Effect of Bobath Therapy on Balance Alterations in Patients With Multiple Sclerosis
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Universidad Rey Juan Carlos
- Enrollment
- 45
- Locations
- 1
- Primary Endpoint
- Balance Evaluation Systems Test (Mini BESTest).
Study Overview
Brief Summary
To evaluate the effects of a foot treatment to improve balance according to the Bobath Concept in people with Multiple sclerosis, comparing it with treatment through home exercise and with treatment from Bobath Concept combined with the use of virtual reality.
As a secondary objective, we seek to know the state of the art of Bobath therapy in Multiple Sclerosis.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Age: over 18 years old.
- •Have a diagnosis of multiple sclerosis, according to Mc Donald criteria at least 6 months before the start of the intervention.
- •Be able to walk independently in a closed environment with or without technical aids, having a maximum score of 6.5 on the Expanded Disability Status Scale or EDSS, according to its acronym in English:
- •6.5= constant bilateral help (canes, crutches or braces) to walk about 20 meters without rest. The usual functional system (FS) is equivalent to combinations with more than two FS of grade 3+.
Exclusion Criteria
- •Participants who are not able to understand instructions,
- •Participants who are in a clinically unstable situation or who have risk factors or concomitant pathologies of the musculoskeletal system, neurological or cardiovascular, which make it difficult to carry out the treatment.
- •Participants with visual disturbances or severe upper limb involvement who therefore have difficulty using the VR glasses or performing reaching exercises with them.
Arms & Interventions
Control group
Treatment with bobath Therapy
Intervention: Bobath Therapy (Other)
Experimental group A
Bobath Therapy plus Virtual Reality
Intervention: Bobath therapy plus virtual reality (Other)
Experimental group B
Home exercises
Intervention: Home exercises (Other)
Outcomes
Primary Outcomes
Balance Evaluation Systems Test (Mini BESTest).
Time Frame: At the beginning, at the month and we would reevaluate after 15 days
It assesses balance in six items (biomechanical restrictions, stability and verticality limits, anticipatory postural adjustments, postural responses, sensory orientation, and gait stability). It has excellent inter- and intra-observer reliability and construct validity in stroke patients. Furthermore, the items on anticipatory postural adjustments and sensory orientation are highly correlated with the risk of falls in this type of pathology.
Secondary Outcomes
- Timed Up and Go Test(At the beginning, at the month and we would reevaluate after 15 days)
Investigators
Josue Fernandez Carnero
Principal Investigator
Universidad Rey Juan Carlos