExercise Therapy-
dc.subject.meshFemale-
dc.subject.meshHand-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshMultiple Sclerosis-
dc.subject.meshMuscle Strength Dynamometer-
dc.subject.meshOutcome Assessment (Health Care)-
dc.subject.meshPhysical Therapy Modalities-
dc.subject.meshPostural Balance-
dc.subject.meshProspective Studies-
dc.subject.meshSeverity of Illness Index-
dc.subject.meshSingle-Blind Method-
dc.subject.meshStatistics, Nonparametric-
dc.subject.meshWalking-
dc.subject.meshYoung Adult-
dc.titleGetting the balance right: a randomised controlled trial of physiotherapy and Exercise Interventions for ambulatory people with multiple sclerosis.en
dc.contributor.departmentDepartment of Physiotherapy, University of Limerick, Limerick, Ireland. susan.coote@ul.ieen
dc.identifier.journalBMC neurologyen
All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.