Balance disorders in patients with multiple sclerosis and possible rehabilitation therapy – current findings from controlled clinical trials

Česká verzia

Authors: K. Novotná- ^{1 3*}; I. Menkyová ^1,4*; M. Janatová ^3,5
Authors place of work: Autorky Novotná a Menkyová se na přípravě rukopisy podíleli stejnou mírou. ^*; Neurologická klinika a Centrum klinických neurověd 1. LF UK a VFN v Praze ¹; MSrehab z. s., Praha ²; Klinika rehabilitačního lékařství 1. LF UK a VFN v Praze ³; 2. Neurologická klinika Lékarskej fakulty UK a Univerzitnej nemocnice v Bratislave, Slovensko ⁴; Společné pracoviště biomedicínského inženýrství ČVUT a UK, Praha ⁵
Published in the journal: Cesk Slov Neurol N 2022; 85(2): 110-126
Category: Review Article
doi: https://doi.org/10.48095/cccsnn2022110

Systematický rešeršní článek popisuje výsledky klinických rehabilitačních a fyzioterapeutických studií, které byly primárně zaměřeny na zlepšení rovnováhy u osob s RS. Byly prohledány databáze medicínské literatury PubMed a PEDro za pomoci kombinace těchto klíčových slov: balance, training, exercise, rehabilitation, multiple sclerosis (rovnováha, trénink, cvičení, rehabilitace, roztroušená skleróza). Za účelem rešerše bylo vyhledáno celkem 183 publikovaných klinických studií, z nichž 104 bylo zařazeno. Vyhledané studie byly zaměřené na různé rehabilitační intervence pro zlepšení rovnováhy. Nejčastěji se jednalo o fyzioterapeutické intervence, balanční trénink, silový trénink, trénink chůze a využití virtuální reality nebo robotiky. Nejvíce efektivní jsou programy zacílené na individuální obtíže na základě vyšetření rovnováhy, vedené buď individuální, nebo skupinovou formou. Pro dosažení dostatečného efektu však musí být balanční trénink dostatečně intenzivní.

Summary

This review article summarizes the results from rehabilitation and physiotherapeutic clinical studies with balance intervention in people with MS. The databases of medical literature PubMed and PEDro were searched using a combination of these keywords: balance, training, exercise, rehabilitation, multiple sclerosis. In total 183 papers were screened and 104 papers were included. In available studies, various rehabilitation interventions for balance improvement were used. Most frequently different types of physiotherapeutic approach, balance training, resistance training, gait trainig and virtual reality or robotics. The most effective are balance programs aimed at individual difficulties based on the individual balance assessment or organized in groups. To achieve a sufficient effect, however, balance training must be adequately intensive.

Keywords:

Falls – Multiple sclerosis – balance – rehabilitation– exercise

Zdroje

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