Efficacy of task-oriented training on balance ability in people with multiple sclerosis: A systematic review and meta-analysis.

To examine the influences of Task-oriented (TO) training on balance ability in people with multiple sclerosis (PwMS). A comprehensive search was conducted in the following databases: "PubMed, Web of Science, Scopus, EMBASE, REHABDATA, and PEDro" until August 2023. Experimental trials that included P...

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Publicado en:Journal of Bodywork & Movement Therapies Vol. 44; pp. 16 - 25
Autor principal: Alashram, Anas R.
Formato: meta analysis research systematic review Journal Article
Publicado: Churchill Livingstone, Inc. Oct2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2025
      vid: 44
      pid: 1242
      pub: Churchill Livingstone, Inc.
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        10.1016/j.jbmt.2025.05.029
        187944783
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        atl: Efficacy of task-oriented training on balance ability in people with multiple sclerosis: A systematic review and meta-analysis.
      aug:
        au: Alashram, Anas R.
        affil: Department of Physiotherapy, Middle East University, Amman, Jordan
      sug:
        subj:
          Multiple Sclerosis Rehabilitation
          Therapeutic Exercise Methods
          Task Performance and Analysis
          Treatment Outcomes Evaluation
          Balance, Postural Evaluation
          Human
          Systematic Review
          Meta Analysis
          PubMed
          Embase
          Physiotherapy Evidence Database
          Descriptive Statistics
          Confidence Intervals
          Checklists
      ab: To examine the influences of Task-oriented (TO) training on balance ability in people with multiple sclerosis (PwMS). A comprehensive search was conducted in the following databases: "PubMed, Web of Science, Scopus, EMBASE, REHABDATA, and PEDro" until August 2023. Experimental trials that included PwMS administered TO training, compared with controls or with no controls, and assessed balance were included. The "Physiotherapy Evidence Database (PEDro) scale" was used to determine the methodological quality. A total of nine studies met the selection criteria. In total, 231 PwMS (42.03 years), 59.87 % of whom were women, were included in the current review. The "PEDro scale" scores ranged from tew to eight, with a median score of six. The meta-analysis of five studies assessing the effect of interventions on the Berg Balance Scale (BBS) showed a small to moderate mean effect size (d = 0.462), but this was not statistically significant (95 % CI: 0.334 to 1.258; p = 0.255). High heterogeneity (I2 = 82 %) and a wide prediction interval (−2.445 to 3.369) indicate considerable variability in true effects across studies. These findings suggest inconsistent outcomes and highlight the need for cautious interpretation and further research. The preliminary findings revealed that the evidence for the effects of combining TO training and conventional physiotherapy on balance in PwMS is promising. Further studies are warranted to specify the optimal treatment protocol and to recognize the influences of TO training on balance in PwMS.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        Journal Article
      ougenre: Article
    language: English
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