The effect of a combined motor-cognitive program intervention of quality of life, walking speed, and fear of falling in multiple sclerosis (MS) patients: A controlled clinical trial

Document Type : Original Article

Authors

1 Behavioral and Cognitive Sciences in Sport,, Sport and Health Sciences Faculty, University of Tehran, Tehran, Iran.

2 1. Department of Motor Behavior and Sport Psychology, Faculty of Sport Science, University of Arak, Arak, Iran

3 3. Department of Neurology, Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran

10.22034/mmbj.2025.65158.1148

Abstract

Multiple Sclerosis (MS) as a central nervous system’s self-immune disease can decrease quality of life and walking speed. In this research, the effect of a combined intervention program on MS patients’ quality of life, walking speed, and fear of falling was examined.
The research subjects in were 30 patients with MS members of Arak’s MS Association, age range between 20-60 years, with a disability score of 2-4, randomly allocated to experiment or control groups. Subjects completed the MS Quality of Life Questionnaire and Falls Efficacy Scale-International, Fall Efficacy-International Questionnaire, and performed a 25-foot walking test at pre-test. After the intervention program, post-test performed. Data were was analyzed by paired t-test, independent t-test, and SPSS-21 software.
The mMean score of quality of life total score (p≤0.001) and 25-foot walking speed test after the combined intervention improved significantly at post-test ( (p≤0.001) (p≤0/05). No significant differences were observed between the experimental and control groups’ mean score of fear of falling at on the post-test (p≤0/05).
Because of the effects of the combined motor-cognitive intervention program on MS patients’ quality of life and fear of falling, the program is recommended as a complement part of if treatment of MS patients. The Llack of effect of the combined intervention program on fear of falling reduction may be related to the construct nature (subjectivity), and the nature and time of the program.
Keywords. Combined Intervention, Quality of Life, Fear of Falling, Multiple Sclerosis.

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History

  • Receive Date: 31 December 2024
  • Revise Date: 26 February 2025
  • Accept Date: 27 June 2025

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