Balanced Program Research Articles

Changes in Novel Anthropometric Indices of Abdominal Obesity during Weight Loss with Selected Obesity-Associated Single-Nucleotide Polymorphisms: A Small One-Year Pilot Study.

Whether BMI and the competing waist circumference (WC)-based anthropometric indices are associated with obesity-related single-nucleotide polymorphisms (SNPs) is as yet unknown. The current study aimed to evaluate the anthropometric indices (fat mass index, body shape index, visceral adiposity index, relative fat mass, body roundness index, and conicity index) during a weight loss intervention in 36 obese individuals. Blood biochemical parameters (total cholesterol, low-density lipoprotein, high-density lipoprotein, and triglycerides) and three SNPs (FTO rs9939609, TFAP2B rs987237, and PLIN1 rs894160) were assessed in 22 women and 14 men (35.58 ± 9.85 years, BMI 35.04 ± 3.80 kg/m2) who completed a 12-month balanced energy-restricted diet weight loss program. Body composition was assessed via bioelectrical impedance (SECA mBCA515). At the end of the weight loss intervention, all anthropometric indices were significantly reduced (p < 0.05). For the SNP FTO rs9939609, the higher risk allele (A) was characteristic of 88.9% of the study group, in which 10 participants (27.8%) were homozygous. We found a similar distribution of alleles in TFAP2B and PLIN1. Heterozygous genotypes in FTO rs9939609 and TFAP2B rs987237 were predisposed to significant reductions in WC-based novel anthropometric indices during weight loss. The influence of PLIN1 rs894160 polymorphisms on the changes in the analyzed indices during weight loss has not been documented in the present study.

Work-Life Balance Benefits and Employee Performance in the State Corporations in Kenya

The lack of a comprehensive reward management system in a majority of Kenyan state corporations has created dissatisfaction among employees leading to decreased staff morale and consequently decreased employee performance. This study sought to establish the influence of work-life benefits on employee performance in state corporations in Kenya. The study used descriptive and explanatory research designs with a sample size of 642. The study used regression analysis to test the significance of the variables at a 5% significance level on the dependent variable. The findings showed that work-life balance rewards moderately influence employee performance. The study concluded that most state corporations in Kenya recognized work-life balance programs, however, these organizations hardly budgeted for the work-life programs. The study, therefore, recommends that work-life programs should be considered and budgeted for. Offering gym facilities to employees provides a healthy lifestyle and also counters stress. Organizations can also offer childcare facilities so that the parents can work comfortably without worrying about their children and hence maximum concentration at the workplace that would lead to better productivity.

Development Of A Community-based Balance And Fall Prevention Program- Implementation During The Covid-19 Pandemic

Development Of A Community-based Balance And Fall Prevention Program- Implementation During The Covid-19 Pandemic

Feasibility, Psychosocial Effects, Influence, and Perception of Elastic Band Resistance Balance Training in Older Adults.

This study utilised feedback from older adults during balance-challenging, elastic band resistance exercises to design a physical activity (PA) intervention. Methods: Twenty-three active participants, aged 51–81 years, volunteered to perform a mini balance evaluation test and falls efficacy scale, and completed a daily living questionnaire. Following a 10 min warm-up, participants performed eight pre-selected exercises (1 × set, 8–12 repetitions) using elastic bands placed over the hip or chest regions in a randomised, counterbalanced order with 15 min seated rests between interventions. Heart rate (HR) and rate of perceived exertion (RPE) were measured throughout. Participant interview responses were used to qualify the experiences and opinions of the interventions including likes, dislikes, comfort, and exercise difficulty. Results: Similar significant (p < 0.01) increases in HR (pre- = 83–85 bpm, mid- = 85–88 bpm, post-intervention = 88–89 bpm; 5–6%) and RPE (pre- = 8–9, mid- = 10, post-intervention = 10–11) were detected during the PA interventions (hip and chest regions). Interview data revealed that participants thought the PA interventions challenged balance, that the exercises would be beneficial for balance, and that the exercises were suitable for themselves and others. Participants reported a positive experience when using the PA interventions with an elastic band placed at the hip or chest and would perform the exercises again, preferably in a group, and that individual preference and comfort would determine the placement of the elastic band at either the hip or chest. Conclusion: These positive outcomes confirm the feasibility of a resistance band balance program and will inform intervention design and delivery in future studies.

