The Risk of falls and fatigue changes in individuals with Multiple sclerosis using an integrated exercise program
| Date |
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2020-12-02 |
Short Oral Scientific Presentation Session
Bibliogr.: p. 10
ISBN 978-9955-15-683-3
Abstracts included in the „Book of Abstracts“ were reviewed by one independent scientific referee: Kristina Berškienė, Algė Daunoravičienė, Alma Kajėnienė, Vilma Tamulionytė, Renata Žumbakytė-Šermukšnienė, Ernesta Gurskienė, Viktorija Kaktienė, Agnė Slapšinskaitė, Saulė Salatkaitė, Giedrė Vaičienė.
Introduction. About 50 to 80 percent of people with Multiple sclerosis (MS) experience balance and gait disorders, and 50 percent of them experience falls (1). Daily fatigue is associated with physical, cognitive, and psychosocial health, not only with the risk of falls, but it also limits patients’ daily activities (2, 3). It is important to find out whether an integrated physiotherapy program can correct the imbalance, reduce the risk of falls and fatigue. It is still unclear whether the effectiveness of a physiotherapy depends solely on the content of the program, or whether the time of day as well. The aim of this study was to evaluate the risk of falls and fatigue changes in individuals with MS using an integrated exercise program. Research methods and organization. The study involved 16 females and 4 males aged 40 to 60 (52.35 ± 8.1) years, who belong to the Kaunas District Multiple Sclerosis Society. Participants were divided into two exposure groups and underwent the same integrated exercise program, which included stretching (10 min.), torso stabilization (20 min.), sensorimotor exercises (15 min.) and a dual-task method (15 min.). This program is based on the principle of the CoDuSe program: adding a dual task increases the postural sway and sensory disturbances evoke difficulties in balance control for MS patients (4). Each group received 10 sessions every other day, 1 hour / day. The first group received physiotherapy in the morning and the second one – in the afternoon. At the beginning of the study, Timed Up and Go test was used for fall risk assessment (less than 10 s - no fall risk). For fatigue evaluation we used Multidimensional Fatigue Inventory Scale, which consist of 20-item scale designed to evaluate five aspects of fatigue: general fatigue, physical fatigue, motivation, activity, and mental fatigue (0 percent - no fatigue; 100 percent - high fatigue). At the end of the study, a re-ev [...].