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Titolo:
A comparison of two physiotherapy treatment approaches to improve walking in multiple sclerosis: a pilot randomized controlled study
Autore:
Lord, SE; Wade, DT; Halligan, PW;
Indirizzi:
Rivermead Rehabil Ctr, Neurol Disabil, Oxford OX1 4XD, England Rivermead Rehabil Ctr Oxford England OX1 4XD il, Oxford OX1 4XD, England
Titolo Testata:
CLINICAL REHABILITATION
fascicolo: 6, volume: 12, anno: 1998,
pagine: 477 - 486
SICI:
0269-2155(199812)12:6<477:ACOTPT>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Wade, DT Rivermead Rehabil Ctr, Neurol Disabil, Abingdon Rd, Oxford OX1 4XD, England Rivermead Rehabil Ctr Abingdon Rd Oxford England OX1 4XD England
Citazione:
S.E. Lord et al., "A comparison of two physiotherapy treatment approaches to improve walking in multiple sclerosis: a pilot randomized controlled study", CLIN REHAB, 12(6), 1998, pp. 477-486

Abstract

Objective: To use a pilot study to compare two physiotherapy approaches toimprove walking in patients with gait disturbance due to multiple sclerosis (MS). Design: Patients were assessed and then randomly assigned to one of two groups using a block randomization technique. They were treated by the research physiotherapist for a minimum of 15 treatments over a 5-7-week period and then reassessed by an independent therapist one week after treatment,Setting: Both assessment and treatment were undertaken at a specialist rehabilitation centre. Subjects. Outpatients with clinically stable MS (chronic progressive or relapsing-remitting types) who were referred for physiotherapy to improve their mobility. Intervention: Comparison was between a facilitation (impairment-based) approach and a task-oriented (disability-focused) approach. Outcome: Mobility was assessed using four measures: the 10-metre timed walk, the Rivermead Mobility Index, stride length and the Rivermead Visual Gait Assessment. Balance was assessed using the Berg Balance Test. Results: Twenty-three patients were entered, and 10 in each group completed the study. The groups were similar on all measured items both before and after treatment. There was no significant difference in improvement betweenthe two approaches. Following treatment, patients in both groups showed a significant overall improvement (p < 0.05) in both impairment and disability measures. Conclusions: No significant differences in effectiveness between the two methods were demonstrated. Both a task-oriented approach and a facilitation approach to the treatment of MS outpatients were associated with improved mobility.

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Documento generato il 19/01/20 alle ore 12:29:44