점진적 뛰기 안정화 균형 훈련이 만성 발목 불안정 대상자들의 균형능력과 발목 안정성에 미치는 영향 : 무작위 맹검 대조군 연구

purpose of this study was to identify the effects of progressive hop to stabilization balance (PHSB) program of balance ability and ankle joint stability in subjects with chronic ankle instability (CAI). There were recruited 34 subjects with CAI for this study. They were randomly divided into either the experimental group with PHSB or control group with single limb balance (SLB), 17 each. Both groups received a total of 30 minutes of intervention programs, respectively. Measurements were used before and after the intervention. The balance ability was measured by the star excursion balance test (SEBT) and the ankle joint stability by the foot and ankle disability index (FADI). The following statistical analysis were performed an independen t t-test for the general characteristics of the subjects and 2×2 analysis of variance with repeated measures for the SEBT and FADI scores. The group×time interaction effect showed significant improvement in the SEBT anterior (F=31.442, p=.000), SEBT posterolateral (F=21.944, p=.000), SEBT posteromedial (F=28.445, p=.000), and SEBT average (F=31.856, p=.000), FADI score (F=6.925, p=.013), FADI impairment (F=4.808, p=.036). This study suggested that the PHSB may be more favorably used than the SLB in order to improve the balance ability and ankle joint stability in subjects with CAI.

외국의 출산장려 정책 고찰

This study reviewed policies against low fertility in foreign countries such as Israel, France, Sweden, United Kingdom, Germany, Hungary, United States of America, and Japan. More specifically, it classified diverse polices into two categories: 1) economic support program (e.g. family allowance, tax benefit, housing support programs) and 2) work-family balance program (e.g. family leave, child care and education). As a result, it offered suggestions for better policies against low-fertility in Korea.

P04-07 Factors associated with maintenance of physical activity in older adults undertaking a strength and balance programme for falls prevention

BackgroundFalls are a major cause of mortality and morbidity in older adults worldwide, yet those who are more physically active have a lower risk of falling. There is little information on which participants are most likely to complete falls prevention exercise programmes and increase their levels of physical activity (PA). This study aims to identify factors associated with completion of, and PA levels, at the end of the Falls Management Exercise (FaME) falls prevention exercise programme, a programme designed to increase balance and functional capacity, increase bone and muscle mass and reduce fear of falling.Methods356 community-dwelling adults provided routine data. Characteristics of participants were compared at baseline. Comparison of activity levels between completers and non-completers were carried out, and a regression analysis performed to identify factors associated with programme completion and achievement of 150 minutes of moderate to vigorous physical activity (MVPA) per week.Results143 participants completed the FaME programme. This group was significantly younger (range 50-96; mean=75.3, SD=8.1 in completers vs. mean=77.8, SD=8.3 in non-completers) and had significantly lower scores on the FRAT (median=1, IQR=0-2 in completers vs. median=2, IQR=1-3 in non-completers) and FES-I risk assessments (median=10, IQR=7-13 in completers vs. median=11, IQR=8-16 in non-completers) at baseline, and a significantly higher level of physical activity (PA) per week (median=673 minutes, IQR=252-1252 in completers vs. median=558, IQR=120-1127 in non-completers). Completers significantly increased their total minutes of PA per week, and the converse was true for non-completers. Multivariate regression analyses showed that FRAT score was significantly associated with completion of FaME, and 180 degree turn and FES-I score were significantly associated with achieving the recommended 150 minutes of MVPA per week.ConclusionsThis study has shown that a significant increase in PA levels is only demonstrated in those who complete the FaME programme. Scores from selected functional measures and risk assessments are associated with FaME completion and achievement of 150 minutes of MVPA. This information can be used to provide targeted support to improve completion rates and physical activity levels of participants.

