Relationship between Static and Dynamic Balance Characteristics with Types of MS in Women

Authors

Abstract
MS is a lifelong disease that could involve the person in different forms. Knowing balance characteristics of different types of this chronic disease helps the specialists for controlling their complications. The purpose of this study was to recognize static and dynamic balance of different type of MS and to compare MS patients with healthy individual. 54 MS women in three groups (27- Relapsing-Remitting, 16 secondary progressive, 11 primary progressive), 20 randomly healthful women have been elected. Static and dynamic balance test (dynamics with 8 degree), overall, lateral and anterior/posterior have been done by Biodex machinery from four groups. Kolmogorov-Smirnov inferential statistic test used to assess the normality of the data distribution and the chi-square test was used to examine the relationship within and between types of MS disease with normal. The parametric statistics tests including independent t-test applied at threshold 0.05. According to results, there are meaningful difference between overall balance index in static balance in different types of diseased women affected by MS (p<0.05). The Primary Progressive groups have weak, and Relapsing-Remitting MS group have strong static balance in comparison with other groups. Furthermore, meaningful difference shown through overall balance index in static mood in different type of disease women affected by MS (p<0.05). Difference between static balance index and dynamic was meaningful between control group and MS disease. Considering the findings of the study, women affected by relapsing-remitting type have better dynamic & static balance rather than progressive types. Static & dynamic balance in affected women was weaker than healthy women.

Keywords


8. Alpini D, Caputo D. Pugnetti L, Giuliano D.A, Cesarani A. (2001). Vertigo and multiple sclerosis: aspects of differential diagnosis. Neurol Sci; 22: 84–87.
9. Alusi S.H, Worthington J, Glickman S, Findley J.L, Bain P.G. (2000). Evaluation of three different ways of assessing tremor in multiple sclerosis. J Neurol Neurosurg Psychiatry; 68:756–760.
10. Cattaneo D, Jonsdottir J, Repetti S. (2007). Reliability of four scales on balance disorders in persons with multiple sclerosis. Disabil & Rehabil; 29 (24): 1920- 1925.
11. Cattaneo D, De Nuzzo C, Fascia T, Macalli M, Pisoni I, Cardini R. (2002). Risks of falls in subjects with multiple sclerosis. Phys Med Rehabil; 83(6):864-867.
12. Cattaneo D, Jonsdottir J, Zocchi M, Regola A. (2007). Effects of balance exercises on people with multiple sclerosis: a pilot study. Clin Rehabil; 21: 771–781.
13. Cattaneo D, Regola A, Meotti M. (2006). Validity of six balance disorders scales in persons with multiple sclerosis. Disabil & Rehabil; 28(12): 789 – 795.
14. Crenshaw S.J, Royer T.D, Richards J.G, Hudson D.J. (2006). Gait variability in people with multiple sclerosis. Multiple Sclerosis; 12(5): 613-619.
15. Duncan P, Weiner D, Chandler J. (1990). Functional reach: a new clinical measure of balance. J Gerontol; 45: 192-197.
16. Ferhan S, Meral M, Ünal E. (2006). Balance performance in three forms of multiple sclerosis. Neurol Research; 28(5): 555-562.
17. Frzovic D, Morris M.E, Vowels L. (2000). Clinical tests of standing balance: performance of persons with multiple sclerosis. Arch Phys Med Rehabil; 81(2): 215-221.
18. Gutierrez G.M, Chow J.W, Tillman M.D, McCoy S.C, Castellano V, White L.J. (2005). Resistance training improves gait kinematics in persons with multiple sclerosis. Arch Phys Med Rehabil; 86(9):1824-1829.
19. Hawkins H, McDonnell A. (1999). What types of multiple sclerosis are there?. Health-cares. 106-111.
20. Karst G.M, Venema D.M, Roehrs T.G, Tyler A.E. (2005). Center of pressure measures during standing tasks in minimally impaired persons with multiple sclerosis. J Neurol Phys Ther; 9(4):170-180.
21. Koziorowska-Gawron E, Gawron W, Podemski R, Ejma M, Pokryszko-Dragan A, Koziorowska M. (2006). Clinical and videonystagmographic evaluation of balance organ in patients with multiple sclerosis. J Clin; 6: 335-342.
22. Lanzetta D, Cattaneo D, Pellegatta D, Cardini R. (2004). Trunk control in unstable sitting posture during functional activities in healthy subjects and patients with multiple sclerosis. Multiple Sclerosis 85(2): 279-283.
23. Lundlin-Olsson L, Nyberg L, Gustafson Y. (1998). Attention, frailty, and falls: the effect of a manual task on basic mobilty. J Am Geriatrics Soc; 46: 758-761.
24. Martin C.L, Phillips B.A, Kilpatrick T.J, Butzkueven H, Tubridy N, McDonald E, Galea M.P. (2006). Gait and balance impairment in early multiple sclerosis in the absence of clinical disability. Multiple Sclerosis; 12: 620_628.
25. McConvey J, Bennett S.E. (2005). Reliability of the Dynamic Gait Index in individuals with multiple sclerosis. Arch Phys Med Rehabil; 86(1): 130-133.
26. Morris M.E, Cantwell C, Vowels L, Dodd K. (2002). Changes in gait and fatigue from morning to afternoon in people with multiple sclerosis. J Neurol Neurosurg Psychiatry; 72: 361–365.
27. Shumway-Cook A, Brauer S, Woollacott M. (2000). Predicting the probability for falls in community-dwelling older adults using the timed up & go test. Phys Ther; 80(9): 896-903.
28. Smedal T, Lygren H, Myhr K.M, Moe-Nilssen R, Gjelsvik B, Gjelsvik O, Strand L.I. (2006). Balance and gait improved in patients with MS after physiotherapy based on the Bobath concept. Physiother Res Int; 11(2): 104-16.