Randomized clinical trial of balance-based torso weighting for improving upright mobility in people with multiple sclerosis.
Identifieur interne : 000E25 ( Main/Exploration ); précédent : 000E24; suivant : 000E26Randomized clinical trial of balance-based torso weighting for improving upright mobility in people with multiple sclerosis.
Auteurs : Gail L. Widener [États-Unis] ; Diane D. Allen ; Cynthia Gibson-HornSource :
- Neurorehabilitation and neural repair [ 1545-9683 ] ; 2009.
Descripteurs français
- KwdFr :
- Activité motrice (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Femelle (MeSH), Humains (MeSH), Marche à pied (MeSH), Mâle (MeSH), Résultat thérapeutique (MeSH), Sclérose en plaques chronique progressive (physiopathologie), Sclérose en plaques chronique progressive (rééducation et réadaptation), Sclérose en plaques récurrente-rémittente (physiopathologie), Sclérose en plaques récurrente-rémittente (rééducation et réadaptation), Techniques de physiothérapie (instrumentation), Équilibre postural (MeSH).
- MESH :
- physiopathologie : Sclérose en plaques chronique progressive, Sclérose en plaques récurrente-rémittente.
- rééducation et réadaptation : Sclérose en plaques chronique progressive, Sclérose en plaques récurrente-rémittente.
- instrumentation : Activité motrice, Adulte, Adulte d'âge moyen, Femelle, Humains, Marche à pied, Mâle, Résultat thérapeutique, Techniques de physiothérapie, Équilibre postural.
English descriptors
- KwdEn :
- Adult (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Motor Activity (MeSH), Multiple Sclerosis, Chronic Progressive (physiopathology), Multiple Sclerosis, Chronic Progressive (rehabilitation), Multiple Sclerosis, Relapsing-Remitting (physiopathology), Multiple Sclerosis, Relapsing-Remitting (rehabilitation), Physical Therapy Modalities (instrumentation), Postural Balance (MeSH), Treatment Outcome (MeSH), Walking (MeSH).
- MESH :
- instrumentation : Physical Therapy Modalities.
- physiopathology : Multiple Sclerosis, Chronic Progressive, Multiple Sclerosis, Relapsing-Remitting.
- rehabilitation : Multiple Sclerosis, Chronic Progressive, Multiple Sclerosis, Relapsing-Remitting.
- Adult, Female, Humans, Male, Middle Aged, Motor Activity, Postural Balance, Treatment Outcome, Walking.
Abstract
BACKGROUND
Torso weighting has sometimes been effective for improving upright mobility in people with multiple sclerosis, but parameters for weighting have been inconsistent.
OBJECTIVE
To determine whether balance-based torso weighting (BBTW) has immediate effects on upright mobility in people with multiple sclerosis.
METHODS
This was a 2-phase randomized clinical trial. In phase 1, 36 participants were randomly assigned to experimental and control groups. In phase 2, the control group was subsequently randomized into 2 groups with alternate weight-placement. Tests of upright mobility included: timed up and go (TUG), sharpened Romberg, 360-degree turns, 25-foot walk, and computerized platform posturography. Participants were tested at baseline and again with weights placed according to group membership. In both phases, a physical therapist assessed balance for the BBTW group and then placed weights to decrease balance loss. In phase 1, the control group had no weights placed. In phase 2, the alternate treatment group received standard weight placement of 1.5% body weight.
RESULTS
People with BBTW showed a significant improvement in the 25-foot walk (P = .01) over those with no weight, and the TUG (P = .01) over those with standard weight placement. BBTW participants received an average of 0.5 kg, less than 1.5% of any participant's body weight.
CONCLUSION
BBTW can have immediate advantages over a nonweighted condition for gait velocity and over a standardized weighted condition for a functional activity in people with multiple sclerosis (MS) who are ambulatory but have balance and mobility abnormalities.