Modulation of Neuroendocrine and Immunological Biomarkers Following Rehabilitation in Sarcopenic Patients.

This study aimed to investigate if rehabilitation could down-regulated sarcopenia-associated inflammation by modulating the crosstalk between the neuroendocrine and immune systems, with the aim of ameliorating quality of life of sarcopenic subjects. A total of 60 sarcopenic patients (49 females and 11 males; median age 74.5, interquartile range 71–79), undergoing a personalized rehabilitation program, have been recruited and subjected to: (1) functional and physical evaluation (Short Physical Performance Battery (SPPB), Barthel Index and Tinetti Test); (2) pro-inflammatory IL-1β, TNF-α, IL-6, IL-18, and anti-inflammatory IL-10 cytokines plasmatic level measures; and (3) norepinephrine, epinephrine, dopamine, and serotonin neurotransmitter level evaluation at time of enrollment (T0) and once rehabilitation was concluded (1 month, T1). Rehabilitation combined a balance and strength training program with two daily sessions that were fine-tuned and personalized according to the ability of the patient. The results showed a significant increase at T1 in the plasmatic levels of IL-10 (p = 0.018) and of norepinephrine (p = 0.016)), whereas the concentration of IL-18 was significantly reduced (p = 0.012). Notably, changes in norepinephrine were positively correlated with clinical improvements (Tinetti and Barthel scores, p ≤ 0.0001; SPPB scores, p = 0.0002). These results show that efficient rehabilitation induces a reduction of inflammation, suggesting that this effect could be mediated by a modulation of the neuro-immune axis that results in an increase of norepinephrine.

The effectiveness of the Healthworks Staying Steady community-based falls prevention exercise programme to improve physical function in older adults: a 6-year service evaluation

BackgroundFalls prevention exercise programmes are evidence-based and recommended for improving physical function in older adults. However, few service evaluations exist to assess the effectiveness of community-delivered interventions in practice.MethodsWe conducted a six-year, retrospective evaluation of the community-delivered Staying Steady programme (Healthworks, United Kingdom). Staying Steady is a 27-week, tailored strength and balance programme delivered in a group setting (1-h, once/week) and at home (30–40 min, 2–3 times/week). Participants were referred by healthcare professionals, or self-referred, due to a history or risk of falling. Routinely collected outcome measures (30-s chair stand, Timed Up and Go, four-stage balance test, and patient reported outcomes; including ‘fear of falling’ and ‘ability to manage health’) were analysed. Factors associated with programme completion were reported. The intervention effect on physical function was analysed in subgroups: participants used arms to chair-stand or a walking-aid at both (‘aided’), neither (‘unaided’), or one assessment timepoint (‘aided at baseline only’ or ‘aided at follow-up only’).ResultsThere were 1,426 referrals; 835 (67.3%) participants enrolled on to the Staying Steady programme, 406 (32.7%) declined, 185 (13.0%) were inappropriately referred and excluded from analysis. After enrolling, 451 (54.0%) participants completed, and 384 (46.0%) dropped out. Chair stand performance improved in participants who were unaided (n = 264; median 2.0 [1.0, 4.0] repetitions; P < 0.001), or aided at baseline, follow-up or both (n = 170, P < 0.05). Timed Up and Go performance improved in the unaided (n = 387; median ˗3.1 [˗5.4, ˗1.4] s, P < 0.001), and aided at baseline only (n = 32; median ˗4.9 [˗10.8, ˗3.4] s, P < 0.001) groups. Four-stage balance performance improved (n = 295; median 1.0 [0.0, 1.0] points, P < 0.001). After programme completion, participants self-reported an improved ability to manage their health and daily activities, improved confidence, and a reduced fear of falling. Presence of chronic obstructive pulmonary disease, fear of falling, prescribed nutritional support, disability and social deprivation influenced non-completion of Staying Steady.ConclusionsCompleting Staying Steady improved physical function in older adults. Methods to encourage retention of participants from groups associated with low uptake and adherence should be investigated.

