Effect of Exercise Programs on Fear of Falling in Multiple Sclerosis: A Systematic Review and Meta-analysis of Randomized Clinical Trials

Background: Multiple Sclerosis (MS) is one of the most common diseases of the Central Nervous System (CNS). Numerous studies have reported Fear of Falling (FOF) among MS patients. FOF is a factor limiting physical activity. Regular physical activity is very important for maintaining good health and...

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Autores principales:	Parisa Sedaghati, Amir Hassan Hosseini, Hamed Zarei
Formato:	article
Lenguaje:	EN
Publicado:	Guilan University of Medical Sciences 2021
Materias:	fear of falling multiple sclerosis physical activity exercise Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/b01d8822e9ce4f4ea4dd8c584f6cdb23
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spelling	oai:doaj.org-article:b01d8822e9ce4f4ea4dd8c584f6cdb232021-11-23T12:55:39ZEffect of Exercise Programs on Fear of Falling in Multiple Sclerosis: A Systematic Review and Meta-analysis of Randomized Clinical Trials10.32598/CJNS.7.27.72423-4818https://doaj.org/article/b01d8822e9ce4f4ea4dd8c584f6cdb232021-10-01T00:00:00Zhttps://cjns.gums.ac.ir/article-1-469-en.htmlhttps://doaj.org/toc/2423-4818Background: Multiple Sclerosis (MS) is one of the most common diseases of the Central Nervous System (CNS). Numerous studies have reported Fear of Falling (FOF) among MS patients. FOF is a factor limiting physical activity. Regular physical activity is very important for maintaining good health and preventing the complications of MS patients and can make these people more active and reduce FOF. Objectives: The aim of the present study was to do a meta-analyze about the effect of exercise programs on FOF among MS patients Materials & Methods: Primary sources were obtained from 9 databases including, PubMed, EMBASE, SCOPUS, LILACS, CINAHL, CENTRAL, Web of Science, PEDro, and Google Scholar, from inception until April 2021. Data analysis was carried out using Comprehensive Meta-Analysis ver. 2. Results: Nine studies with 350 participants were included in the review. The results of the meta-analysis showed the effect of exercise programs on the FOF among MS patients. The Hedges’ adjusted Effect Size (ES) regarding the effects of exercise programs on FOF among MS patients was -0.15 (95%CI: -0.52 - 0.22). The results of the meta-analysis showed no significant difference between the effect of exercise programs on FOF among MS patients (p=0.44). Conclusion: It was found that all exercise programs have a significant effect on FOF among MS patients. There was no statistically significant difference between exercise programs regarding which exercise programs led to a higher reduction in FOF among these patients; however, Pilates and virtual reality exercises were more effective than other exercise programs.Parisa SedaghatiAmir Hassan Hosseini Hamed ZareiGuilan University of Medical Sciencesarticlefear of fallingmultiple sclerosisphysical activityexerciseNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENCaspian Journal of Neurological Sciences, Vol 7, Iss 4, Pp 227-235 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	fear of falling multiple sclerosis physical activity exercise Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	fear of falling multiple sclerosis physical activity exercise Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Parisa Sedaghati Amir Hassan Hosseini Hamed Zarei Effect of Exercise Programs on Fear of Falling in Multiple Sclerosis: A Systematic Review and Meta-analysis of Randomized Clinical Trials
description	Background: Multiple Sclerosis (MS) is one of the most common diseases of the Central Nervous System (CNS). Numerous studies have reported Fear of Falling (FOF) among MS patients. FOF is a factor limiting physical activity. Regular physical activity is very important for maintaining good health and preventing the complications of MS patients and can make these people more active and reduce FOF. Objectives: The aim of the present study was to do a meta-analyze about the effect of exercise programs on FOF among MS patients Materials & Methods: Primary sources were obtained from 9 databases including, PubMed, EMBASE, SCOPUS, LILACS, CINAHL, CENTRAL, Web of Science, PEDro, and Google Scholar, from inception until April 2021. Data analysis was carried out using Comprehensive Meta-Analysis ver. 2. Results: Nine studies with 350 participants were included in the review. The results of the meta-analysis showed the effect of exercise programs on the FOF among MS patients. The Hedges’ adjusted Effect Size (ES) regarding the effects of exercise programs on FOF among MS patients was -0.15 (95%CI: -0.52 - 0.22). The results of the meta-analysis showed no significant difference between the effect of exercise programs on FOF among MS patients (p=0.44). Conclusion: It was found that all exercise programs have a significant effect on FOF among MS patients. There was no statistically significant difference between exercise programs regarding which exercise programs led to a higher reduction in FOF among these patients; however, Pilates and virtual reality exercises were more effective than other exercise programs.
format	article
author	Parisa Sedaghati Amir Hassan Hosseini Hamed Zarei
author_facet	Parisa Sedaghati Amir Hassan Hosseini Hamed Zarei
author_sort	Parisa Sedaghati
title	Effect of Exercise Programs on Fear of Falling in Multiple Sclerosis: A Systematic Review and Meta-analysis of Randomized Clinical Trials
title_short	Effect of Exercise Programs on Fear of Falling in Multiple Sclerosis: A Systematic Review and Meta-analysis of Randomized Clinical Trials
title_full	Effect of Exercise Programs on Fear of Falling in Multiple Sclerosis: A Systematic Review and Meta-analysis of Randomized Clinical Trials
title_fullStr	Effect of Exercise Programs on Fear of Falling in Multiple Sclerosis: A Systematic Review and Meta-analysis of Randomized Clinical Trials
title_full_unstemmed	Effect of Exercise Programs on Fear of Falling in Multiple Sclerosis: A Systematic Review and Meta-analysis of Randomized Clinical Trials
title_sort	effect of exercise programs on fear of falling in multiple sclerosis: a systematic review and meta-analysis of randomized clinical trials
publisher	Guilan University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/b01d8822e9ce4f4ea4dd8c584f6cdb23
work_keys_str_mv	AT parisasedaghati effectofexerciseprogramsonfearoffallinginmultiplesclerosisasystematicreviewandmetaanalysisofrandomizedclinicaltrials AT amirhassanhosseini effectofexerciseprogramsonfearoffallinginmultiplesclerosisasystematicreviewandmetaanalysisofrandomizedclinicaltrials AT hamedzarei effectofexerciseprogramsonfearoffallinginmultiplesclerosisasystematicreviewandmetaanalysisofrandomizedclinicaltrials
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Effect of Exercise Programs on Fear of Falling in Multiple Sclerosis: A Systematic Review and Meta-analysis of Randomized Clinical Trials

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