Effects of physiotherapy interventions on balance in multiple sclerosis: a systematic review and meta-analysis of randomized controlled trials
Paltamaa, J., Sjögren, T., Peurala, S., & Heinonen, A. (2012). Effects of physiotherapy interventions on balance in multiple sclerosis: a systematic review and meta-analysis of randomized controlled trials. Journal of Rehabilitation Medicine, 44(10), 811-823. https://doi.org/10.2340/16501977-1047
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Journal of Rehabilitation MedicineDate
2012Copyright
© 2012 Foundation of Rehabilitation Information. Published in this repository with the kind permission of the publisher.
Objective: To determine the effects of physiotherapy interventions
on balance in people with multiple sclerosis.
Data sources: A systematic literature search was conducted
in Medline, Cinahl, Embase, PEDro, both electronically and
by manual search up to March 2011.
Study selection: Randomized controlled trials of physiotherapy
interventions in people with multiple sclerosis, with
an outcome measure linked to the International Classification
of Functioning, Disability and Health (ICF) category of
“Changing and maintaining body position”, were included.
Data extraction: The quality of studies was determined by
the van Tulder criteria. Meta-analyses were performed in
subgroups according to the intervention.
Data synthesis: After screening 233 full-text papers, 11 studies
were included in a qualitative analysis and 7 in a metaanalysis.
The methodological quality of the studies ranged
from poor to moderate. Low evidence was found for the efficacy
of specific balance exercises, physical therapy based on
an individualized problem-solving approach, and resistance
and aerobic exercises on improving balance among ambulatory
people with multiple sclerosis.
Conclusion: These findings indicate small, but significant,
effects of physiotherapy on balance in people with multiple
sclerosis who have a mild to moderate level of disability.
However, evidence for severely disabled people is lacking,
and further research is needed.
...


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Foundation of Rehabilitation InformationISSN Search the Publication Forum
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