Association between work stress and health behaviours in Korean and Japanese ageing studies: a cross-sectional study

ObjectivesLimited research has focused on the association between work stress and health behaviours in Asian countries. We aimed to explore the effect of work stress on two health behaviours among...

Assessing Climate Change Adaptation and Risk Management Programmes: Stakeholder Participation Process and Policy Implications for Transport, Energy and Tourism Sectors on the Island of Sicily

Climate change is a critical sustainability challenge for islands and their main economic sectors. Rising sea levels, extreme temperatures, and drier conditions are the impacts with the most significant potential to amplify the economic damage on islands. However, their isolation and natural conditions bring about some leeway to respond to climate impacts on their terms. This paper aims to provide a local-level analysis and ranking of alternative adaptation pathways in an island context through the stakeholders’ lens. This study reviews the latest advancements in adaptation science and proposes a catalogue of adaptation and risk management options that feed a participatory assessment and ranking by local stakeholders. The research was conducted on the island of Sicily (Italy) and saw the participation of high-level experts and tourism, energy, and maritime transport representatives. It employs a sequential process of four ordered steps oriented towards adaptation planning and stakeholders’ engagement. The process reveals breaches between what stakeholders’ would prioritise when designing policy pathways and their opinion about the most beneficial and balanced adaptation programmes across the sustainability criteria. Results indicate that, according to stakeholders, the priorities are to prepare the energy, tourism, and maritime transport sectors to confront future climate-related events more efficiently. Other transformational actions to ensure long-term social-ecological resilience, which requires significant structural changes and substantial investments, are not at the core of the public needs.

Determinants of Healthy Lifestyles

Advances in science and technology have had a great impact on improving people's health, but there has also been an increase in chronic noncommunicable diseases (CNCDs), some of them related to lifestyle (LS). This work deals with the study of LSs and their impact on the health of the individual, its most representative elements are analyzed, and recommendations are made about healthy behaviors. The LS refers to the habitual behaviors of the individual, characteristics of the individual behavior that are repeated throughout life. A healthy LS refers to behaviors that maintain health and reduce the risk of getting sick. Many of the CNCDs are related to four modifiable risk factors: tobacco use, sedentary lifestyle, unhealthy diet, and alcohol abuse. Diet, as part of lifestyles, involves a great complexity; however, the common element to prevent the development of chronic non-communicable diseases is the recommendation to address the intake of specific foods, such as limiting saturated fatty acids, increasing the consumption of dietary fiber, decreasing the consumption of simple carbohydrates, sodium, and alcohol. Food involves great complexity that ranges from food selection, consumption capacity, cultural aspects, knowledge about food, among others. Physical activity favors the ability to maintain independence, vitality, and quality of life in old age, it is important to have a balanced program. Substance abuse leads to risk behaviors and can lead to addiction. Adequate sleep is important for maintaining brain health throughout life. Maintaining a large social network can help promote healthy cognitive aging. Jobs that have the common characteristic of spending a lot of time sitting are a risk factor for cardiovascular diseases.&#x0D;

The Effects of Combined Balance and Strengthening Exercise Program in Patients with Different Grades of Primary Knee Osteoarthritis

The Effects of Combined Balance and Strengthening Exercise Program in Patients with Different Grades of Primary Knee Osteoarthritis

Effect of ultrasound fat cavitation versus faradic stimulation on abdominal adiposity during postnatal period section

