Efficacy of 12 weeks of proprioceptive training in patients with multiple sclerosis
Keywords:
Dynamic balance, Neurodegenerative disease, Baropodometry, Proprioceptive trainingAbstract
This pilot study aims to investigate if specific training protocol can improve the quality of life in people with multiple sclerosis through the improvement of some impaired ability like the balance. We enrolled in our project 20 subjects (age: 34,88 ± 4,45; height: 168,25 ± 8,66 cm; weight: 72,31 ± 17,28 kg) but only 5 completed the study. A proprioceptive training was administered for 12 weeks, 2 times a week, an hour for each session. At the beginning (T0) and at the end of the study (T1), static and dynamic balance parameters were tested. Statistical analyzes were performed using R version 3.4.3 and IBM SPSS Statistics 22.Changes in balance and strength between T0, T1 were evaluated using t Student test for paired data. Pearson linear correlation coefficient was used to investigate the correlations between all parameters analyzed. As regards static baropodometry, there was a statistic significant different between left forefoot load (T0: 54,25 ± 2,5 % ;T1:59,5± 1,73%; P<0,05) and left rearfoot load (T0: 45,75± 2,5% ;T1: 40,5± 1,73%; P<0,05). In dynamic baropodometry we gave more attention to three parameters: left length gait line (T0:176±23,58; T1: 215±18,64; P<0,05), right surface (T0: 106,75±14,97; T1: 149±11,58;P<0,05) and right pressure point (T0: 1050± 130,90; T1: 537,25±65,46; P<0,05). In conclusion, it is possible to hypothesize that the application of proprioceptive treatment in patients with multiple sclerosis can improve gait stability and therefore the walking. However, further studies, with a greater number of subjects, are necessary to confirm this trend.
Funding
Master UniversityDownloads
References
Amorini, A.M., Nociti, V., Petzold, A., Gasperini, C., Quartuccio, E., Lazzarino, G., Di Pietro, V., Belli, A., Signoretti, S., Vagnozzi, R., Tavazzi, B. (2014). Serum lactate as a novel potential biomarker in multiple sclerosis. Biochim Biophys Acta; 1842:1137–1143. https://doi.org/10.1016/j.bbadis.2014.04.005
Bianconi, G., Poggioli, E., Merelli, E., Razzaboni, E., Comelli, D. (2006). Aspetti psicologici della sclerosi multipla,.G Ital Med Lav Erg. 28:1, Suppl Psicologia 1, 22-28. https://doi.org/10.1007/978-88-470-2724-4_16
Chang, C.H., Albarracin, J.P., Lipton, G.E., Miller, F., (2002). Long-term follow- up of surgery for equinovarus foot deformity in children with cerebral palsy. J. Pediatr. Orthop. 22, 792–799. https://doi.org/10.1097/01241398-200211000-00020
Chang, C.H., Miller, F., Schuyler, J., (2002). Dynamic pedobarograph in evaluation of varus and valgus foot deformities. J. Pediatr. Orthop. 22, 813–818. https://doi.org/10.1097/01241398-200211000-00023
Dalgas, U., Stenager, E., Jakobsen. J., Petersen, T., Hansen, H.J., Knudsen, C., Overgaard, K., Ingemann-Hansen, T. (2010). Fatigue, mood and quality of life improve in MS patients after progressive resistance training. Mult Scler,; 16:480–490. https://doi.org/10.1177/1352458509360040
De Souza, T., Costilla, S., Ayán, C., García-López, D., Gonzá lez-Gallego, J., de Paz, A.J. (2009) Effects of Resistance Training in Multiple Sclerosis. Int J Sports Med; 30: 245 – 250. https://doi.org/10.1055/s-0028-1105944
Di Liegro, C.M., Schiera, G., Proia, P., Di Liegro, I. (2019).Physical Activity and Brain Health.Genes (Basel). 10(9). pii: E720. https://doi.org/10.3390/genes10090720
Fritz, N.E., Keller, J., Calabresi, P.A., Zackowski, K.M. (2017). Quantitative measures of walking and strength provide insight into brain corticospinal tract pathology in multiple sclerosis. MSNeuroImage: Clinical 14 490–498. https://doi.org/10.1016/j.nicl.2017.02.006
Fritz, N.E., Newsome, S.D., Eloyan, A., Marasigan, R.E., Calabresi, P.A., Zackowski, K.M. (2015). Longitudinal relationships among posturography and gait measures in multiple sclerosis. Neurology;84:2048–2056. https://doi.org/10.1212/wnl.0000000000001580
Gallien, P., Nicolas, B., Robineau, S., Pétrilli, S., Houedakor, J., Durufle, A. (2007).Physical training and multiple sclerosis. Ann Readapt Med Phys. Jul;50(6):373-6, 369-72. https://doi.org/10.1016/j.annrmp.2007.04.004
Giesser. (2015). Exercise in the management of persons with multiple sclerosis Ther. Adv in Neurol Disord. 8(3): 123-130. https://doi.org/10.1177/1756285615576663
Heine, M., Verschuren, O., Hoogervorst, E.L., van Munster, E., Hacking, H.G., Visser-Meily, A., Kwakkel, G. (2017). Does aerobic training alleviate fatigue and improve societal participation in patients with multiple sclerosis? A randomized controlled trial; Mult scler. ott; 23 (11): 1517-1526. https://doi.org/10.1177/1352458517696596
