TY  - JOUR
PY  - 2024//
TI  - A custom-built step exergame training programme to prevent falls in people with multiple sclerosis: a multicentre randomised controlled trial
JO  - Multiple Sclerosis: Clinical and Laboratory Research
A1  - Hoang, Phu
A1  - Sturnieks, Daina L.
A1  - Butler, Anna
A1  - Chaplin, Carly
A1  - Hicks, Cameron
A1  - Lo, Joanne
A1  - Ratanapongleka, Mayna
A1  - Robinson, Sophie
A1  - Smith, Natassia
A1  - Turner, Jessica
A1  - Krishnan, Arun V.
A1  - Barnett, Michael
A1  - Gandevia, Simon
A1  - Lord, Stephen R.
A1  - Menant, Jasmine C.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: Cognitive-motor step training can improve stepping, balance and mobility in people with multiple sclerosis (MS), but effectiveness in preventing falls has not been demonstrated. <br><br>OBJECTIVES: This multisite randomised controlled trial aimed to determine whether 6 months of home-based step exergame training could reduce falls and improve associated risk factors compared with usual care in people with MS. <br><br>METHODS: In total, 461 people with MS aged 22-81 years were randomly allocated to usual care (control) or unsupervised home-based step exergame training (120 minutes/week) for 6 months. The primary outcome was rate of falls over 6 months from randomisation. Secondary outcomes included physical, cognitive and psychosocial function at 6 months and falls over 12 months. <br><br>RESULTS: Mean (standard deviation (SD)) weekly training duration was 70 (51) minutes over 6 months. Fall rates did not differ between intervention and control groups (incidence rates (95% confidence interval (CI)): 2.13 (1.57-2.69) versus 2.24 (1.35-3.13), respectively, incidence rate ratio: 0.96 (95% CI: 0.69-1.34, p = 0.816)). Intervention participants performed faster in tests of choice-stepping reaction time at 6 months. No serious training-related adverse events were reported. <br><br>CONCLUSION: The step exergame training programme did not reduce falls among people with MS. However, it significantly improved choice-stepping reaction time which is critical to ambulate safely in daily life environment.<p />  <p>Language: en</p>
LA  - en
SN  - 1352-4585
UR  - http://dx.doi.org/10.1177/13524585241229360
ID  - ref1
ER  -