The effectiveness of balance exercises on the textured surface on somatosensory, balance and Spatio-temporal parameters of gait in patients with relapsing-remitting multiple sclerosis: A parallel-groups clinical study

The effect of balance exercises on textured surface on somatosensory, balance and spatial-temporal parameters of gait in people with multiple sclerosis

A clinical trial with a control group, with parallel groups, double-blind, randomized by block randomization method, on 30 patients. A random number table will be used for randomization.

Location: Isfahan Exercises: intervention group:Balance exercises and simultaneous sensory stimulation control group:balance exercises . Trend: Obtaining patients 'consent and collecting demographic information, measuring and recording study variables in two experimental and control groups before and after exercise therapy intervention. Intervention program: 12 hours of therapy based on improving balance (6 weeks, one-hour 2 sessions per week). Blinding participants, evaluating and analyzing data

Inclusion criteria: Diagnosis of a neurologist Weakness in somatosensory function based on sensory evaluation EDSS score 2 to 5.5 (for the ability to perform or complete gait tests according to previous studies) The ability to walk a distance of 25 feet with or without assistive device Ability to stand independently for 2 minutes Exclusion criteria: The underlying illnesses Receive corticosteroid treatment one month before the study Uncorrected visual disorders Exacerbation of symptoms Changes in medications during the study Attack 30 days before the start of the study or during the study

The intervention group will receive balance exercises and sensory stimulation simultaneously(standing on a textured mat.) and the control group will receive balance exercises.

Fatigue, pain, spasticity, ataxia, muscle strength, sensory, static and dynamic balance, spatio-temporal parameters of walking

The samples will be divided into two groups using the blocked randomization method. The choice of this randomization method is according to the sample size of the present study (less than 100 people) to ensure an equal number of people in each group. Randomization unit: individual Randomization tool: Random number table In order to hide random allocation, opaque envelopes sealed and sealed with random sequence are used: In this method, first a random sequence is created using the mentioned method, then based on the sample size of the research, a number of envelopes with aluminum foil (foil) are used. The contents of the envelopes are prepared and each of the random sequences created is recorded on a card and the cards are placed inside the envelopes in the order of placement. In order to maintain a random sequence, the envelopes are numbered in the same way on the outer surface. Finally, the lid of the letter envelopes is glued and placed in a box, respectively. It becomes obvious. Execution of the random allocation process: One person will create a random sequence, the other person will examine the participants in terms of entry and exit criteria for the study and will register them in the study and the third person will participate in the study.

In this study, participants are informed that they are in two groups with different programs, but they are not aware that they are in the intervention or control group. The outcome assessor and data analyst are also unaware of the allocation of groups.

The study data (excluding the personal details) can be shred with other researchers or systematic reviewers.

Data will be shared once findings are come up or summary date is published.

Data will be shared personally and for academic purposes only.

Data will be shared for teaching or research. Dr Sadeghi (correspondence) will review the requests.

People can sent their request to the correspondence and obtain the data.

Request can be sent through an email (sadeghi@rehab.mui.ac.ir).

The kinematic and kinetic information of the gait and data for static balance (forcepate) will be available for researchers who are interested in secondary data analysis.