Background and Purpose: This study examines the effects of ultrasonic fat cavitation versus faradic stimulation on postnatal abdominal obesity. Subjects and Methods: It was a randomized controlled trial. Overall, 40 patients complaining of abdominal adiposity postnatal, aged 25-35 years, were randomized into two equal groups. The control group (A) received sessions of abdominal ultrasonic cavitation treatment three times per week with a frequency of 40 kHz, a power of 45 W, and a duration of 30 minutes, in addition to a balanced diet programme consisting of between 1000kcal and 1200kcal per day for six weeks. The study group (B) received faradic stimulation treatment sessions focusing on their abdomen area three times per week with a duration of 30 minutes, in addition to a healthy diet plan which ranged from 1000kcal to 1200kcal/day for six weeks. Tape measurement was used to assess waist circumference; a digital calliper was used to determine fat thickness, while body analysis was used to evaluate fat percentage in both groups before and after the treatment.

Efficacy of the Diabetes Prevention Program Group Lifestyle Balance Program Modified for Individuals with TBI (GLB-TBI): Results from a 12-month Randomized Controlled Trial.

Obesity after traumatic brain injury (TBI) is a public health issue and no evidence-based weight loss interventions exist to meet the unique needs of individuals after TBI. To (a) examine the efficacy of the Diabetes Prevention Program Group Lifestyle Balance for TBI (GLB-TBI) weight-loss intervention compared to an attention control for primary (weight-loss) and secondary health outcomes; (b) determine participant compliance with the GLB-TBI; and (c) determine if compliance is associated with improved outcomes. Individuals with moderate to severe TBI, age 18-64 years, ≥6 months postinjury, and body mass index of ≥25 kg/m2 were randomized to a 12-month, 22-session GLB-TBI intervention or attention control condition. Weight-loss (lbs.), anthropometric, biomarkers, and patient-reported outcomes were collected at baseline, 3, 6, and 12 months. The GLB-TBI group (n = 27) lost 17.8 ± 41.4lbs (7.9%) over the 12-month program and the attention control group (n = 27) lost 0 ± 55.4lbs (0%). The GLB-TBI group had significant improvements in diastolic blood pressure, triglycerides, and HDL cholesterol. GLB-TBI attendance was 89.6% and weekly self-monitoring of diet and activity was 68.8%. Relative to baseline, the GLB-TBI compliant group (≥80% attendance; ≥85% self-monitoring; n = 10) had a statistically significant decrease in weight at each assessment, the noncompliant group had a significant decrease between 6 and 12 months (n = 17), with no change in weight in the attention control group (n = 27). Findings suggest for adults with TBI who are overweight or obese, participation in the GLB-TBI can significantly reduce weight and metabolic risk factors and increase self-reported habits for diet and exercise.

P-180 Alterations of methylation level of H19/IGF2 DMR differentially methylated region(DMR) in human blastocysts following re-vitrification

