BACKGROUND: Multiple sclerosis (MS) is a chronic progressive disease of the central nervous system. Compared to healthy individuals, persons with multiple sclerosis (PwMS) have increased postural sway in quiet stance, decreased gait speed and increased fall incidence. Trunk performance has been implicated in postural control, gait dysfunction, and fall prevention in older adults. However, the relationship of trunk performance to postural control and gait has not been adequately studied in PwMS. OBJECTIVE: To compare trunk muscle structure and performance in PwMS to healthy age and gendered-matched controls (HC); to determine the effects of isometric trunk endurance testing on postural control in both populations; and to determine the relationship of trunk performance with postural control, gait and step activity in PwMS. METHODS: Fifteen PwMS and HC completed ultrasound imaging of trunk muscles, 10 m walk test, isometric trunk endurance tests, and postural sway test. Participants wore a step activity monitor for 7 days. RESULTS: PwMS had worse isometric trunk endurance compared to HC. PwMS trunk flexion endurance negatively correlated to several postural control measures and positively correlated to gait speed and step activity. CONCLUSIONS: Clinicians should consider evaluation and interventions directed at impaired trunk endurance in PwMS.
BACKGROUND:Multiple sclerosis (MS) is a chronic progressive disease of the central nervous system. Compared to healthy individuals, persons with multiple sclerosis (PwMS) have increased postural sway in quiet stance, decreased gait speed and increased fall incidence. Trunk performance has been implicated in postural control, gait dysfunction, and fall prevention in older adults. However, the relationship of trunk performance to postural control and gait has not been adequately studied in PwMS. OBJECTIVE: To compare trunk muscle structure and performance in PwMS to healthy age and gendered-matched controls (HC); to determine the effects of isometric trunk endurance testing on postural control in both populations; and to determine the relationship of trunk performance with postural control, gait and step activity in PwMS. METHODS: Fifteen PwMS and HC completed ultrasound imaging of trunk muscles, 10 m walk test, isometric trunk endurance tests, and postural sway test. Participants wore a step activity monitor for 7 days. RESULTS: PwMS had worse isometric trunk endurance compared to HC. PwMS trunk flexion endurance negatively correlated to several postural control measures and positively correlated to gait speed and step activity. CONCLUSIONS: Clinicians should consider evaluation and interventions directed at impaired trunk endurance in PwMS.
Authors: Ana Myriam Lavín-Pérez; Daniel Collado-Mateo; Alejandro Caña-Pino; Santos Villafaina; Jose Alberto Parraca; María Dolores Apolo-Arenas Journal: Evid Based Complement Alternat Med Date: 2022-04-27 Impact factor: 2.650
Authors: Pedro Moreno-Navarro; Ramón Gomez-Illán; Carmen Carpena-Juan; Ángel P Sempere; Francisco J Vera-Garcia; David Barbado Journal: J Clin Med Date: 2020-05-08 Impact factor: 4.241