Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Feb 17:2015:785497.
doi: 10.1155/2015/785497. eCollection 2015.

Effects of Mobility-Enhancing Nursing Intervention in Patients with MS and Stroke: Randomised Controlled Trial

Lorenz Imhof  1 , Susanne Suter-Riederer  1 , Jürg Kesselring  2
Affiliations

Effects of Mobility-Enhancing Nursing Intervention in Patients with MS and Stroke: Randomised Controlled Trial

Lorenz Imhof et al. Int Sch Res Notices. .

Abstract

Background. Multiple sclerosis (MS) or stroke causes functional impairment which can have a major impact on patients' life. Objectives. This RCT investigated the effect of a new nursing intervention (Mobility Enhancing Nursing Intervention-MFP) designed to improve rehabilitation outcomes. Method. The study took place in a rehabilitation clinic in Switzerland. One hundred forty participants diagnosed with MS, stroke, and brain injuries were randomly assigned to control group (CG = standard care) or intervention group (IG). The IG combined standard care with 30 days of MFB. MFP placed patients on a mattress on the floor and used tactile-kinaesthetic stimulation to increase spatial orientation and independency. Outcomes were functionality (Extended Barthel Index, EBI), quality of life (WHOQoL), and fall-related self-efficacy (FES-I). Results. There was a significant main effect of the intervention on functionality (EBI-diff/day mean = 0.30, versus mean = 0.16, P = 0.008). There was also a significant main effect on QoL (WHOQoL-diff mean = 13.8, versus mean = 5.4, P = 0.046). No significant effect was observed on fall-related self-efficacy. Conclusions. The positive effect of MFP on rehabilitation outcomes and quality of life suggests that this specialized nursing intervention could become an effective part of rehabilitation programs. The study was approved by the Ethics Committee of St. Gallen (KEK-SG Nr. 09/021) and registered at ClinicalTrial.gov NCT02198599.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Recruitment process.
See this image and copyright information in PMC

References

    1. Kesselring J., Comi G., Thompson A. J. Recovery of Function and Neurorehabilitation in Multiple Sclerosis. Cambridge, UK: Cambridge University Press; 2010.
    1. Khan F., Turner-Stokes L., Ng L., Kilpatrick T. Multidisciplinary rehabilitation for adults with multiple sclerosis. Cochrane Database of Systematic Reviews. 2007;(2) doi: 10.1002/14651858.CD006036.pub2.CD006036 - DOI - PMC - PubMed
    1. Kesselring J., Beer S. Symptomatic therapy and neurorehabilitation in multiple sclerosis. The Lancet Neurology. 2005;4(10):643–652. doi: 10.1016/s1474-4422(05)70193-9. - DOI - PubMed
    1. Courts N. F., Buchanan E. M., Werstlein P. O. Focus groups: the lived experience of participants with multiple sclerosis. Journal of Neuroscience Nursing. 2004;36(1):42–47. doi: 10.1097/01376517-200402000-00007. - DOI - PubMed
    1. Beer S., Khan F., Kesselring J. Rehabilitation interventions in multiple sclerosis: an overview. Journal of Neurology. 2012;259(9):1994–2008. doi: 10.1007/s00415-012-6577-4. - DOI - PubMed

Associated data

LinkOut - more resources