Meta- analysis demonstrated fallers perform significantly worse than non-fallers on all measures analysed except the Timed Up and Go Cognitive ( p < 0.05 ) , but discriminative ability of the measures is commonly not reported .
Of those reported , the Activities-specific Balance Confidence Scale had the highest area under the receiver operating characteristic curve value ( 0.92 ) , but without reporting corresponding measures of clinical utility .
Conclusion : Clinical measures of balance differ significantly between fallers and non-fallers but have poor predictive ability for falls risk in people with multiple sclerosis
Objective : To determine the ability of clinical measures of balance to distinguish fallers from non-fallers and to determine their predictive validity in identifying those at risk of falls .
CoDuSe group exercise programme improves balance and reduces falls in people with multiple sclerosis: A multi-centre, randomized, controlled pilot study
Background : Imbalance leading to falls is common in people with multiple sclerosis ( PwMS ) . Objective : To evaluate the effects of a balance group exercise programme ( CoDuSe ) on balance and walking in PwMS ( Exp and ed Disability Status Scale , 4.0–7.5 ) . Methods : A multi-centre , r and omized , controlled single-blinded pilot study with r and om allocation to early or late start of exercise , with the latter group serving as control group for the physical function measures . In total , 14 supervised 60-minute exercise sessions were delivered over 7 weeks . Pretest – posttest analyses were conducted for self-reported near falls and falls in the group starting late . Primary outcome was Berg Balance Scale ( BBS ) . A total of 51 participants were initially enrolled ; three were lost to follow-up . Results : Post-intervention , the exercise group showed statistically significant improvement ( p = 0.015 ) in BBS and borderline significant improvement in MS Walking Scale ( p = 0.051 ) , both with large effect sizes ( 3.66 ; −2.89 ) . No other significant differences were found between groups . In the group starting late , numbers of falls and near falls were statistically significantly reduced after exercise compared to before ( p < 0.001 ; p < 0.004 ) . Conclusion : This pilot study suggests that the CoDuSe exercise  improved balance and reduced perceived walking limitations , compared to no exercise . The intervention reduced falls and near falls frequency
Meta- analysis demonstrated fallers perform significantly worse than non-fallers on all measures analysed except the Timed Up and Go Cognitive ( p < 0.05 ) , but discriminative ability of the measures is commonly not reported .
Of those reported , the Activities-specific Balance Confidence Scale had the highest area under the receiver operating characteristic curve value ( 0.92 ) , but without reporting corresponding measures of clinical utility .
Conclusion : Clinical measures of balance differ significantly between fallers and non-fallers but have poor predictive ability for falls risk in people with multiple sclerosis
Objective : To determine the ability of clinical measures of balance to distinguish fallers from non-fallers and to determine their predictive validity in identifying those at risk of falls .