Analysis of the influence of core muscle training on the results of selected locomotion tests in patients with relapsing-remitting multiple sclerosis

Background
Multiple sclerosis (MS) is the most common demyelinating disease of the nervous system. The most common symptoms include sensory disturbances, weakened muscle strength, impaired motor coordination, chronic fatigue, speech deficits, and memory impairment.

Aim
To evaluate the impact of "core" muscle training on the locomotor function of patients with relapsing-remitting multiple sclerosis (RRMS).

Material and methods
The study group consisted of 20 patients with a clinical diagnosis of MS. Inclusion criteria were: the ability to walk 30 meters unassisted and the ability to remain standing for at least one minute. Each patient underwent a gait assessment prior to therapy using the 6MW (six-minute walk test) to determine parameters such as the ability to perform the test, traveled distance, and gait speed. Subsequently, a training program consisting of a series of three, one-hour individual meetings per week over a four-week period was conducted. Immediately after the completion of the training program, a final assessment was performed using the 6MW test.

Results
A statistically significant difference (p<0.05) in traveled distance was observed in the general population (N=20) and among women (N=13) and men (N=7).

Conclusions
The effectiveness of guided training in improving gait ability among MS patients was observed based on a statistical analysis of six-minute walk test results.