Effects of a home-based step training programme on balance, stepping, cognition and functional performance in people with multiple sclerosis - A randomized controlled trial

Journal article


Hoang, Phu, Schoene, Daniel, Gandevia, Simon C., Smith, Stuart T. and Lord, Stephen R.. (2016). Effects of a home-based step training programme on balance, stepping, cognition and functional performance in people with multiple sclerosis - A randomized controlled trial. Multiple Sclerosis Journal. 22(1), pp. 94 - 103. https://doi.org/10.1177/1352458515579442
AuthorsHoang, Phu, Schoene, Daniel, Gandevia, Simon C., Smith, Stuart T. and Lord, Stephen R.
Abstract

Background: Stepping impairments increase fall risk in people with MS. No studies have evaluated step training for reducing fall risk in this population. Objectives: To determine if step training can improve physical and neuropsychological measures associated with falls in MS. Methods: 50 PwMS with moderate disability participated in a randomized controlled trial in which intervention group participants (n = 28) performed step training for 12 weeks while controls (n = 22) continued usual physical activity. The primary outcomes were choice stepping reaction time (CSRT) and Stroop stepping test (SST) time. Secondary outcomes included balance test (postural sway, CSRT components), gait speed and cognitive tests, nine-hole peg test (9-HPT) and MS functional composite (MSFC) score. Results: 44 participants completed the study and no adverse events were reported. Compared with the control group, the intervention group performed significantly better at retest in CSRT and SST times, and tests of sway with eyes open, 9-HPT, single and dual task gait speed and MSFC score. There was a non-significant trend for fewer falls in the intervention group. Conclusions: The findings indicate that the step training programme is feasible, safe and effective in improving stepping, standing balance, coordination and functional performance in people with MS.

Keywordsrehabilitation; multiple sclerosis
Year2016
JournalMultiple Sclerosis Journal
Journal citation22 (1), pp. 94 - 103
PublisherSage Publications Ltd.
ISSN1352-4585
Digital Object Identifier (DOI)https://doi.org/10.1177/1352458515579442
Scopus EID2-s2.0-84950973010
Page range94 - 103
Research GroupSports Performance, Recovery, Injury and New Technologies (SPRINT) Research Centre
Publisher's version
File Access Level
Controlled
Place of publicationUnited Kingdom
Permalink -

https://acuresearchbank.acu.edu.au/item/881q2/effects-of-a-home-based-step-training-programme-on-balance-stepping-cognition-and-functional-performance-in-people-with-multiple-sclerosis-a-randomized-controlled-trial

