Carling Anna, Nilsagård Ylva, Forsberg Anette
University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Department of Physiotherapy, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Physiother Res Int. 2018 Oct;23(4):e1728. doi: 10.1002/pri.1728. Epub 2018 Jul 1.
The aim of this qualitative study was to describe the experience and perceived effects on everyday life for people with multiple sclerosis after participating in a balance exercise programme focusing on core stability, dual tasking, and sensory strategies (the CoDuSe programme).
A qualitative approach was chosen, using face-to-face interviews analysed with content analysis. Twenty-seven people with multiple sclerosis (20 women, 7 men) who had participated in the CoDuSe programme were included. All could walk 20 m with or without walking aids but could not walk further than 200 m. The CoDuSe programme was given twice weekly during a 7-week period.
The analysis revealed five categories. Learning to activate the core muscles described how the participants gained knowledge of using their core muscles and transferred this core muscle activation into everyday life activities. Improved bodily confidence covered narratives of being more certain of the ability to control their bodies. Easier and safer activities showed how they could now perform activities in everyday life more safely and easily. Increased independence and participation involved the participants' improved ability and self-confidence to execute activities by themselves, as well as their increased participation in activities in daily living. Experiences of the balance exercise programme revealed that they found the programme novel and challenging. The overall theme was balance exercise facilitates everyday life.
Participating in the CoDuSe programme was perceived to facilitate everyday life for people with multiple sclerosis. Taking part in the balance exercise programme taught the participants how to activate and use the core muscles, which increased their bodily confidence. Having increased bodily confidence helped them to perform everyday life activities with more ease and safety, which increased their independence and participation. The participants described the CoDuSe programme as novel and challenging, yet feasible.
这项定性研究的目的是描述多发性硬化症患者在参与一项专注于核心稳定性、双重任务处理和感觉策略的平衡锻炼计划（CoDuSe计划）后在日常生活中的体验和感知到的影响。
采用定性研究方法，通过面对面访谈并进行内容分析。纳入了27名参与CoDuSe计划的多发性硬化症患者（20名女性，7名男性）。所有人在有或没有助行器的情况下都能行走20米，但行走距离不超过200米。CoDuSe计划在7周内每周进行两次。
分析揭示了五个类别。学会激活核心肌肉描述了参与者如何获得使用核心肌肉的知识并将这种核心肌肉激活转化为日常生活活动。身体信心增强涵盖了对更确定自己控制身体能力的叙述。活动更轻松安全展示了他们现在如何能在日常生活中更安全、轻松地进行活动。独立性和参与度提高涉及参与者自行执行活动的能力和自信心增强，以及他们在日常生活活动中的参与度增加。平衡锻炼计划的体验表明他们发现该计划新颖且具有挑战性。总体主题是平衡锻炼促进日常生活。
参与CoDuSe计划被认为有助于多发性硬化症患者的日常生活。参加平衡锻炼计划教会了参与者如何激活和使用核心肌肉，这增强了他们的身体信心。身体信心增强帮助他们更轻松、安全地进行日常生活活动，从而提高了他们的独立性和参与度。参与者将CoDuSe计划描述为新颖、具有挑战性但可行。