Abstract Study question Does re-vitrification affect on methylation level of H19/IGF2 DMR differentially methylated region(DMR) in human in vitro-produced blastocysts? Summary answer The results of this study showed that re-vitrification had no significant effect on the methylation level of H19 / IGF2 DMR region in human blastocysts. What is known already Nowadays, re-vitrification seems to be a successful and useful method to prevent the discarding of extra embryos. Several reports have indicated that the embryo manipulations during ART may result in epigenetic errors. This has been attributed to the concurrency of the ART manipulations and epigenetic events after fertilization. The effect of embryo re-vitrification on epigenetic changes has not been studied so far. The aim of this study is to evaluate the effect of embryo re-vitrification on methylation level of H19/IGF2 differentially methylated region (DMR) in donated human blastocysts. Study design, size, duration The effect of re-vitrification on methylation level of H19/IGF2 DMR was evaluated in 9 ICSI-derived human embryos individually and the expressions of H19 and IGF2 were assessed in 15 embryos individually. Embryos were donated from fertile couples referring for family balancing program. Donated embryos were cultured to blastocyst stage and high quality blastocyst (AA-AB) assigned to three groups: fresh, vitrified and re-vitrification. Scoring of blastocysts were according to Gardner et al. (2012) grading system. Participants/materials, setting, methods Collected blastocysts were vitrified on Cryotech carriers, with the method described by Kuwayama. After warming of blastocysts and 4-5 hours culturing of them, expression of H19 and IGF2 genes in blastocysts evaluated with Real time PCR and methylation levels of H19/IGF2 DMR in blastocysts were analyzed by Bisulfite Sequencing PCR (BSP) technique. 10 clones were sequenced per replicate. Methylation status of lymphocyte was used as control to verify the credibility of our analysis system. Main results and the role of chance The results showed that the overall percentage of methylated CpGs of H19/IGF2 DMR in the control, vitrification, re-vitrification groups and lymphocyte were 42.71, 40.90, 39.23% and 49.30 %. respectively. There was no significant difference in methylation level of H19/IGF2 DMR between the groups. H19 and IGF2 expression did not show a significant difference in vitrified group compared to the control and in re-vitrified group compared to vitrified. Limitations, reasons for caution - Small number of samples examined due to difficult access to human blastocysts donated by fertile couples. - Evaluation of high-quality embryos donated by healthy fertile couples while embryos of infertile couples may respond differently. Wider implications of the findings According to the obtained results, embryo re-vitrification did not have a significant change on the methylation level of H19/IGF2 DMR and expression of H19 and IGF2 genes. However, that further studies on the effect of re-vitrification on epigenetic errors in low-quality embryos and the embryos of infertile couples are needed. Trial registration number not applicable

Effect of Weight-bearing Exercise for Better Balance (WEBB) by telerehabilitation on tibialis anterior and gastrocnemius muscles activation in obese men

Weight-bearing Exercise for Better Balance (WEBB) is an exercise method to improve balance and leg muscle strength. It was previously shown that WEBB has a significant effect on balance and lower extremity muscle strength, however, there is no scientific evidence of the WEBB program’s effect on muscle activation. This study examines the effect of the Weight-Bearing Exercise for Better Balance (WEBB) program by telerehabilitation on the activation of the Tibialis anterior (TA) and Gastrocnemius medialis (GM) muscles in obese men. To the best authors’ knowledge, this research is the first study conducted to provide a WEBB program intervention by telerehabilitation. 10 healthy men with grade 2 obesity (BMI≥30 kg/cm2) participated in this study and received a telerehabilitation WEBB program intervention for 8 weeks. GM and TA muscle activation are assessed by looking at the amplitude value and amplitude normalization of the muscle Maximal Voluntary Isometric Contraction (%MVIC) when performing closed eyes One Leg Stance (OLS) test through recording with sEMG examination. This study found that there was a significant effect on the amplitude value of the right GM (p=0,040) and %MVIC of the left TA (p=0,037) muscles after 8 weeks WEBB program by telerehabilitation.

CLIMATOLOGICAL WATER BALANCE AND CHARACTERIZATION OF WATER RESOURCES IN THE MUNICIPALITY OF PENTECOSTE, CEARÁ

The present work aimed to analyze the climatological water balance and the characteristics of surface water resources in the municipality of Pentecoste, Ceará. The research was divided into three stages: organization and inventory, field studies, and desk research. For the water balance the historical series of 30 years, 1991 to 2020, was investigated and applied to the Normal Water Balance program with the data referring to the coordinates of the rainfall station and average monthly data of precipitation and temperature. It was obtained as a result the description and detailing of the main water courses present in the municipality. In analyzing the volume of reservoirs for the historical series 2004-2021 it is identified that the water supply decreased with the dry period that began in 2011, being the most critical situation during the year 2017, in which the Sítios Novos weir recorded a volume of 0.12%, followed by the Pentecoste and Caxitoré weir with 0.14% and 3.61%, respectively. In regards to the water balance, it is highlighted that the largest precipitation is concentrated in February, March, and April, with respectively 122.35mm, 188.57mm, and 181.46mm. The potential evapotranspiration reaches its apex in December with 180.05mm, the highest temperature of the series, 28.3°C, occurred in November and December and the lowest was 26.7°C in April. The actual evapotranspiration reached the highest level in March with 145mm. It is also noteworthy that 10 months of the year are of water deficiency, except March and April, marked as a replacement, because they are the rainiest months.

