{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:55:18Z","timestamp":1791978918963,"version":"4.4.0"},"reference-count":52,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the feasibility of a home-based high-intensity balance training programme (HBBT-MS) and its preliminary efficacy in individuals with multiple sclerosis (MS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A single-group pretest-posttest design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Community.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects<\/jats:title>\n                    <jats:p>Twenty-eight individuals with MS (23 female (82%); mean age: 55.2\u2009\u00b1\u200911.9).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Participants performed the program for 30 minutes per session, 3 days per week for 12 weeks, with the support of a family member to ensure safety while maintaining a high balance challenge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main measures<\/jats:title>\n                    <jats:p>Feasibility was assessed using four domains of process, resources, management, and scientific outcomes. Physical function (static balance, lower-extremity function, and mobility), dual-tasking, cognitive function (processing speed, verbal memory, and visuospatial memory), and self-reported outcomes (fatigue, dual-task difficulty, ambulation difficulty, and fear of falling) were assessed at baseline and post-intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty-six out of 28 participants completed both the pretest and posttest (adherence rate: 92.9%). No severe adverse events attributed to this program were reported. There were significant and small-to-medium improvements in static balance (\n                      <jats:italic toggle=\"yes\">d<\/jats:italic>\n                      \u2009=\u20090.74,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), lower-extremity function (\n                      <jats:italic toggle=\"yes\">d<\/jats:italic>\n                      \u2009=\u20090.70,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and mobility (\n                      <jats:italic toggle=\"yes\">d<\/jats:italic>\n                      \u2009=\u20090.34,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.004), with no improvement observed in dual-tasking. Participants showed significant and medium improvement in processing speed (\n                      <jats:italic toggle=\"yes\">d<\/jats:italic>\n                      \u2009=\u20090.71,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.007) and visuospatial memory (\n                      <jats:italic toggle=\"yes\">d<\/jats:italic>\n                      \u2009=\u20090.55,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.22), but not verbal memory (\n                      <jats:italic toggle=\"yes\">d<\/jats:italic>\n                      \u2009=\u20090.02,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.22). We observed significant improvements in all self-reported outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The HBBT-MS was feasible, safe, and acceptable. Further evaluation using a controlled design is warranted to examine the effectiveness of the programme.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Clinical trial registration:<\/jats:bold>\n                      clinicaltrials.gov; NCT06412003\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692155251384079","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T17:52:33Z","timestamp":1760723553000},"page":"30-43","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Feasibility of home-based high-intensity balance training in persons with multiple sclerosis: A pretest-posttest study"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-5779-7481","authenticated-orcid":false,"given":"Myeongjin","family":"Bae","sequence":"first","affiliation":[{"name":"University of Vermont"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3172-8040","authenticated-orcid":false,"given":"Nancy M","family":"Gell","sequence":"additional","affiliation":[{"name":"University of Vermont"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Ramsey","sequence":"additional","affiliation":[{"name":"University of Vermont"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan L","family":"Kasser","sequence":"additional","affiliation":[{"name":"University of Vermont"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,17]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/1352458506070658"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2016.09.026"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2018.02.018"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000004977"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.7224\/1537-2073.2022-042"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.msard.2024.105835"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(17)30281-8"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/13524585231204459"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/15459683241273402"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.msard.2025.106274"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.msard.2021.103177"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.msard.2021.102928"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2024.05.019"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1836-9553(13)70199-1"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.msard.2022.104412"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2024.2395455"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2021.2022777"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzz091"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/1545968314567150"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40814-023-01265-7"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.msard.2023.104748"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cct.2018.09.008"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20166567"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20080071"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269215514546770"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.msard.2023.104709"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1097\/XEB.0000000000000020"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cct.2015.12.002"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0219158"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.2147\/CMAR.S117703"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2012.683479"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2018.08.016"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2377-12-55"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1177\/1352458517690821"},{"key":"e_1_3_3_37_2","author":"Delis DC","year":"2000","unstructured":"Delis DC, Kramer JH, Kaplan E, et al. 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