CoDuSe mind-body exercises as non-pharmacological intervention of neuromuscular fatigue, balance and physical disability in women with multiple sclerosis: a randomised controlled trial
Oral Presentation
Paper ID : 1112-12THCONG
Oral / Poster Presentation File: 1112.mp4
Authors
1College of Physical Education, Karaj Branch, Islamic Azad University, Karaj, Iran.
2Assistant Professor, Department of Sport Injuries and Corrective Exercises, College of Physical Education, Karaj Branch, Islamic Azad University, Karaj, Iran
3Assistant Professor, Department of Sport Injuries and Corrective Exercises, College of Physical Education, Karaj Branch, Islamic Azad University
4Research Assistant in Exercise Physiology, Department of Physiotherapy, Science and Research branch, Aja university of Medical Sciences, Tehran, Iran.
Abstract
Based on the findings of recent years that showed an increasing prevalence of multiple sclerosis (MS) at young age and paying high prices for drug therapy, therapeutic approaches of exercise training have received much attention during the last decade. In this regard, mind-body exercises that could affect the muscular strength of the lower limbs, balance receptors and neural conductivity in these patients, should be considered. Therefore, this study aimed to investigate the effect of CoDuse exercise programme alone or combined with hydrotherapy on fatigue, balance and physical disability in women with multiple sclerosis.
45 women with multiple sclerosis, with an age range of 35 to 55 years (EDSS range of 1-4), were voluntarily recruited. They were assigned into three groups: CoDuse combined with hydrotherapy (A), CoDuse (B) and control (C) groups. Pre-test including of balance tests (berg and stork), electromyography (EMG), Fatigue Severity Scale (FSS) and Expanded Disability Status Scale (EDSS) was conducted for groups. After eight weeks of relevant interventions in experimental groups, post-test including the same tests as used in the pre-test was carried out. Then, Data were analyzed by using analysis of variance test at the significance level of 0.05.
The results showed a significant difference between either of the experimental groups (A & B) and control group (C) after intervention in all variables except the berg balance test (P <0.05), whereas there was no significant difference between A and B groups in all variables (P> 0.05).
Both training groups were effective in improving static balance, neuromuscular fatigue and physical disability test scores, while none of these training protocols did not appear to be a useful method to positively affect berg balance test. Maybe in order to affect this variable, exercises with different stimuli and more stimulation was needed, which are mostly debatable in the main text.
45 women with multiple sclerosis, with an age range of 35 to 55 years (EDSS range of 1-4), were voluntarily recruited. They were assigned into three groups: CoDuse combined with hydrotherapy (A), CoDuse (B) and control (C) groups. Pre-test including of balance tests (berg and stork), electromyography (EMG), Fatigue Severity Scale (FSS) and Expanded Disability Status Scale (EDSS) was conducted for groups. After eight weeks of relevant interventions in experimental groups, post-test including the same tests as used in the pre-test was carried out. Then, Data were analyzed by using analysis of variance test at the significance level of 0.05.
The results showed a significant difference between either of the experimental groups (A & B) and control group (C) after intervention in all variables except the berg balance test (P <0.05), whereas there was no significant difference between A and B groups in all variables (P> 0.05).
Both training groups were effective in improving static balance, neuromuscular fatigue and physical disability test scores, while none of these training protocols did not appear to be a useful method to positively affect berg balance test. Maybe in order to affect this variable, exercises with different stimuli and more stimulation was needed, which are mostly debatable in the main text.
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