Assessment of postural balance in multiple sclerosis patients

The Egyptian Journal of Neurology, Psychiatry and Neurosurgery

Abeer Elwishy¹  Rania Badawy¹  Abdulalim Atteya¹  Nirmeen Kishk²  Rania Shehata Ismail² 

[1] Department of Physical Therapy for Neuromuscular Disorder and its Surgery, Faculty of Physical Therapy, Cairo University;Neurology Department, Faculty of Medicine, Cairo University;

关键词: MS;    Balance;    Berg balance scale;    Biodex stability system;   

DOI  :  10.1186/s41983-018-0049-4

来源: DOAJ

【 摘 要 】

Abstract Background Disturbance of balance and falls are commonly observed in people with multiple sclerosis (MS). Objectives The aim of this study is to assess the postural balance in patients with MS by using clinical and instrumental methods and to specify the most direction of balance instability among MS patients using Biodex stability system (BSS). Methods Fifty ambulatory individuals with MS [42 relapsing-remitting (RRMS) and 8 secondary progressive (SPMS)] were evaluated for balance using quantitative Berg balance scale (BBS) and BSS. Twenty healthy volunteers were selected as a control group. Results There was a statistically significant difference between the patient and control groups assessed by BBS. Moreover, patients with SPMS had worse postural balance when compared with RRMS. According to BSS, MS group showed more sway in the three limits of stability (mediolateral, antroposterior, and overall) when compared to the control group. The least stability level was observed in mediolateral direction in the patient group. The degree of tilt was higher in SPMS than RRMS as regard the three limits of stability. The BBS was significantly negatively correlated with age, Expanded Disability Status Scale (EDSS), duration of illness, and the Biodex tilt. Also, there were positive significant correlation between age, EDSS score, and the duration of illness of the disease with parameters of BSS (mediolateral, antroposterior, and overall). Conclusion BSS was significantly correlated with clinical balance measurement scale using BBS in MS patients. Moreover, BSS can provide more objective, quantitative measures of postural imbalance.

【 授权许可】

Unknown