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A Telerehabilitation Program Improves Postural Control in Multiple Sclerosis Patients: A Spanish Preliminary Study

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  • Rosa Ortiz-Gutiérrez

    (Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Faculty of Health Sciences, Rey Juan Carlos University, Avda. Atenas s/n. Alcorcón 28922, Madrid, Spain
    These authors contributed equally to this work.)

  • Roberto Cano-de-la-Cuerda

    (Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Faculty of Health Sciences, Rey Juan Carlos University, Avda. Atenas s/n. Alcorcón 28922, Madrid, Spain
    These authors contributed equally to this work.)

  • Fernando Galán-del-Río

    (Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Faculty of Health Sciences, Rey Juan Carlos University, Avda. Atenas s/n. Alcorcón 28922, Madrid, Spain
    These authors contributed equally to this work.)

  • Isabel María Alguacil-Diego

    (Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Faculty of Health Sciences, Rey Juan Carlos University, Avda. Atenas s/n. Alcorcón 28922, Madrid, Spain
    These authors contributed equally to this work.)

  • Domingo Palacios-Ceña

    (Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Faculty of Health Sciences, Rey Juan Carlos University, Avda. Atenas s/n. Alcorcón 28922, Madrid, Spain
    These authors contributed equally to this work.)

  • Juan Carlos Miangolarra-Page

    (Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Faculty of Health Sciences, Rey Juan Carlos University, Avda. Atenas s/n. Alcorcón 28922, Madrid, Spain
    These authors contributed equally to this work.)

Abstract

Postural control disorders are among the most frequent motor disorder symptoms associated with multiple sclerosis. This study aims to demonstrate the potential improvements in postural control among patients with multiple sclerosis who complete a telerehabilitation program that represents a feasible alternative to physical therapy for situations in which conventional treatment is not available. Fifty patients were recruited. Control group ( n = 25) received physiotherapy treatment twice a week (40 min per session). Experimental group ( n = 25) received monitored telerehabilitation treatment via videoconference using the Xbox 360 ® and Kinect console. Experimental group attended 40 sessions, four sessions per week (20 min per session).The treatment schedule lasted 10 weeks for both groups. A computerized dynamic posturography (Sensory Organization Test) was used to evaluate all patients at baseline and at the end of the treatment protocol. Results showed an improvement over general balance in both groups. Visual preference and the contribution of vestibular information yielded significant differences in the experimental group. Our results demonstrated that a telerehabilitation program based on a virtual reality system allows one to optimize the sensory information processing and integration systems necessary to maintain the balance and postural control of people with multiple sclerosis. We suggest that our virtual reality program enables anticipatory PC and response mechanisms and might serve as a successful therapeutic alternative in situations in which conventional therapy is not readily available.

Suggested Citation

  • Rosa Ortiz-Gutiérrez & Roberto Cano-de-la-Cuerda & Fernando Galán-del-Río & Isabel María Alguacil-Diego & Domingo Palacios-Ceña & Juan Carlos Miangolarra-Page, 2013. "A Telerehabilitation Program Improves Postural Control in Multiple Sclerosis Patients: A Spanish Preliminary Study," IJERPH, MDPI, vol. 10(11), pages 1-14, October.
    • Handle: RePEc:gam:jijerp:v:10:y:2013:i:11:p:5697-5710:d:30044
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    Cited by:

    1. Diego Fernández-Vázquez & Víctor Navarro-López & Roberto Cano-de-la-Cuerda & Domingo Palacios-Ceña & María Espada & Daniel Bores-García & José Manuel Delfa-de-la-Morena & Nuria Romero-Parra, 2024. "Influence of Virtual Reality and Gamification Combined with Practice Teaching Style in Physical Education on Motor Skills and Students’ Perceived Effort: A Mixed-Method Intervention Study," Sustainability, MDPI, vol. 16(4), pages 1-15, February.
    2. Ángela Aguilera-Rubio & Alicia Cuesta-Gómez & Ana Mallo-López & Alberto Jardón-Huete & Edwin Daniel Oña-Simbaña & Isabel Mª Alguacil-Diego, 2022. "Feasibility and Efficacy of a Virtual Reality Game-Based Upper Extremity Motor Function Rehabilitation Therapy in Patients with Chronic Stroke: A Pilot Study," IJERPH, MDPI, vol. 19(6), pages 1-12, March.
    3. Diego Fernández-Vázquez & Roberto Cano-de-la-Cuerda & Víctor Navarro-López, 2022. "Haptic Glove Systems in Combination with Semi-Immersive Virtual Reality for Upper Extremity Motor Rehabilitation after Stroke: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(16), pages 1-15, August.
    4. Sara García-Bravo & Roberto Cano-de-la-Cuerda & Joaquín Domínguez-Paniagua & Raquel Campuzano-Ruiz & Estrella Barreñada-Copete & María Jesús López-Navas & Aurora Araujo-Narváez & Cristina García-Bravo, 2020. "Effects of Virtual Reality on Cardiac Rehabilitation Programs for Ischemic Heart Disease: A Randomized Pilot Clinical Trial," IJERPH, MDPI, vol. 17(22), pages 1-17, November.

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