Correction of postural impairments in children with relapsing-remitting multiple sclerosis

Russian Journal of Physiotherapy Balneology and Rehabilitation, Journal Year: 2025, Volume and Issue: 23(4), P. 226 - 236

Published: Jan. 16, 2025

BACKGROUND: Patients with multiple sclerosis who have multifocal lesions of the central nervous system may present various complaints, including loss balance. Some postural control disorders are detected already at an early stage disease. Solving this problem is critical, as it directly causes falls subsequent injuries and deteriorating quality life. The Balance Evaluation Systems Test offers benefits over other assessment tests. It enables more personalized therapy, especially in context decreased tolerance to physical exercise patients. AIM: To implement for a detailed control, identifying markers be used development individual rehabilitation programs, well assess effectiveness approach. MATERIALS AND METHODS: This single-center, prospective, continuous, controlled, randomized study involved 38 patients from pediatric neuropsychiatric department Russian children’s clinical hospital (mean age: 13–16 years). All them had confirmed diagnosis relapsing-remitting sclerosis. were examined medical using beginning end therapeutic course conducted on daily basis 10 days. into two groups, 19 persons each. group was offered standard balance exercises; experimental group, exercises selected individually each patient, considering identified defects. RESULTS: treatment resulted statistically significant changes both groups (p 0.001). However, when comparing results after between demonstrated CONCLUSION: Therefore, helps develop program showing effective results. provides opportunity improve their functional status reduce risk injuries, while delaying progression disability improving

Language: Английский

Correlations among fatigue, respiratory function, balance and core muscle morphology in multiple sclerosis: a comprehensive observational study

Frontiers in Neurology, Journal Year: 2025, Volume and Issue: 15

Published: Jan. 20, 2025

Background Recent scientific interest has focused on exploring the potential relationships between fatigue, respiratory function and balance in multiple sclerosis (MS) subjects. While some studies suggest that fatigue may impact postural stability, exact nature of these associations remains under investigation. Ultrasound imaging is increasingly being used to examine structural functional characteristics core muscles, aiming better understand how variables might be interconnected. Understanding crucial for developing targeted interventions enhance overall physical performance this population. This study examines relationship function, balance, ultrasound abdominal musculature MS. Methods A cross-sectional was conducted involving 27 subjects diagnosed with MS, comprising 17 females 10 males. Study were: (Modified Fatigue Impact Scale—MFIS); (Forced Vital Capacity—FVC Forced Expiratory Volume first second—FEV1); (Berg Balance Scale—BBS Trunk Impairment Scale Dynamic—TIS DYN); measurements diaphragmatic musculature. Correlations were analyzed using Spearman’s correlation, a statistical significance level p < 0.05. Results Significant correlations found scores. FVC showed moderate correlation BBS ( r = 0.443), while FEV1 had high 0.500) TIS DYN 0.427). MFIS negative −0.402). The strength central musculature, particularly internal oblique, trunk stability control. Conclusion These findings highlight interplay muscle morphology emphasizing benefits targeting improve reduce ultimately enhancing quality life

Language: Английский

Effect of Combining Inspiratory Muscle Training with Deep Diaphragmatic Breathing Exercises on Diaphragm Excursion in Subjects with Multiple Sclerosis

Neurorehabilitation, Journal Year: 2025, Volume and Issue: unknown

Published: May 14, 2025

Objective Multiple sclerosis (MS) involves respiratory muscle weakness that can lead to critical complications. Inspiratory training (IMT) is a therapeutic intervention effectively strengthens the muscles. This study aimed investigate effectiveness of IMT combined with deep diaphragmatic breathing exercises respect diaphragm excursion, strength, and fatigue in subjects MS. Methods Thirty-six MS, aged 25–45 years, mild moderate disability, were assigned equally an active control group. The group (i.e., group) received exercises, while only exercises. interventions provided for 15 min, three days per week, 8 weeks. primary outcome measure was secondary measures maximal inspiratory pressure (Pimax), severity scale (FSS), pulmonary dysfunction index (PDI). Results showed significantly more improvements excursion (p < 0.001), Pimax = 0.002), FSS PDI 0.001) than Conclusion could better symptoms, alone MS disability.

Language: Английский