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Visual Feedback and Postural Control in Multiple Sclerosis.

Hernan Inojosa1, Dirk Schriefer1, Katrin Trentzsch1

  • 1MS Center, Department of Neurology, Carl Gustav Carus University Hospital, Technical University of Dresden, Fetscherstr. 74, 01307 Dresden, Germany.

Journal of Clinical Medicine
|May 6, 2020
PubMed
Summary
This summary is machine-generated.

People with multiple sclerosis (MS) rely more on visual feedback for balance than healthy individuals. This suggests static posturography can help develop targeted interventions to improve postural control and prevent falls in MS patients.

Keywords:
Multiple sclerosisbalancepostural controlsomatosensory impairmentstatic posturographyvisual feedback

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Biomedical Engineering

Background:

  • Multiple sclerosis (MS) causes demyelinating lesions affecting sensory pathways, potentially impairing postural control.
  • Visual feedback is crucial for maintaining balance, especially when somatosensory or vestibular systems are compromised.
  • Falls are a significant concern for people with MS (pwMS), necessitating effective evaluation and intervention strategies.

Purpose of the Study:

  • To objectively assess the influence of visual feedback on postural control in pwMS compared to healthy controls (HC).
  • To explore the clinical utility of static posturography in evaluating balance deficits in pwMS.
  • To investigate the correlation between visual dependency for balance and clinical MS severity measures.

Main Methods:

  • Static posturography was conducted on 99 pwMS and 30 HC, measuring sway parameters with eyes open and closed.
  • Clinical assessments included the Expanded Disease Disability Score (EDSS) and Multiple Sclerosis Functional Composite (MSFC).
  • Statistical analyses (ANCOVA) evaluated the effects of vision, MS diagnosis, and their interaction on balance parameters, with correlations to clinical scores.

Main Results:

  • A significant interaction between vision and MS diagnosis was observed for sway area and average speed of sway, indicating greater visual dependency in pwMS.
  • pwMS showed a larger increase in sway parameters when closing their eyes compared to HC.
  • Balance parameter differences correlated moderately with EDSS and MSFC scores, suggesting clinical relevance.

Conclusions:

  • People with MS exhibit increased reliance on visual feedback for maintaining postural stability compared to healthy controls.
  • Static posturography provides a simple, objective method to quantify visual dependency in balance.
  • These findings support the development of targeted preventive measures and rehabilitation therapies for improving balance and reducing fall risk in pwMS.