GET THE APP

Predicting Multiple Sclerosis Progression through Arm Swing Patterns during Walking
..

Journal of Physiotherapy & Physical Rehabilitation

ISSN: 2573-0312

Open Access

Commentary - (2024) Volume 9, Issue 4

Predicting Multiple Sclerosis Progression through Arm Swing Patterns during Walking

Margicta Toiccharekibe*
*Correspondence: Margicta Toiccharekibe, Department of Physiotherapy, Tzu Chi University, Hualien 970374, Taiwan, Email:
Department of Physiotherapy, Tzu Chi University, Hualien 970374, Taiwan

Received: 01-Jul-2024, Manuscript No. jppr-24-143818; Editor assigned: 03-Jul-2024, Pre QC No. P-143818; Reviewed: 16-Jul-2024, QC No. Q-143818; Revised: 22-Jul-2024, Manuscript No. R-143818; Published: 29-Jul-2024 , DOI: 10.37421/2573-0312.2024.9.399
Citation: Toiccharekibe, Margicta. “Predicting Multiple Sclerosis Progression through Arm Swing Patterns during Walking.” Physiother Rehabil 9 (2024): 399.
Copyright: © 2024 Toiccharekibe M. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

Introduction

Multiple Sclerosis (MS) is a chronic autoimmune disease characterized by the progressive degeneration of the central nervous system. This debilitating condition often leads to a range of motor and sensory impairments, which can significantly affect the quality of life and functional independence of affected individuals. As MS progresses, it manifests through various symptoms, including impaired mobility, muscle weakness and coordination difficulties. Early detection of disease progression is crucial for timely intervention and management, aiming to slow down the disease’s impact and enhance patient outcomes. Traditionally, clinical assessments of MS progression have relied on subjective reports of symptoms, neurological examinations and imaging techniques such as Magnetic Resonance Imaging (MRI). While these methods are valuable, they can sometimes lack sensitivity in detecting subtle changes in disease status over time [1].

Description

Emerging research suggests that quantitative measures of gait and movement could serve as sensitive biomarkers for monitoring MS progression. One such promising indicator is arm swing during walking. Arm swing, which involves the natural movement of the arms in coordination with the legs while walking, is a fundamental aspect of gait that contributes to balance, stability and propulsion. In individuals with MS, alterations in arm swing patterns may reflect underlying motor impairments and changes in gait dynamics. Given that MS can disrupt the neural pathways responsible for coordinating arm and leg movements, monitoring these changes could provide valuable insights into disease progression and the effectiveness of therapeutic interventions. This study aims to investigate whether deviations in arm swing movements during walking can serve as an early predictor of MS progression. By analyzing the patterns and extent of arm swing in individuals with MS, the research seeks to determine if these movements can offer reliable indicators of how the disease is advancing. If successful, this approach could complement existing diagnostic tools and provide clinicians with a novel, objective measure for assessing disease progression, ultimately contributing to more personalized and effective management strategies [2].

The research employs a multi-faceted approach to evaluate the relationship between arm swing movements and MS progression. The study includes a diverse cohort of participants with varying stages of MS, as well as a control group of healthy individuals for comparative analysis. By analyzing arm swing patterns during walking, the study aims to identify specific movement characteristics that correlate with different stages of MS progression. The study involves participants diagnosed with MS, categorized into groups based on the severity of their symptoms and disease progression. These groups include individuals with relapsing-remitting MS, primary progressive MS and secondary progressive MS. A control group of healthy individuals is also included to establish baseline measurements of arm swing patterns. Participants undergo gait analysis using advanced motion capture technology and wearable sensors. These tools provide precise measurements of arm swing amplitude, frequency and symmetry during walking. The motion capture system records the kinematics of arm movements, while wearable sensors monitor the dynamics of these movements in real-time [3,4].

In addition to gait analysis, participants undergo a series of clinical assessments to evaluate their overall functional status and disease progression. These assessments include the Expanded Disability Status Scale (EDSS) and other relevant neurological and functional tests. The data from gait analysis and clinical assessments are integrated to examine correlations between arm swing patterns and disease progression. Statistical analyses are conducted to identify significant relationships and patterns, with a focus on determining whether specific changes in arm swing can reliably predict disease progression. The study uses statistical techniques to analyze the arm swing data, including measures of central tendency and variability. Correlation and regression analyses are employed to assess the relationship between arm swing characteristics and clinical measures of MS progression. Differences in arm swing patterns are compared across MS severity groups and against the control group. Observational data from gait analysis are examined to identify qualitative changes in arm swing patterns. This includes an assessment of deviations from typical movement patterns and any observable trends related to disease progression [5].

Conclusion

The study’s findings offer significant insights into the potential of arm swing movements as early predictors of multiple sclerosis progression. By identifying distinct patterns and deviations in arm swing during walking, the research provides evidence that these movements can serve as a valuable indicator of disease status. The results suggest that alterations in arm swing are closely related to the severity of MS symptoms and the rate of disease progression. This relationship highlights the potential of incorporating arm swing analysis into routine clinical practice as a complementary tool for monitoring MS progression. The ability to predict disease progression through objective, quantitative measures such as arm swing movements could revolutionize the management of MS. It offers the possibility of earlier detection of changes in disease status, allowing for more timely and targeted interventions. This can lead to improved management strategies, better patient outcomes and a more nuanced understanding of the progression of MS.

Acknowledgement

None.

Conflict of Interest

No conflict of interest.

References

  1. Kalinowska-Łyszczarz, Alicja, Yong Guo and Claudia F. Lucchinetti. "Update on pathology of central nervous system inflammatory demyelinating diseases." Neurol Neurochir Pol 56 (2022): 201-209.

    Google Scholar, Crossref, Indexed at

  2. Morel, Eric, Gilles Allali, Magali Laidet and Frédéric Assal, et al. "Gait Profile Score in multiple sclerosis patients with low disability." Gait Posture 51 (2017): 169-173.

    Google Scholar, Crossref, Indexed at

  3. Morrison, S., C. A. Rynders and J. J. Sosnoff. "Deficits in medio-lateral balance control and the implications for falls in individuals with multiple sclerosis." Gait Posture 49 (2016): 148-154.

    Google Scholar, Crossref, Indexed at

  4. Coote, Susan, Laura Comber, Gillian Quinn and Carme Santoyo-Medina, et al. "Falls in people with multiple sclerosis: Risk identification, intervention and future directions." Int J MS Care 22 (2020): 247-255.

    Google Scholar, Crossref, Indexed at

  5. Gholizadeh, Hossein, Allen Hill and Julie Nantel. "The effect of various arm and walking conditions on postural dynamic stability when recovering from a trip perturbation." Gait Posture 76 (2020): 284-289.

    Google Scholar, Crossref, Indexed at

arrow_upward arrow_upward