Article

In this single blind randomized controlled trial, we examined the effect of
a virtual reality-based training on gait of people with multiple sclerosis.
METHODS: Twenty-five individuals with multiple sclerosis with mild to moderate
disability were randomly assigned to either the control group (n = 11) or the
experimental group (n = 14).
The subjects in the control group received treadmill
training. Subjects in the experimental group received virtual reality based
treadmill training. Clinical measures and gait parameters were evaluated. RESULT:
Subjects in both the groups significantly improved the walking endurance and
speed, cadence and stride length, lower limb joint ranges of motion and powers,
during single and dual task gait. Moreover, subjects in the experimental group
also improved balance, as indicated by the results of the clinical motor tests (p
< 0.05). Between-group comparisons revealed that the experimental group improved
significantly more than control group in hip range of motion and hip generated
power at terminal stance at post-training. CONCLUSION: Our results support the
perceived benefits of training programs that incorporate virtual reality to
improve gait measures in individuals with multiple sclerosis. Implication of
rehabilitation Gait deficits are common in multiple sclerosis (85%) and worsen
during dual task activities. Intensive and progressive treadmill training, with
and without virtual reality, is effective on dual task gait in persons with
multiple sclerosis. Virtual reality-based treadmill training requiring obstacle
negotiation increases the range of motion and the power generated at the hip,
consequently allowing longer stride length and, consequently, higher gait speed.

Langue : ANGLAIS