Department of Physiotherapy, Middle East University, Amman, Jordan; Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, Rome, Italy; Applied Science Research Center, Applied Science Private University, Amman, Jordan.
J Bodyw Mov Ther. 2024 Oct;40:914-920. doi: 10.1016/j.jbmt.2024.06.013. Epub 2024 Jun 27.
Balance and gait impairments are among the most common consequences of multiple sclerosis (MS). A closed kinetic chain enhances balance and gait abilities in people with multiple sclerosis (PwMS). This study aims to compare the effectiveness of an integrated Telko and conventional physical therapy (CPT) intervention versus CPT alone on gait and balance in PwMS.
Twenty-six PwMS were enrolled in the trial, and they were randomized to either the combined Telko and CPT experimental group (n = 13) or the CPT alone control group (n = 13). All participants underwent 15-min sessions of CPT three times a week for four weeks. Additionally, participants in the experimental group received a 15-min Telko training session after each CPT session. Outcome measures consisted of the Berg Balance Scale (BBS), the 6-Minute Walk Test (6MWT), and the Timed Up and Go (TUG) assessment.
Twenty-four PwMS completed the study. The PwMS in the combined Telko and CPT experimental group exhibited significant improvements in balance, functional capacity, gait speed, and mobility following the intervention (P < 0.05). In the CPT group, PwMS also experienced significant improvements in functional capacity (P < 0.05). The between-group analysis revealed no significant differences among the outcome measures (P > 0.05).
The combined Telko and CPT intervention did not demonstrate superiority over CPT alone in improving balance and gait in PwMS. Further experimental studies are necessary to fully understand the effects of a closed kinetic chain for lower extremities on the balance and gait of individuals with PwMS.
平衡和步态障碍是多发性硬化症（MS）最常见的后果之一。闭链运动可增强多发性硬化症患者（PwMS）的平衡和步态能力。本研究旨在比较综合 Telko 和常规物理治疗（CPT）干预与单独 CPT 对 PwMS 步态和平衡的影响。
26 名 PwMS 参与了这项试验，并将他们随机分配到综合 Telko 和 CPT 实验组（n=13）或单独 CPT 对照组（n=13）。所有参与者每周接受三次 15 分钟的 CPT，持续四周。此外，实验组的参与者在每次 CPT 后还接受了 15 分钟的 Telko 训练。主要结果是 Berg 平衡量表（BBS）、6 分钟步行测试（6MWT）和计时起立行走测试（TUG）。
24 名 PwMS 完成了研究。在接受综合 Telko 和 CPT 实验组干预后，平衡、功能能力、步态速度和移动能力均显著改善（P<0.05）。在 CPT 组，PwMS 的功能能力也显著改善（P<0.05）。组间分析显示，各项结果之间无显著差异（P>0.05）。
综合 Telko 和 CPT 干预在改善 PwMS 的平衡和步态方面并未显示出优于单独 CPT 的优势。需要进一步的实验研究来充分了解下肢闭链运动对 PwMS 平衡和步态的影响。