Hessert, M.J., Vyas, M., Leach, J., Hu, K., Lipsitz, L.A., Novak, V., (2005). Foot pressure distribution during walking in young and old adults. BMC Geriatr. 5 (1), 8. https://doi.org/10.1186/1471-2318-5-8
Keklicek, H., Cetin, B., Salci, Y. , Balkan, A.F., Altinkaynak, U., Armutlu, K.(2018) Investigating the dynamic plantar pressure distribution and loading pattern in subjects with multiple sclerosis. Mult Scler Relat Disord. Feb;20:186-191. https://doi.org/10.1016/j.msard.2018.01.023
Meyring, S., Diehl, R.R., Milani, T.L., Hennig, E.M., Berlit, P., (1997). Dynamic plantar pressure distribution measurements in hemiparetic patients. Clin. Biomech. 12 (1), 60–65. https://doi.org/10.1016/s0268-0033(96)00050-2
Molteni, F., Bertoni, M., Caimmi, M., (2002). Equinovarus foot in upper motor neuron syndrome. In: Esquenazi, A. (Ed.), Gait Analysis. Hanley & belfus, Philadelphia, pp. 263–286.
Monazamnezhad, A., Habibi. A., shakeriyan, S., Majdinasab, N., Ghalvand, A. (2015). The Effects of Aerobic Exercise on Lipid Profile and Body Composition in Women With Multiple Sclerosis. https://doi.org/10.5812/jjcdc.26619
Proia, P., Amato, A., Contrò, V., Monaco, A.L., Brusa, J., Brighina, F., Messina, G. (2019). Relevance of lactate level detection in migrane and fibromyalgia. Eur J Transl Myol. ;29(2):8202. https://doi.org/10.4081/ejtm.2019.8202
Proia, P., Di Liegro, C.M., Schiera, G., Fricano, A., Di Liegro, I. (2016). Lactate as a Metabolite and a Regulator in the Central Nervous System. Int J Mol Sci;17:1450. https://doi.org/10.3390/ijms17091450
Taylor, N.F., Dodd, K.J., Prasad, D., Denisenko, S. (2006). Progressive resistance exercise for people with multiple sclerosis. Disabil Rehabil; 28: 1119–26. https://doi.org/10.1080/09638280500531834
Downloads
Statistics
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Journal of Human Sport and Exercise
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Each author warrants that his or her submission to the Work is original and that he or she has full power to enter into this agreement. Neither this Work nor a similar work has been published elsewhere in any language nor shall be submitted for publication elsewhere while under consideration by JHSE. Each author also accepts that the JHSE will not be held legally responsible for any claims of compensation.
Authors wishing to include figures or text passages that have already been published elsewhere are required to obtain permission from the copyright holder(s) and to include evidence that such permission has been granted when submitting their papers. Any material received without such evidence will be assumed to originate from the authors.
Please include at the end of the acknowledgements a declaration that the experiments comply with the current laws of the country in which they were performed. The editors reserve the right to reject manuscripts that do not comply with the abovementioned requirements. The author(s) will be held responsible for false statements or failure to fulfill the above-mentioned requirements.
This title is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International license (CC BY-NC-ND 4.0).
You are free to share, copy and redistribute the material in any medium or format. The licensor cannot revoke these freedoms as long as you follow the license terms under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
NonCommercial — You may not use the material for commercial purposes.
NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
Transfer of Copyright
In consideration of JHSE’s publication of the Work, the authors hereby transfer, assign, and otherwise convey all copyright ownership worldwide, in all languages, and in all forms of media now or hereafter known, including electronic media such as CD-ROM, Internet, and Intranet, to JHSE. If JHSE should decide for any reason not to publish an author’s submission to the Work, JHSE shall give prompt notice of its decision to the corresponding author, this agreement shall terminate, and neither the author nor JHSE shall be under any further liability or obligation.
Each author certifies that he or she has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article, except as disclosed on a separate attachment. All funding sources supporting the Work and all institutional or corporate affiliations of the authors are acknowledged in a footnote in the Work.
Each author certifies that his or her institution has approved the protocol for any investigation involving humans or animals and that all experimentation was conducted in conformity with ethical and humane principles of research.
Competing Interests
Biomedical journals typically require authors and reviewers to declare if they have any competing interests with regard to their research.
JHSE require authors to agree to Copyright Notice as part of the submission process.
