الفهرس 
Title : Torso based balance versus tailored physical therapy program in postural control in patients with multiple sclerosis
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Abstract
Multiple sclerosis (MS) is a chronic autoimmune disease of the central nervous system (CNS) characterized by inflammation, demyelination, gliosis, and neuronal loss. Pathologically, perivascular lymphocytic infiltrates, and macrophages produce degradation of myelin sheaths that surround neurons Purpose: to compare between the effects of balance based torso weighting and tailored physical therapy program on balance and postural control in ataxic (relapsing-remitting) MS patients. Methods: Ninety patients diagnosed as ataxic multiple sclerosis with impaired balance and postural control matching with inclusion criteria were selected from outpatient clinic at Shebin Elkom Teaching Hospital and Menofyia University Hospital. All the patients signed informed consent form after receiving information about study purpose, procedures, possible benefits, privacy and use of data before beginning of the study to ensure complete satisfaction. The patients randomly assigned into two groups, group (A) received torso-based balance weighting and selected physical therapy program for balance and postural control, group (B) received tailored physical therapy program and the same selected physical therapy program for balance and postural control. Both groups received treatment time for eight successive weeks, three times per week, one hour per session and in between this hour, there were time for rest. Results: The tailored physical therapy program had a statistical significant effect on improving balance disorders in patients with multiple sclerosis in berg balance scale and had only clinical effect on biodex balance system, but torso based balance had a clinical effect. In the tailored group, visual subgroup improved more than vestibular and proprioception.
Conclusions: Tailored physical therapy program had a more significant effect on improving balance and postural control in ataxic RRMS patient than torso based balance weighting, and in subgroup analysis of the tailored group, visual rehabilitation is effective more than vestibular and finally proprioceptive rehabilitation.