DOI: 10.1177/1545968309336146
PubMed: 19470807
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Allen</name></author><author><name sortKey="Gibson Horn, Cynthia" sort="Gibson Horn, Cynthia" uniqKey="Gibson Horn C" first="Cynthia" last="Gibson-Horn">Cynthia Gibson-Horn</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2009">2009</date><idno type="RBID">pubmed:19470807</idno><idno type="pmid">19470807</idno><idno type="doi">10.1177/1545968309336146</idno><idno type="wicri:Area/Main/Corpus">000E19</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000E19</idno><idno type="wicri:Area/Main/Curation">000E19</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000E19</idno><idno type="wicri:Area/Main/Exploration">000E19</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Randomized clinical trial of balance-based torso weighting for improving upright mobility in people with multiple sclerosis.</title><author><name sortKey="Widener, Gail L" sort="Widener, Gail L" uniqKey="Widener G" first="Gail L" last="Widener">Gail L. Widener</name><affiliation wicri:level="2"><nlm:affiliation>Department of Physical Therapy, Samuel Merritt University, Oakland, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Physical Therapy, Samuel Merritt University, Oakland</wicri:cityArea></affiliation></author><author><name sortKey="Allen, Diane D" sort="Allen, Diane D" uniqKey="Allen D" first="Diane D" last="Allen">Diane D. Allen</name></author><author><name sortKey="Gibson Horn, Cynthia" sort="Gibson Horn, Cynthia" uniqKey="Gibson Horn C" first="Cynthia" last="Gibson-Horn">Cynthia Gibson-Horn</name></author></analytic><series><title level="j">Neurorehabilitation and neural repair</title><idno type="ISSN">1545-9683</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Motor Activity (MeSH)</term><term>Multiple Sclerosis, Chronic Progressive (physiopathology)</term><term>Multiple Sclerosis, Chronic Progressive (rehabilitation)</term><term>Multiple Sclerosis, Relapsing-Remitting (physiopathology)</term><term>Multiple Sclerosis, Relapsing-Remitting (rehabilitation)</term><term>Physical Therapy Modalities (instrumentation)</term><term>Postural Balance (MeSH)</term><term>Treatment Outcome (MeSH)</term><term>Walking (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Activité motrice (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Marche à pied (MeSH)</term><term>Mâle (MeSH)</term><term>Résultat thérapeutique (MeSH)</term><term>Sclérose en plaques chronique progressive (physiopathologie)</term><term>Sclérose en plaques chronique progressive (rééducation et réadaptation)</term><term>Sclérose en plaques récurrente-rémittente (physiopathologie)</term><term>Sclérose en plaques récurrente-rémittente (rééducation et réadaptation)</term><term>Techniques de physiothérapie (instrumentation)</term><term>Équilibre postural (MeSH)</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Physical Therapy Modalities</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Sclérose en plaques chronique progressive</term><term>Sclérose en plaques récurrente-rémittente</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Multiple Sclerosis, Chronic Progressive</term><term>Multiple Sclerosis, Relapsing-Remitting</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Multiple Sclerosis, Chronic Progressive</term><term>Multiple Sclerosis, Relapsing-Remitting</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Sclérose en plaques chronique progressive</term><term>Sclérose en plaques récurrente-rémittente</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Motor Activity</term><term>Postural Balance</term><term>Treatment Outcome</term><term>Walking</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="fr"><term>Activité motrice</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Marche à pied</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Techniques de physiothérapie</term><term>Équilibre postural</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Torso weighting has sometimes been effective for improving upright mobility in people with multiple sclerosis, but parameters for weighting have been inconsistent.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To determine whether balance-based torso weighting (BBTW) has immediate effects on upright mobility in people with multiple sclerosis.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>This was a 2-phase randomized clinical trial. In phase 1, 36 participants were randomly assigned to experimental and control groups. In phase 2, the control group was subsequently randomized into 2 groups with alternate weight-placement. Tests of upright mobility included: timed up and go (TUG), sharpened Romberg, 360-degree turns, 25-foot walk, and computerized platform posturography. Participants were tested at baseline and again with weights placed according to group membership. In both phases, a physical therapist assessed balance for the BBTW group and then placed weights to decrease balance loss. In phase 1, the control group had no weights placed. In phase 2, the alternate treatment group received standard weight placement of 1.5% body weight.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>People with BBTW showed a significant improvement in the 25-foot walk (P = .01) over those with no weight, and the TUG (P = .01) over those with standard weight placement. BBTW participants received an average of 0.5 kg, less than 1.5% of any participant's body weight.