Abstract
Introduction Motor and sensitive disabilities deeply modify the gait pattern in progressive multiple sclerosis (MS); head–and thus cephalic sensory system- stabilization during walking is therefore a key issue for maintaining dynamic stability. This study aims at assessing the feasibility of constraining the gaze on a target while walking to limit gait disorders for patients with MS. Methods Ten patients with progressive MS participated in the study. Seven needed an occasional walking aid (A-MS) (EDSS (Expanded Disability Status Scale de Kurtzke) score > 6) and 3 did not [EDSS score ≤ 6 (NA-MS)]. Six out of 10 MS had consistent cognitive disorders (CSCT score-Computerized Speed Cognitive Test Results All patients increased their fixation rate on the back wall between UG and CG (31.4% vs 71.2%; P Discussion Even patients with severe gait disorders can perform the walk-target fixation double task, so that giving a fixation instruction could help patients looking less the ground, and therefore, decreasing the risk to lean forward and fall out. No matter how severe their gait disorders are, patients with few cognitive disorders would probably be more able to look in front of them when walking in daily life with free gaze, if they are advised to do so as part of a rehabilitation program.
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