Effects of multicomponent and dual-task exercise on falls in nursing homes: The AgeingOn Dual-Task study

ObjectiveTo compare the effects of a multicomponent exercise program and a dual-task exercise program on the number of falls (fall rate) and number of fallers (fall incidence) and on parameters associated with fall risk in older adults living in long-term nursing homes (LTNH). Study designThis is a secondary analysis of a single-blind randomized controlled trial involving 85 older adults in nine LTNHs (Gipuzkoa, Spain). Participants allocated to the multicomponent group underwent a twice-a-week 3-month individualized and progressive resistance and balance program. The dual-task group performed simultaneous cognitive training with the same multicomponent exercises. Main outcomesFall rate and incidence were analyzed using Poisson regression (adjusting for cognitive function and previous fall rate) and Kaplan-Meier analysis, respectively. Handgrip asymmetry, single- and dual-task TUG velocity and cost were assessed using two-way ANOVA for repeated measures and paired Student's t-tests. ResultsThe dual-task group showed a 3.8 times greater risk of falling than the multicomponent group during the intervention, and a 2.59 times greater risk during the 12-month follow-up. There were no between-group differences in fall incidence. There were between-group differences in handgrip strength asymmetry in favor of the multicomponent group. While only the multicomponent group improved on the TUG test, the dual-task group improved on dual-task cost. ConclusionsCompared with the dual-task program, the multicomponent exercise program showed more benefits in reducing falls and in parameters associated with fall risk in LTNH residents. Future studies are warranted to confirm our results and continue to explore physical and cognitive interventions to prevent falls in LTNHs.Australian New Zealand Clinical Trials Registry ACTRN12618000536268.

Efficacy of Transcranial Direct Current Stimulation (tDCS) on Balance and Gait in Multiple Sclerosis Patients: A Machine Learning Approach.

Transcranial direct current stimulation (tDCS) has emerged as an appealing rehabilitative approach to improve brain function, with promising data on gait and balance in people with multiple sclerosis (MS). However, single variable weights have not yet been adequately assessed. Hence, the aim of this pilot randomized controlled trial was to evaluate the tDCS effects on balance and gait in patients with MS through a machine learning approach. In this pilot randomized controlled trial (RCT), we included people with relapsing–remitting MS and an Expanded Disability Status Scale >1 and <5 that were randomly allocated to two groups—a study group, undergoing a 10-session anodal motor cortex tDCS, and a control group, undergoing a sham treatment. Both groups underwent a specific balance and gait rehabilitative program. We assessed as outcome measures the Berg Balance Scale (BBS), Fall Risk Index and timed up-and-go and 6-min-walking tests at baseline (T0), the end of intervention (T1) and 4 (T2) and 6 weeks after the intervention (T3) with an inertial motion unit. At each time point, we performed a multiple factor analysis through a machine learning approach to allow the analysis of the influence of the balance and gait variables, grouping the participants based on the results. Seventeen MS patients (aged 40.6 ± 14.4 years), 9 in the study group and 8 in the sham group, were included. We reported a significant repeated measures difference between groups for distances covered (6MWT (meters), p < 0.03). At T1, we showed a significant increase in distance (m) with a mean difference (MD) of 37.0 [−59.0, 17.0] (p = 0.003), and in BBS with a MD of 2.0 [−4.0, 3.0] (p = 0.03). At T2, these improvements did not seem to be significantly maintained; however, considering the machine learning analysis, the Silhouette Index of 0.34, with a low cluster overlap trend, confirmed the possible short-term effects (T2), even at 6 weeks. Therefore, this pilot RCT showed that tDCS may provide non-sustained improvements in gait and balance in MS patients. In this scenario, machine learning could suggest evidence of prolonged beneficial effects.