ArticleBMC research notes2013
Local dynamic stability as a responsive index for the evaluation of rehabilitation effect on fall risk in patients with multiple sclerosis: a longitudinal study.
Article in BMC research notes, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 45 citations in OpenAlex.
- Exergames versus self-regulated exercises with instruction leaflets to improve adherence during geriatric rehabilitation: a randomized controlled trial.BMC geriatrics · 2017Trial
- Trial
- Multiple Sclerosis Classification Using the Local Divergence Exponent: Parameters Selection for State-Space Reconstruction.Sensors (Basel, Switzerland) · 2025Article
- Effects of metronome walking on long-term attractor divergence and correlation structure of gait: a validation study in older people.Scientific reports · 2024Article
- Development of a multidimensional military readiness assessment.Frontiers in rehabilitation sciences · 2024Article
- Uncovering Subtle Gait Deterioration in People with Early-Stage Multiple Sclerosis Using Inertial Sensors: A 2-Year Multicenter Longitudinal Study.Sensors (Basel, Switzerland) · 2023Article
- Wearable Sensor Technologies to Assess Motor Functions in People With Multiple Sclerosis: Systematic Scoping Review and Perspective.Journal of medical Internet research · 2023Article
- Machine learning based estimation of dynamic balance and gait adaptability in persons with neurological diseases using inertial sensors.Scientific reports · 2023Article
- Measuring Gait Stability in People with Multiple Sclerosis Using Different Sensor Locations and Time Scales.Sensors (Basel, Switzerland) · 2021Article
- Walking With Horizontal Head Turns Is Impaired in Persons With Early-Stage Multiple Sclerosis Showing Normal Locomotion.Frontiers in neurology · 2021Article
- The Dresden Protocol for Multidimensional Walking Assessment (DMWA) in Clinical Practice.Frontiers in neuroscience · 2020Article
- Comparing Gait Trials with Greedy Template Matching.Sensors (Basel, Switzerland) · 2019Article
- Influence of single and dual tasks on gait stability and gait speed in the elderly : An explorative study.Zeitschrift fur Gerontologie und Geriatrie · 2019Article
- Longitudinal relationships among posturography and gait measures in multiple sclerosis.Neurology · 2015Article
- Role of visual input in the control of dynamic balance: variability and instability of gait in treadmill walking while blindfolded.Experimental brain research · 2015Article
- The impact of dynamic balance measures on walking performance in multiple sclerosis.Neurorehabilitation and neural repair · 2015Article
- Article
- Non-linear measures of movement variability in multiple sclerosis: a clinical narrative review of Lyapunov exponent and entropy applications in balance and gait.Frontiers in neurologyReview
- Motor and cognitive changes across 2 years: a longitudinal study in early Multiple Sclerosis.Archives of physiotherapyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGait and balance problems are common in patients with multiple sclerosis, leading to high risk for falls. Local Dynamic Stability (LDS), a non-linear gait stability index, has been advocated as an early indicator of risk for falls. With this longitudinal study over three weeks, we aimed to assess the responsiveness of Local Dynamic Stability to a rehabilitation program and to compare it to other measures.
methodsEighteen patients (mean 54 years, median EDSS score: 5) participated. They were admitted to inpatient rehabilitation and received a three weeks individually tailored program. They performed a 3-minute walking test at the beginning and at the end of the stay, as well as pain, wellbeing, fatigue, and balance assessment. The Local Dynamic Stability was computed from the acceleration signals measured with a 3D-accelerometer.
resultsAt the end of the rehabilitation process, patients reported reduced pain (Effect Size: -0.7), fatigue (ES:-0.6), and increased wellbeing (ES: 1.1). A small positive effect on static balance was observed (ES: 0.3). LDS was improved (ES: 0.6), and the effect was higher than walking speed improvement (ES: 0.4).
conclusionsThe Local Dynamic Stability seemed responsive to assess rehabilitation effects in patients with multiple sclerosis. It could constitute a valuable gait quality index, which could evaluate potential effects of rehabilitation on fall risk.
trial registrationCurrent Controlled Trials ISRCTN69803702.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.