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Departments Letter to the Editor| Volume 96, ISSUE 4, P761, April 2015

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Exergaming With Additional Postural Demands Improves Balance and Gait in Patients With Multiple Sclerosis as Much as Conventional Balance Training and Leads to High Adherence to Home-Based Balance Training

Published:February 10, 2015DOI:https://doi.org/10.1016/j.apmr.2014.11.023
      I read with great interest the recent article by Kramer et al.
      • Kramer A.
      • Dettmers C.
      • Gruber M.
      Exergaming with additional postural demands improves balance and gait in patients with multiple sclerosis as much as conventional balance training and leads to high adherence to home-based balance training.
      The authors studied balance problems and fall rates in patients with multiple sclerosis (MS). Kramer et al believed that the falls increased when patients with MS tried to perform dual tasks while walking. They surmised that adding exergaming to typical balance training would increase the overall balance of such patients while performing dual tasks. The results showed improved balance in all test groups, but only the exergaming group showed improved gait while performing dual tasks.
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      References

        • Kramer A.
        • Dettmers C.
        • Gruber M.
        Exergaming with additional postural demands improves balance and gait in patients with multiple sclerosis as much as conventional balance training and leads to high adherence to home-based balance training.
        Arch Phys Med Rehabil. 2014; 95: 1803-1809
        • Prosperini L.
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        • Rax E.
        • et al.
        Balance deficit with opened or closed eyes reveals involvement of different structures of the central nervous system in multiple sclerosis.
        Mult Scler. 2013; 20: 81-90
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        Effects of vestibular rehabilitation on multiple sclerosis-related fatigue and upright postural control: a randomized controlled trial.
        Phys Ther. 2014; 91: 1166-1183
        • Dutta R.
        • Trapp B.
        Relapsing and progressive forms of multiple sclerosis: insights from pathology.
        Curr Opin Neurol. 2014; 27: 271-278

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