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Relationship between foot vibration threshold and walking and balance functions in people with Multiple Sclerosis (PwMS)

The aim of this study was to investigate the relationship between foot vibration
threshold and walking and balance functions in people with Multiple Sclerosis
(PwMS). The study sample consisted of 34 participants with mean age of 49.5 years
(SD 11.13). Participants were able to walk independently or with an assistive
device. Participants underwent vibration threshold testing using the
Neurothesiometer (NT), followed by the 6 min walking test (6MWT), the Timed Up
and Go test (TUG) and the Berg balance scale (BBS). We found a statistically
significant relationship between foot vibration threshold and all outcome
measures used. The first metatarsophalangeal joint had the strongest correlation
with BBS (-0.585, p < 0.01), 6 MWT (-0.557, p < 0.01) and TUG (0.498, p < 0.01).
We also found that vibration threshold scores differed between those people with
MS with and without walking limitations (Mann-Whitney U test, p < 0.01 for all
testing points). In conclusion, these findings confirm the relationship between
foot vibration threshold and clinical measures of walking and balance in PwMS and
add to literature predictive validity of foot vibration threshold. They also
suggest that vibration threshold may be important to consider when identifying
people in need of intervention or when evaluating the effect of rehabilitation
and exercise interventions.
CI - Copyright (c) 2014 Elsevier B.V. All rights reserved.

Langue : ANGLAIS

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