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document
Randomized clinical trial of balance-based torso weighting for improving upright mobility in people with multiple sclerosis . BACKGROUND Torso weighting has sometimes been effective for improving upright mobility in people with multiple sclerosis , but parameters for weighting have been inconsistent . OBJECTIVE To determine whether balance-based torso weighting ( BBTW ) has immediate effects on upright mobility in people with multiple sclerosis . METHODS This was a 2-phase randomized clinical trial . In phase 1 , 36 participants were randomly assigned to experimental and control groups . In phase 2 , the control group was subsequently randomized into 2 groups with alternate weight-placement . Tests of upright mobility included : timed up and go ( TUG ) , sharpened Romberg , 360-degree turns , 25-foot walk , and computerized platform posturography . Participants were tested at baseline and again with weights placed according to group membership . In both phases , a physical therapist assessed balance for the BBTW group and then placed weights to decrease balance loss . In phase 1 , the control group had no weights placed . In phase 2 , the alternate treatment group received standard weight placement of 1.5 % body weight . RESULTS People with BBTW showed a significant improvement in the 25-foot walk ( P = .01 ) over those with no weight , and the TUG ( P = .01 ) over those with standard weight placement . BBTW participants received an average of 0.5 kg , less than 1.5 % of any participant 's body weight . CONCLUSION BBTW can have immediate advantages over a nonweighted condition for gait velocity and over a standardized weighted condition for a functional activity in people with multiple sclerosis ( MS ) who are ambulatory but have balance and mobility abnormalities .
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Intervention_Physical
torso weighting
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Intervention_Physical
balance-based torso weighting ( BBTW )
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Intervention_Physical
computerized platform posturography
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Intervention_Physical
BBTW
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Intervention_Physical
BBTW
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Outcome_Physical
upright mobility
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Outcome_Physical
upright mobility
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Outcome_Physical
parameters for weighting
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Outcome_Physical
upright mobility
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Outcome_Physical
timed up and go ( TUG )
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Outcome_Physical
sharpened Romberg
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Outcome_Physical
360-degree turns
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Outcome_Physical
25-foot walk ,
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Outcome_Physical
computerized platform posturography
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Outcome_Physical
balance loss
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Outcome_Physical
25-foot walk
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Outcome_Physical
gait velocity
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Outcome_Physical
functional activity
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Participant_Condition
multiple sclerosis
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Participant_Condition
multiple sclerosis
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Participant_Condition
multiple sclerosis
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Participant_Sample-size
36
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Participant_Condition
multiple sclerosis
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Participant_Condition
MS