Core and balance: Advancing rehabilitation for multiple sclerosis patients

Abstract

Background: Multiple Sclerosis (MS) is a chronic neurological disorder marked by demyelination in the central nervous system, leading to impairments in balance, coordination, and mobility. Balance dysfunction is a frequent symptom in MS, significantly affecting quality of life. Core muscle strengthening is proposed as an effective intervention for improving balance in MS patients. Objective: This case study evaluates the effectiveness of a core strengthening program in improving balance in a patient with MS. Methods: A 32-year-old male with relapsing-remitting MS (RRMS) and moderate balance difficulties, assessed by the Berg Balance Scale (BBS) and Timed Up and Go (TUG) test, underwent a 6-week physiotherapy intervention focused on core strengthening exercises including planks, bridges, pelvic tilts three times weekly. Balance was reassessed post-intervention. Results: Significant improvements were observed, with BBS scores increasing from 32 to 38 and TUG time decreasing from 14 to 11 seconds, indicating enhanced balance and functional mobility. The patient also reported greater confidence during daily activities. Conclusion: Core strengthening appears effective in improving balance in MS patients. Further research with larger samples is recommended to generalize these findings.