Impact Of Cawthorne Cooksey Exercise And Strength Training On Gait And Balance Related Impairments In Multiple Sclerosis Patient : A Case Study

Authors

  • Chaithra BS Assistant Professor Laxmi Memorial College of Physiotherapy, Mangalore Rajiv Gandhi University of Health Sciences, Karnataka
  • Samuel SE Professor & Principal Laxmi Memorial College of Physiotherapy, Mangalore Rajiv Gandhi University of Health Sciences, Karnataka.
  • Sunil NK BPT Intern , Laxmi Memorial College of Physiotherapy, Mangalore Rajiv Gandhi University of Health Sciences, Karnataka.

DOI:

https://doi.org/10.37506/8reek646

Keywords:

Cawthorne cooksey exercise, strength training, multiple sclerosis.

Abstract

Background: Multiple sclerosis commonly develops between 20 to 40 years of age, however also seen in older populations. It is more common in females than in males. Fatigue, impaired coordination, pain ,blurred vision, weakness in limbs are often the complaints.

 

Objective: A case study is to provide evidence of the feasibility, acceptance and benefits of Cawthorne Cooksey exercise and strength training in gait and balance related impairments of a multiple sclerosis patient.

 

Method: 58 years old multiple sclerosis patient was provided an individualised therapy for 3 weeks. Outcome measures included Tinetti Performance Oriented Mobility Assessment (Tinetti POMA) and Timed Up and Go (TUG).

 

Result: Findings demonstrated the effectiveness of the cawthorne cooksey exercise and strength training for use by multiple sclerosis patient with gait and balance impairments.

 

Conclusion: The Tinetti POMA Scale and TUG test scores suggested improved gait and balance. However the results were not clinically significant.

 

Downloads

Download data is not yet available.

References

Paltamaa J, Sjögren T, Peurala SH, Heinonen A. Effects of physiotherapy interventions on balance in multiple sclerosis: a systematic review and meta-analysis of randomized controlled trials. Journal of rehabilitation medicine. 2012 Sep 19;44(10):811-23.

Filipi ML, Leuschen MP, Huisinga J, Schmaderer L, Vogel J, Kucera D, Stergiou N. Impact of resistance training on balance and gait in multiple sclerosis. International Journal of MS Care. 2010 Jan 1;12(1):6-12.

Mañago MM, Hebert JR, Kittelson J, Schenkman M. Feasibility of a targeted strengthening program to improve gait in people with multiple sclerosis: a brief report. International Journal of Rehabilitation Research. 2018 Dec 1;41(4):364-7.

Abd Alhamid HM, Mansour WT, Ramzy GM, Ragab WM, Hamada HA. Caw Thorne Cooksey versus vestibular habituation exercises on trunk kinetics and velocity of gait in patients with multiple sclerosis. Journal of Advanced Pharmacy Education & Research| Apr-Jun. 2019;9(S2):147.

Gutierrez GM, Chow JW, Tillman MD, McCoy SC, Castellano V, White LJ. Resistance training improves gait kinematics in persons with multiple sclerosis. Archives of physical medicine and rehabilitation. 2005 Sep 1;86(9):1824-9.

Feshki F, Banaeifar A, Kasbparast M. The effects of a 6-week selected balance and cawthorne-cooksey exercises on static balance and mobility in female patients with multiple sclerosis. Physical Treatments-Specific Physical Therapy Journal. 2020 Jul 10;10(3):169-76

Zahedi H, Shafeai F. The Effect of Cawthorne and Cooksey Training program on Static and Dynamic Balance of Women with Multiple Sclerosis. Sport Sciences and Health Research. 2017 Aug 23;9(1):69-81.

Hayes HA, Gappmaier E, LaStayo PC. Effects of high-intensity resistance training on strength, mobility, balance, and fatigue in individuals with multiple sclerosis: a randomized controlled trial. Journal of Neurologic Physical Therapy. 2011 Mar 1;35(1):2-10.

Filipi ML, Leuschen MP, Huisinga J, Schmaderer L, Vogel J, Kucera D, Stergiou N. Impact of resistance training on balance and gait in multiple sclerosis. International Journal of MS Care. 2010 Jan 1;12(1):6-12.

Callesen J, Cattaneo D, Brincks J, Kjeldgaard Jørgensen ML, Dalgas U. How do resistance training and balance and motor control training affect gait performance and fatigue impact in people with multiple sclerosis? A randomized controlled multi-center study. Multiple Sclerosis Journal. 2020 Oct;26(11):1420-32.

Ribeiro AD, Pereira JS. Balance improvement and reduction of likelihood of falls in older women after Cawthorne and Cooksey exercises. Brazilian journal of otorhinolaryngology. 2005 Jan 1;71(1):38-46.

Dobson R, Giovannoni G. Multiple sclerosis–a review. European journal of neurology. 2019 Jan;26(1):27-40.

Afrasiabifar A, Karami F, Najafi Doulatabad S. Comparing the effect of Cawthorne–Cooksey and Frenkel exercises on balance in patients with multiple sclerosis: a randomized controlled trial. Clinical rehabilitation. 2018 Jan;32(1):57-65.

Farzin F, Golpayegani M, Faraji F, Shahrjerdi S, Ghasemi P. The effect of vestibular rehabilitation on dizzines and balance in patient with multiple sclerosis. Journal of Arak University of Medical Sciences. 2018 Jan 1;21(2):65-74.

Alashram AR. Effects of Cawthorne-Cooksey exercises on vestibular symptoms: A systematic review of randomized controlled trials. Journal of Bodywork and Movement Therapies. 2024 Mar 6.

Cruickshank TM, Reyes AR, Ziman MR. A systematic review and meta-analysis of strength training in individuals with multiple sclerosis or Parkinson disease. Medicine. 2015 Jan 1;94(4):e411.

Manca A, Dvir Z, Deriu F. Meta-analytic and scoping study on strength training in people with multiple sclerosis. The Journal of Strength & Conditioning Research. 2019 Mar 1;33(3):874-89.

Karpatkin HI, Cohen ET, Klein S, Park D, Wright C, Zervas M. The effect of maximal strength training on strength, walking, and balance in people with multiple sclerosis: a pilot study. Multiple sclerosis international. 2016 Oct;2016.

Canbek J. Understanding clinically meaningful change in walking and balance ability for patients undergoing inpatient physical therapy after stroke. Nova Southeastern University; 2011.

Maldaner N, Sosnova M, Ziga M, Zeitlberger AM, Bozinov O, Gautschi OP, Weyerbrock A, Regli L, Stienen MN. External validation of the minimum clinically important difference in the timed-up-and-go test after surgery for lumbar degenerative disc disease. Spine. 2022 Feb 15;47(4):337-42.

Downloads

Published

2024-10-10

How to Cite

Impact Of Cawthorne Cooksey Exercise And Strength Training On Gait And Balance Related Impairments In Multiple Sclerosis Patient : A Case Study. (2024). Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 18(4), 3-6. https://doi.org/10.37506/8reek646