Locomotor training and virtual reality-based balance training for an individual with multiple sclerosis: a case report.
OBJECTIVE
Impaired walking ability, balance, and fatigue are common problems for people with multiple sclerosis (MS). The purpose of this case report is to describe the use of plan of care that included locomotor training using both a body weight support (BWS) with a treadmill (TM) and overground walking as well as a virtual reality (VR)-based balance intervention to improve walking ability, balance, and endurance for an individual with MS.


METHODS
The client was a 48-year-old female with a 10-year history of MS. Her main goals were to improve walking ability, balance, and endurance. She presented with impaired gait, balance, motor function, and increased fatigue. Locomotor training using a BWS/TM system and overground and VR-based balance interventions were implemented 2 days a week for 12 weeks.


RESULTS
The client demonstrated improvements in gait speed, gait endurance, and balance postintervention and maintained the improvements at a 2-month follow up.


CONCLUSIONS
This case report is the first to report on the use of locomotor training with BWS/TM system and overground and VR-based balance interventions for a client with MS. The plan of care was formulated based on the patient's goals and the available literature on the use of the interventions with other patients with neurologic conditions to provide an intervention that was task-oriented, skilled, and intensive.
Fulk
George D
GD
Physical Therapy Department, Clarkson University, Potsdam, NY, USA. gfulk@clarkson.edu
D005260:Female; D005684:Gait; D006801:Humans; D008875:Middle Aged; D009043:Motor Activity; D009103:Multiple Sclerosis / Q000534:rehabilitation*; D026741:Physical Therapy Modalities / Q000295:instrumentation*; D004856:Postural Balance; D014584:User-Computer Interface