Article

OBJECTIVE: To evaluate the effect of Cawthorne-Cooksey and Frenkel exercises on
balance in patients with multiple sclerosis. DESIGN: It was a three-arm parallel
randomized controlled trial study. SETTING: Outpatient clinic. SUBJECTS: Patients
with multiple sclerosis. INTERVENTIONS: Subjects in the intervention groups
completed a 12-week program consisted of Cawthorne-Cooksey or Frenkel exercises.
The control group only received routine care. MAIN MEASURES: The outcome measure
was the Berg Balance Scale. RESULTS: Seventy-two patients completed the study. At
the end of the intervention, there was a statistically significant improvement in
Berg Balance Scale in the Cawthorne-Cooksey group ( n = 24) in comparison with
the other two groups ( P = 0.001). In the Frenkel group ( n = 23), the
improvement was statistically greater than the changes in the control group ( n =
25), but it did not appear to be clinically significant. The Berg Balance Scale
score increased to 8.9 in the Cawthorne-Cooksey group and 2.3 in the Frenkel
group, while it decreased to 1.2 in the control group. When comparing inter-group
changes, Berg Balance Scale showed significant improvements in favor of the
Cawthorne-Cooksey group after the intervention ( P < 0.05). CONCLUSION: This
study demonstrated that in comparison with Frenkel and the control groups, a
program of Cawthorne-Cooksey exercise is more effective in improving balance in
patients with multiple sclerosis.

Langue : ANGLAIS