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 .
Effects on Balance and Walking with the CoDuSe Balance Exercise Program in People with Multiple Sclerosis: A Multicenter Randomized Controlled Trial
Background . Balance and walking impairments are frequent in people with multiple sclerosis ( MS ) . Objective . The aim was to investigate the effects of a group-based balance exercise program targeting core stability , dual tasking , and sensory strategies ( CoDuSe ) on balance , postural sway , walking , perceived walking limitations , and balance confidence . Design . A single-blinded r and omized multicenter trial . No intervention was given to controls . Participants . People with MS able to walk 100 meters but unable to maintain t and em stance ≥30 seconds . Eighty-seven participants were r and omized to intervention or control . Intervention . The 60-minute CoDuSe group program , twice weekly for seven weeks , supervised by physical therapists . Measurements . Primary outcome was dynamic balance ( Berg Balance Scale ( BBS ) ) . Secondary outcomes were postural sway , walking ( Timed-Up and Go test ; Functional Gait Assessment ( FGA ) ) , MS Walking Scale , and Activities-specific Balance Confidence ( ABC ) Scale . Assessment s were performed before and after ( week 8) the intervention . Results . 73 participants fulfilled the study . There were significant differences between the intervention and the control groups in change in the BBS and in the secondary measures : postural sway with eyes open , FGA , MS Walking Scale , and ABC scale in favor of the intervention . Conclusions . The seven-week CoDuSe program improved dynamic balance more than no intervention
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 .