Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 4 , Pages 602-609 , April 2009

Balance-Based Torso-Weighting May Enhance Balance in Persons With Multiple Sclerosis: Preliminary Evidence

Presented to the III Step Conference, July 15-21, 2005, Provost, UT, and to the American Physical Therapy Association, June 6-11, 2005, Boston, MA.

  • Gail L. Widener, PhD, PT

      Affiliations

    • Department of Physical Therapy, Samuel Merritt University, Oakland
    • Corresponding Author InformationReprint requests to Gail L. Widener, PhD, PT, Samuel Merritt University, 450 30th St, Oakland, CA 94609
  • ,
  • Diane D. Allen, PhD, PT

      Affiliations

    • Graduate Programs in Physical Therapy, San Francisco State University/University of California—San Francisco, San Francisco, CA
  • ,
  • Cynthia Gibson-Horn, BS, PT

      Affiliations

    • Department of Physical Therapy, Samuel Merritt University, Oakland

References 

  1. Weinshenker BG, Issa M, Baskerville J. Long-term and short-term outcome of multiple sclerosis: a 3-year follow-up study. Arch Neurol. 1996;53:353–358
  2. Peterson EW, Cho CC, von Koch L, Finlayson ML. Injurious falls among middle aged and older adults with multiple sclerosis. Arch Phys Med Rehabil. 2008;89:1031–1037
  3. Cattaneo D, De Nuzza C, Fascia T, Macalli M, Pisoni I, Cardini R. Risks of falls in subjects with multiple sclerosis. Arch Phys Med Rehabil. 2002;83:864–867
  4. Finlayson ML, Peterson EW, Cho CC. Risk factors for falling among people aged 45 to 90 years with multiple sclerosis. Arch Phys Med Rehabil. 2006;87:1274–1279
  5. Rodgers MM, Mulcare JA, King DA, Mathews T, Gupta SC, Glaser RM. Gait characteristics of individuals with multiple sclerosis before and after a 6-month aerobic training program. J Rehabil Res Develop. 1999;36:183–188
  6. Taylor NF, Dodd KJ, Prasad D, Denisenko S. Progressive resistance exercise for people with multiple sclerosis. Disabil Rehabil. 2006;28:1119–1126
  7. Gutierrez GM, Chow JW, Tillman MD, McCoy SC, Castellano MA, White LJ. Resistance training improves gait kinematics in persons with multiple sclerosis. Arch Phys Med Rehabil. 2005;86:1824–1829
  8. White LJ, McCoy SC, Castellano V, et al. Resistance training improves strength and functional capacity in persons with multiple sclerosis. Mult Scler. 2004;10:668–674
  9. Wiles CM, Newcombe RG, Fuller KJ, Furnival-Doran J, Pickersgill TP, Morgan A. Controlled randomized crossover trial of the effects of physiotherapy on mobility in chronic multiple sclerosis. Neurol Neurosurg Psychiatry. 2001;70:174–179
  10. Lord SE, Wade DT, Halligan PW. A comparison of two physiotherapy treatment approaches to improve walking in multiple sclerosis: a pilot randomized controlled study. Clin Rehabil. 1998;12:477–486
  11. Smedal T, Lydren H, Myhr KM, et al. Balance and gait improved in patients with MS after physiotherapy based on the Bobath concept. Physiother Res Int. 2006;11:104–116
  12. Chase RA, Cullen JK, Sullivan SA. Modification of intention tremor in man. Nature. 1965;4983:485–487
  13. Hewer RL, Cooper R, Morgan MH. An investigation into the value of treating intention tremor by weighting the affected limb. Brain. 1972;95:570–590
  14. Morgan MH, Hewer RL, Cooper R. Application of an objective method of assessing intention tremor–a further study on the use of weights to reduce intention tremor. J Neurol Neurosurg Psychiatry. 1975;38:259–264
  15. Morgan MH. Ataxia and weights. Physiotherapy. 1975;61:332–334
  16. Clopton N, Schultz D, Boren C, Porter J, Brillhart T. Effects of axial loading on gait for subjects with cerebellar ataxia: preliminary findings. Neurol Report. 2003;27:15–21
  17. Lucy SD, Hayes KC. Postural sway profiles: normal subjects and subjects with cerebellar ataxia. Physiother Can. 1985;37:140–148
  18. Gibson-Horn C. Balance-based torso-weighting in a patient with ataxia and multiple sclerosis: a case report. J Neurol Phys Ther. 2008;32:139–146
  19. Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology. 1983;33:1444–1452
  20. Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther. 1987;67:207–214
  21. O'Sullivan SB. Physical rehabilitation: assessment and treatment. In:  O'Sullivan SB,  Schmidt TJ editor. Multiple sclerosis. 4th ed.. Philadelphia: FA Davis Co; 2004;
  22. Kendal FP, McCreary EK, Provance PG. Muscles: testing and function. 4th ed.. Baltimore: Williams and Wilkins; 1993;
  23. Franchignoni F, Tesio L, Martino MT, Ricupero C. Reliability of four simple, quantitative tests of balance and mobility in healthy elderly females. Aging. 1998;10:26–31
  24. Brown M, Sinacore DR, Binder EF, Kohrt WM. Physical and performance measures for the identification of mild to moderate frailty. J Gerontology. 2000;55:M350–M355
  25. Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39:142–148
  26. Portney LG, Watkins MP. Foundations of clinical research: applications to practice. 3rd ed.. Upper Saddle River: Pearson Prentice Hall; 2009;
  27. Brotherton SS, Williams HG, Gossard JL, Hussey JR, McClenaghan BA, Eleazer P. Are measures employed in the assessment of balance useful for detecting differences among groups that vary by age and disease state?. J Geriatric Phys Ther. 2005;28:14–19
  28. Shumway-Cook A, Brauer A, Woollacott M. Predicting the probability of falls in community-dwelling older adults using the timed up and go test. Phys Ther. 2000;80:896–903
  29. Cattaneo D, Regola A, Meotti M. Validity of six balance disorder scales in persons with multiple sclerosis. Disabil Rehabil. 2006;28:789–795
  30. Taylor JL, McCloskey DI. Proprioceptive sensation in rotation of the trunk. Exp Brain Res. 1990;81:413–416
  31. Jakobs T, Miller JA, Schultz AB. Trunk position sense in the frontal plane. Exp Neurol. 1985;90:129–138
  32. Holmes G. The cerebellum of man. Brain. 1939;62:1–30

 Supported by Samuel Merritt University and the California Physical Therapy Fund (grant no. 02-07).

 A commercial party having a direct financial interest in the results of the research supporting this article has conferred or will confer a financial benefit on the author or 1 or more of the authors.

PII: S0003-9993(09)00075-6

doi: 10.1016/j.apmr.2008.10.027

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 4 , Pages 602-609 , April 2009