A custom-built step exergame training programme to prevent falls in people with multiple sclerosis: A multicentre randomised controlled trial.
Mult Scler
; 30(4-5): 571-584, 2024 Apr.
Article
em En
| MEDLINE
| ID: mdl-38362861
ABSTRACT
BACKGROUND:
Cognitive-motor step training can improve stepping, balance and mobility in people with multiple sclerosis (MS), but effectiveness in preventing falls has not been demonstrated.OBJECTIVES:
This multisite randomised controlled trial aimed to determine whether 6 months of home-based step exergame training could reduce falls and improve associated risk factors compared with usual care in people with MS.METHODS:
In total, 461 people with MS aged 22-81 years were randomly allocated to usual care (control) or unsupervised home-based step exergame training (120 minutes/week) for 6 months. The primary outcome was rate of falls over 6 months from randomisation. Secondary outcomes included physical, cognitive and psychosocial function at 6 months and falls over 12 months.RESULTS:
Mean (standard deviation (SD)) weekly training duration was 70 (51) minutes over 6 months. Fall rates did not differ between intervention and control groups (incidence rates (95% confidence interval (CI)) 2.13 (1.57-2.69) versus 2.24 (1.35-3.13), respectively, incidence rate ratio 0.96 (95% CI 0.69-1.34, p = 0.816)). Intervention participants performed faster in tests of choice-stepping reaction time at 6 months. No serious training-related adverse events were reported.CONCLUSION:
The step exergame training programme did not reduce falls among people with MS. However, it significantly improved choice-stepping reaction time which is critical to ambulate safely in daily life environment.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Esclerose Múltipla
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article