Cardiff University | Prifysgol Caerdydd ORCA
Online Research @ Cardiff 
WelshClear Cookie - decide language by browser settings

A comparison of two physiotherapy treatment approaches to improve walking in multiple sclerosis: a pilot randomized controlled study

Lord, S. E., Wade, D. T. and Halligan, Peter 1998. A comparison of two physiotherapy treatment approaches to improve walking in multiple sclerosis: a pilot randomized controlled study. Clinical Rehabilitation 12 (6) , pp. 477-486. 10.1191/026921598675863454

Full text not available from this repository.

Abstract

Objective: To use a pilot study to compare two physiotherapy approaches to improve walking in patients with gait disturbance due to multiple sclerosis (MS). Design: Patients were assessed and then randomly assigned to one of two groups using a block randomization technique. They were treated by the research physiotherapist for a minimum of 15 treatments over a 5–7-week period and then reassessed by an independent therapist one week after treatment. Setting: Both assessment and treatment were undertaken at a specialist rehabilitation centre. Subjects: Outpatients with clinically stable MS (chronic progressive or relapsing-remitting types) who were referred for physiotherapy to improve their mobility. Intervention: Comparison was between a facilitation (impairment-based) approach and a task-oriented (disability-focused) approach. Outcome: Mobility was assessed using four measures: the 10-metre timed walk, the Rivermead Mobility Index, stride length and the Rivermead Visual Gait Assessment. Balance was assessed using the Berg Balance Test. Results: Twenty-three patients were entered, and 10 in each group completed the study. The groups were similar on all measured items both before and after treatment. There was no significant difference in improvement between the two approaches. Following treatment, patients in both groups showed a significant overall improvement (p <0.05) in both impairment and disability measures. Conclusions: No significant differences in effectiveness between the two methods were demonstrated. Both a task-oriented approach and a facilitation approach to the treatment of MS outpatients were associated with improved mobility.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Psychology
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
R Medicine > RM Therapeutics. Pharmacology
Publisher: SAGE Publications
ISSN: 0269-2155
Last Modified: 04 Jun 2017 04:14
URI: http://orca.cf.ac.uk/id/eprint/35237

Citation Data

Cited 138 times in Google Scholar. View in Google Scholar

Cited 128 times in Scopus. View in Scopus. Powered By Scopus® Data

Actions (repository staff only)

Edit Item Edit Item