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>BBTW can have immediate advantages over a nonweighted condition for gait velocity and over a standardized weighted condition for a functional activity in people with multiple sclerosis (MS) who are ambulatory but have balance and mobility abnormalities.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">19470807</PMID><DateCompleted><Year>2009</Year><Month>11</Month><Day>16</Day></DateCompleted><DateRevised><Year>2009</Year><Month>09</Month><Day>17</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1545-9683</ISSN><JournalIssue CitedMedium="Print"><Volume>23</Volume><Issue>8</Issue><PubDate><Year>2009</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Neurorehabilitation and neural repair</Title><ISOAbbreviation>Neurorehabil Neural Repair</ISOAbbreviation></Journal><ArticleTitle>Randomized clinical trial of balance-based torso weighting for improving upright mobility in people with multiple sclerosis.</ArticleTitle><Pagination><MedlinePgn>784-91</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/1545968309336146</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Torso weighting has sometimes been effective for improving upright mobility in people with multiple sclerosis, but parameters for weighting have been inconsistent.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine whether balance-based torso weighting (BBTW) has immediate effects on upright mobility in people with multiple sclerosis.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This was a 2-phase randomized clinical trial. In phase 1, 36 participants were randomly assigned to experimental and control groups. In phase 2, the control group was subsequently randomized into 2 groups with alternate weight-placement. Tests of upright mobility included: timed up and go (TUG), sharpened Romberg, 360-degree turns, 25-foot walk, and computerized platform posturography. Participants were tested at baseline and again with weights placed according to group membership. In both phases, a physical therapist assessed balance for the BBTW group and then placed weights to decrease balance loss. In phase 1, the control group had no weights placed. In phase 2, the alternate treatment group received standard weight placement of 1.5% body weight.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">People with BBTW showed a significant improvement in the 25-foot walk (P = .01) over those with no weight, and the TUG (P = .01) over those with standard weight placement. BBTW participants received an average of 0.5 kg, less than 1.5% of any participant's body weight.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">BBTW can have immediate advantages over a nonweighted condition for gait velocity and over a standardized weighted condition for a functional activity in people with multiple sclerosis (MS) who are ambulatory but have balance and mobility abnormalities.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Widener</LastName><ForeName>Gail L</ForeName><Initials>GL</Initials><AffiliationInfo><Affiliation>Department of Physical Therapy, Samuel Merritt University, Oakland, California.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Allen</LastName><ForeName>Diane D</ForeName><Initials>DD</Initials></Author><Author ValidYN="Y"><LastName>Gibson-Horn</LastName><ForeName>Cynthia</ForeName><Initials>C</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D017427">Clinical Trial, Phase II</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2009</Year><Month>05</Month><Day>26</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Neurorehabil Neural Repair</MedlineTA><NlmUniqueID>100892086</NlmUniqueID><ISSNLinking>1545-9683</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009043" MajorTopicYN="Y">Motor Activity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020528" MajorTopicYN="N">Multiple Sclerosis, Chronic Progressive</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D020529" MajorTopicYN="N">Multiple Sclerosis, Relapsing-Remitting</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D026741" MajorTopicYN="N">Physical Therapy Modalities</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="Y">Postural Balance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016138" MajorTopicYN="N">Walking</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2009</Year><Month>5</Month><Day>28</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2009</Year><Month>5</Month><Day>28</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2009</Year><Month>11</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">19470807</ArticleId><ArticleId IdType="pii">1545968309336146</ArticleId><ArticleId IdType="doi">10.1177/1545968309336146</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><noCountry><name sortKey="Allen, Diane D" sort="Allen, Diane D" uniqKey="Allen D" first="Diane D" last="Allen">Diane D. Allen</name><name sortKey="Gibson Horn, Cynthia" sort="Gibson Horn, Cynthia" uniqKey="Gibson Horn C" first="Cynthia" last="Gibson-Horn">Cynthia Gibson-Horn</name></noCountry><country name="États-Unis"><region name="Californie"><name sortKey="Widener, Gail L" sort="Widener, Gail L" uniqKey="Widener G" first="Gail L" last="Widener">Gail L. Widener</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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