IJPR.2019.181
Type of Article: Original Research
Volume 7; Issue 5 (October 2019)
Page No.: 3262-3267
DOI: https://dx.doi.org/10.16965/ijpr.2019.181
EFFECT OF CODUSE VS EXERGAMING EXERCISE TO IMPROVE BALANCE IN MULTIPLE SCLEROSIS PATIENTS: A COMPARATIVE STUDY
Amrita Ghosh 1, Rekha.R *2.
1 Assistant Professor,RV College of Physiotherapy, affiliated to Rajiv Gandhi University of Health Sciences, Bangalore, Karnataka, India.
*2 (MPT pursuing), Student, RV College of Physiotherapy, affiliated to Rajiv Gandhi University of Health Sciences, Bangalore, Karnataka, India.
Corresponding Author: Rekha.R (MPT pursuing), Student, RV College of Physiotherapy, affiliated to Rajiv Gandhi University of Health Sciences, Bangalore, Karnataka, India. E-Mail: rekhaaradhya47@gmail.com
ABSTRACT
Background and Objectives: Multiple Sclerosis is a chronic, inflammatory disease of brain, optic nerve and spinal cord mediated by immune system. In India, MS prevalence has increased from1.33/10, 0000 to 8.35/100,000. People are most diagnosed at age 20-50 years with an average age of 30. People with MS frequently reports balance and walking impairments.
Therefore it is necessary to improve balance in MS .In recent advance it is shown that exergaming and CoDuSe exercise have positive roll to improve balance in patient with Multiple sclerosis. Thus aim of this study is to compare the effect of CoDuSe exercise and Exergaming program, on Balance performance & balance confidence, in People with multiple sclerosis.
Methods: A comparitive study was done on 30 Multiple Sclerosis patients, selected by purposive sampling technique and those meeting inclusion criteria were divided into 2 groups, Group A and Group B. Baseline balance assessment was taken in both the groups by Berg Balance Scale (BBS). Group A (n= 15) underwent CoDuSe exercise &Group B (n=15) underwent Exergaming protocols respectively for 6 weeks. Post intervention balance assessment was obtained at the end of 6weeks using BBS. Results thus obtained were statistically analysed using SPSS 16.0, MS Word and MS Excel.
Results: Group A who were given CoDuSe intervention improved much better than Group B who were given Exergaming .The unpaired t-test was performed between the two groups which showed moderately statistical significance with p-value <0.001.
Conclusion: In conclusion, CoDuSe is more effective than Exergaming exercise to improve balance in people with Multiple Sclerosis.
Key words: Multiple Sclerosis,Balance imapairment ,CoDuSe, Exergaming.
REFERENCES
- Darcy A. Umphered, RolandoT. Lazaro, MargaretL. Roller, Gordon U. Burton. Neurological Rehabilitation 2013,6\e.ELSEVIER.USA.
- Frank J. Dowd,NeilS.Norton, in xPharm: The Comprehensive Pharmacology Refrence,2007.
- ConfavreuzC,VukusicS.National history of multiple sclerosis: a unifying concept . Brain.2006;129:606-616.
- Susan B. O’Sullivan, Thomas J. Schmitz, George D. Fulk. Physical Rehabilitation. 2014, 6/e. Jaypee Publishers. New Delhi.
- J.smith,andW.I.McDonald.The Pathophysiology of Multiple Sclerosis the mechanism underlying the production of symptoms and the natural history of diseases.Philos Trans R SocLond B BiolSci;354(1390):1649-1673.
- Allan H.Ropper.MartinA.Samuels.JoshuaP.Klein. Adams and victor’s Principle of Neurology 2014,10\e McGraw -Hill Education.
- Ojeda E, Diaz- Cortes D, Rosales D, Duarte-Rey C, Anaya JM, Rojas-Villarraga A. Prevalence of MS in Latin America. 2013.
- Umphered,RolandoT.Lazaro,MargaretL.Roller,GordonU.Burton.Neurological Rehabilitation 2013,6\e.ELSEVIER.USA.
- AnetteForsberg,Lena von Koch andYlvaNilsagard.Effects on Balance and walking with the CoDuSe Balance exercise program in people with Multiple Sclerosis :A Multicenter Randomized Controlled Triat.Multiple Sclerosis International.Received 2016 Sep 6: Accepted 2016.
- Van DiestM,Lamoth CJ, StegengeJ,Verkerke J, Postema K. Exergaming for balance training of elderly.JNeuroeng Rehabilitation .2013 Sep 25;10:101.