Restricted files

Publisher's version

  • 48
    total views
  • 0
    total downloads
  • 5
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Brief report : Passive mechanical properties of gastrocnemius in multiple sclerosis and ankle contracture
Hoang, Phu D., Psarakis, Michael, Kwah, Li Khim, Clarke, Jillian L., Gandevia, Simon C. and Diong, Joanna. (2021). Brief report : Passive mechanical properties of gastrocnemius in multiple sclerosis and ankle contracture. Clinical Biomechanics. 84, p. Article 105338. https://doi.org/10.1016/j.clinbiomech.2021.105338
Safety, feasibility, and efficacy of an eccentric exercise intervention in people with multiple sclerosis with ankle contractures
Psarakis, Michael, Lord, Stephen R. and Hoang, Phu D.. (2021). Safety, feasibility, and efficacy of an eccentric exercise intervention in people with multiple sclerosis with ankle contractures. International Journal of MS Care. 23(1), pp. 31-36. https://doi.org/10.7224/1537-2073.2019-022
The frequency of bowel and bladder problems in multiple sclerosis and its relation to fatigue : A single centre experience
Lin, Sophia D., Butler, Jane E., Boswell-Ruys, Claire L., Phu, Hoang, Jarvis, Tom, Gandevia, Simon C. and McCaughey, Euan J.. (2019). The frequency of bowel and bladder problems in multiple sclerosis and its relation to fatigue : A single centre experience. PLoS ONE. 14(9), p. e0222731. https://doi.org/10.1371/journal.pone.0222731
A novel finger illusion reveals reduced weighting of bimanual hand cortical representations in people with complex regional pain syndrome
Wang, Audrey P., Butler, Annie A., Valentine, John D., Rae, Caroline D., McAuley, James H., Gandevia, Simon C. and Moseley, G. Lorimer. (2019). A novel finger illusion reveals reduced weighting of bimanual hand cortical representations in people with complex regional pain syndrome. Journal of Pain. 20(2), pp. 171-180. https://doi.org/10.1016/j.jpain.2018.08.008
Cold Water Ingestion Improves Exercise Tolerance of Heat-Sensitive People with MS
Georgia K. Chaseling, Davide Filingeri, Michael Barnett, Phu Hoang, Scott L. Davis and Ollie Jay. (2018). Cold Water Ingestion Improves Exercise Tolerance of Heat-Sensitive People with MS. Medicine and Science in Sports and Exercise. 50(4), pp. 643-649. https://doi.org/10.1249/MSS.0000000000001496
Relationship between physiological and perceived fall risk in people with multiple sclerosis: Implications for assessment and management
Gunn, Hilary, Cameron, Michelle, Hoang, Phu, Lord, Stephen R., Shaw, Steve and Freeman, Jennifer. (2018). Relationship between physiological and perceived fall risk in people with multiple sclerosis: Implications for assessment and management. Archives of Physical Medicine and Rehabilitation. 99(10), pp. 2022 - 2029. https://doi.org/10.1016/j.apmr.2018.03.019
Wearable technology reveals gait compensations, unstable walking patterns and fatigue in people with multiple sclerosis
Psarakis, Michael, Greene, David A., Cole, Michael H., Lord, Stephen R., Hoang, Phu and Brodie, Matthew A. D.. (2018). Wearable technology reveals gait compensations, unstable walking patterns and fatigue in people with multiple sclerosis. Physiological Measurement. 39(7), pp. 1 - 13. https://doi.org/10.1088/1361-6579/aac0a3
Afferent thermosensory function in relapsing–remitting multiple sclerosis following exercise-induced increases in body temperature
Filingeri, Davide, Chaseling, Georgia K., Hoang, Phu, Barnett, Michael, Davis, Scott L. and Jay, Ollie. (2017). Afferent thermosensory function in relapsing–remitting multiple sclerosis following exercise-induced increases in body temperature. Experimental Physiology. 102(8), pp. 887 - 893. https://doi.org/10.1113/EP086320
Impaired heel to toe progression during gait is related to reduced ankle range of motion in people with Multiple Sclerosis
Psarakis, Michael, Greene, David, Moresi, Mark, Baker, Michael, Stubbs, Peter, Brodie, Matthew, Lord, Stephen and Hoang, Phu. (2017). Impaired heel to toe progression during gait is related to reduced ankle range of motion in people with Multiple Sclerosis. Clinical Biomechanics. 49, pp. 96-100. https://doi.org/10.1016/j.clinbiomech.2017.08.012
A simple test of choice stepping reaction time for assessing fall risk in people with multiple sclerosis
Tijsma, Mylou, Vister, Eva, Hoang, Phu and Lord, Stephen R.. (2017). A simple test of choice stepping reaction time for assessing fall risk in people with multiple sclerosis. Disability and Rehabilitation. 39(6), pp. 601 - 607. https://doi.org/10.3109/09638288.2016.1148784
Gyroscopic corrections improve wearable sensor data prior to measuring dynamic sway in the gait of people with Multiple Sclerosis
Brodie, Matthew A. D., Psarakis, Michael and Hoang, Phu. (2016). Gyroscopic corrections improve wearable sensor data prior to measuring dynamic sway in the gait of people with Multiple Sclerosis. Computer Methods in Biomechanics and Biomedical Engineering. 19(12), pp. 1339 - 1346. https://doi.org/10.1080/10255842.2016.1140747
Multiple sclerosis severity and concern about falling : Physical, cognitive and psychological mediating factors
Vliet, Rob van, Phu, Hoanga, Lord, Stephen, Gandevia, Simon and Delbaere, Kim. (2015). Multiple sclerosis severity and concern about falling : Physical, cognitive and psychological mediating factors. NeuroRehabilitation. 37(1), pp. 139-147. https://doi.org/10.3233/NRE-151246
Medications are associated with falls in people with multiple sclerosis - A Prospective Cohort study
Cameron, Michelle H., Karstens, Lisa, Hoang, Phu, Bourdette, Dennis and Lord, Stephen R.. (2015). Medications are associated with falls in people with multiple sclerosis - A Prospective Cohort study. International Journal of MS Care. 17(5), pp. 207 - 214. https://doi.org/10.7224/1537-2073.2014-076
Falls in people with MS - An individual data meta-analysis from studies from Australia, Sweden, United Kingdom and the United States
Nilsagård, Ylva E., Gunn, Hilary, Freeman, Jennifer, Hoang, Phu, Lord, Stephen R., Mazumder, Rajarshi and Cameron, Michelle. (2015). Falls in people with MS - An individual data meta-analysis from studies from Australia, Sweden, United Kingdom and the United States. Multiple Sclerosis Journal. 21(1), pp. 92 - 100. https://doi.org/10.1177/1352458514538884
Prevalence of joint contractures and muscle weakness in people with multiple sclerosis
Hoang, Phu Dinh, Gandevia, Simon C. and Herbert, Robert D.. (2014). Prevalence of joint contractures and muscle weakness in people with multiple sclerosis. Disability and Rehabilitation. 36(19), pp. 1588 - 1593. https://doi.org/10.3109/09638288.2013.854841
Neuromuscular electrical stimulation cycling exercise for persons with advanced multiple sclerosis
Fornusek, Ché and Hoang, Phu. (2014). Neuromuscular electrical stimulation cycling exercise for persons with advanced multiple sclerosis. Journal of Rehabilitation Medicine. 46(7), pp. 698 - 702. https://doi.org/10.2340/16501977-1792
Neuropsychological, balance, and mobility risk factors for falls in people with multiple sclerosis: A prospective cohort study
Hoang, Phu D., Cameron, Michelle H., Gandevia, Simon C. and Lord, Stephen R.. (2014). Neuropsychological, balance, and mobility risk factors for falls in people with multiple sclerosis: A prospective cohort study. Archives of Physical Medicine and Rehabilitation. 95(3), pp. 480 - 486. https://doi.org/10.1016/j.apmr.2013.09.017
Passive mechanical properties of the gastrocnemius after spinal cord injury
Diong, Joanna, Herbert, Robert, Harvey, Lisa, Kwah, Li, Clark, Jillian, Hoang, Phu, Martin, Josh, Clarke, E, Bilston, L and Gandevia, S. (2012). Passive mechanical properties of the gastrocnemius after spinal cord injury. Muscle & Nerve. 46(2), pp. 237 - 245. https://doi.org/10.1002/mus.23356
In vivo passive mechanical behaviour of muscle fascicles and tendons in human gastrocnemius muscle-tendon units
Herbert, Robert, Clarke, Jane, Kwah, Li, Diong, Joanna, Martin, Josh, Clarke, E, Bilston, L and Gandevia, S. (2011). In vivo passive mechanical behaviour of muscle fascicles and tendons in human gastrocnemius muscle-tendon units. The Journal of Physiology. 589(21), pp. 5257 - 5267. https://doi.org/10.1113/jphysiol.2011.212175