Feasibility of a targeted strengthening program to improve gait in people with multiple sclerosis: a brief report

Int J Rehabil Res. 2018 Dec;41(4):364-367. doi: 10.1097/MRR.0000000000000306.

Abstract

This study aims to determine feasibility of strengthening muscles that are important contributors to gait for people with multiple sclerosis, yet are not routinely targeted in the literature. An 8-week strengthening intervention targeted ankle plantarflexion, hip abduction, and trunk muscles using a repeated-measures design. Outcomes included satisfaction, adherence, muscle strength, gait speed (timed 25-foot walk), gait endurance (6-min walk test), and self-reported gait-related participation (Multiple Sclerosis Walking Scale-12). Ten participants (Expanded Disability Status Scale: 3.5-5.5) completed the intervention. All participants were at least 'satisfied'; adherence was 87% (supervised sessions) and 75% (home sessions). All quantitative measures improved: muscle strength (23.1-47.6%, P<0.001-0.039), timed 25-foot walk (-13.4%, P<0.001), 6-min walk test (41.56 m, P=0.019), and Multiple Sclerosis Walking Scale-12 (-10.5, P=0.007). Strengthening of ankle plantarflexion, hip abduction, and trunk muscles was feasible and associated with improvements in gait performance.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Ankle / physiopathology
  • Cohort Studies
  • Exercise Therapy / methods*
  • Feasibility Studies
  • Female
  • Gait Disorders, Neurologic / rehabilitation*
  • Hip / physiopathology
  • Humans
  • Male
  • Middle Aged
  • Multiple Sclerosis / rehabilitation*
  • Muscle Strength / physiology*
  • Patient Satisfaction
  • Range of Motion, Articular / physiology
  • Walking / physiology