Movement-to-music (m2m) As An Alternative Form Of Exercise Rehabilitation For An Individual With Multiple Sclerosis

Abstract

Multiple sclerosis (MS) is characterized by the demyelination and axonal loss of the central nervous system, which progressively results in neurological dysfunction. Individuals with MS often have lower limb muscle spasticity and weakness that lead to poor balance and unsteady gait. PURPOSE: This case report describes a novel exercise intervention named movement-to-music (M2M) that is designed for individuals with MS. The aim of the M2M intervention is to improve physical functionality in individuals with MS using combinations of various dance forms (e.g., ballet, jazz, and contemporary dance) that are converted into specific training elements and adapted to the individual’s functional level. METHODS: A 46-year-old Caucasian female (body mass index= 22.0) who was diagnosed with MS 16 years ago participated in a 12-week M2M intervention that consisted of 36 one-hour movement classes. Participant reported a score of 5 on the Patient Determined Disease Steps scale (PDDS, Late Cane category) and used a cane for ambulation. Each class incorporated a comprehensive movement routine accompanied with music targeting four main training components: range of motion, muscle strength, cardiorespiratory endurance and balance. Dynamic balance and walking ability were assessed using the Limits of Stability Test (LOS) from a standardized balance system, repeated 5-time chair stand, and timed 20-feet walk before and after the intervention. RESULTS: Participant completed 33 total classes. Total score on the LOS increased from 23 to 30 (maximum score =100) with the time taken to complete the test decreasing from 54 to 43 seconds. Participant was unable to complete the repeated chair stand test without using hands prior to intervention. After 12 weeks, the time to complete the test without using hands was 24.7 seconds. Walking speed improved from 0.39 m/s to 0.58 m/s. CONCLUSIONS: The findings of this case study suggest that combinations of rhythmic movement performed to music can improve balance and mobility in individuals with MS. A larger randomized controlled trial is underway to confirm the effects of this intervention on the health, fitness and quality of life in individuals with MS. Supported by NIDILRR #90DP0059-01-00.