Increased postural sway in persons with multiple sclerosis during short-term exposure to warm ambient temperatures.

Abstract:

BACKGROUND:Multiple sclerosis (MS) is a neurological disease marked by demyelination and axonal loss. Individuals with MS experience increases in clinical signs and symptoms during heat exposure. OBJECTIVE:To test the hypothesis that moderate heat exposure adversely affects postural sway in individuals with MS. METHODS:Ten individuals with relapsing-remitting MS (50±8y) and nine controls (47±10y) were examined under a Thermal and a Time Control trial. Following a 30min thermoneutral baseline (25°C, 30% relative humidity (RH)), stand tests randomized with eyes open and closed, were performed. For Thermal, subjects were first exposed to 60min of heating (40°C, 30%RH) followed by 60min of cooling (20°C, 30%RH). For Time Control, subjects remained in a thermoneutral environment throughout. Stand tests were repeated at consistent times in both trials. RESULTS:No difference in skin and core temperatures between groups were observed for any trial (P>0.05). During heating, postural sway was higher in MS relative to control subjects (eyes open, P=0.03; eyes closed, P=0.011). No differences in postural sway, regardless of eye status, were observed during the Time Control trial for either group (P>0.05). CONCLUSION:These data demonstrate that exposure to a moderate heating environment increases postural sway in patients with MS.

journal_name

Gait Posture

journal_title

Gait & posture

authors

Poh PYS,Adams AN,Huang M,Allen DR,Davis SL,Tseng AS,Crandall CG

doi

10.1016/j.gaitpost.2017.01.025

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

230-235

eissn

0966-6362

issn

1879-2219

pii

S0966-6362(17)30034-6

journal_volume

53

pub_type

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