The aerobic treadmill exercise is feasible, safe and it may improve early anomalies of posture and gait in early MS patients. In the context of an impairment oriented rehabilitation approach, the set of instrumental measurements proposed seems to be able to identify subclinical anomalies in a very low degree of functional involvement on an individual basis.
Dear Samuel,
well as far as I remember there are studies that actually show an improvement in posture control after several training sessions on the treadmill. In my opinion these results "only" show that if the neuromuscular system is trained it improves and therefore also posture control gets better. There are other studies that show that classical strength training and its gains also improves posture control and that power itself is actually the limiting factor in many persons that have problems in posture control.
On the other hand I think that one has to discriminate between different forms of posture control. There is a static component which may be measured with COP. There is a dynamic component which can be assessed if one places a person an a two dimensional moveable platform and the movement of that platform is measured. Third and in real life situations often very important is the component of perturbation. How long does it take you to adequately react to a perturbation or is this not possible at all? I could imagine that locomotor training might help with the first two but not with the last.
I hope I could help you.
Kind regards. Chris
Careful training depending on patient status, and symptoms such as spasticity and fatigue will help them.
Adding interventions such as cognitive and respiratory training may be more beneficial.
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