Comparison of effectiveness of Neurofeedback Training and Transcranial Direct Stimulation with balance Training on the balance of MS patients

Introduction: Multiple sclerosis is a disease that causes breakdown of the protective covering of nerves. Also can cause numbness, weakness, trouble walking, vision changes and other symptoms. Aim: The present study aimed to comparision of the comparison of effectiveness of neurofeedback training and transcranial direct stimulation with balance training on the balance of MS patients. Method: The research design was Qousi-experimental with pre-test, post-test with two groups. The statistical population included patients with MS in Urmia in 1402. 34 patients were purposefully selected and evaluated after transcranial brain stimulation for eight 20-minute sessions and Hammond neurofeedback exercises for 8 30-minute sessions along with Frankel exercises with Berg balance scale and sitting and Timed up and go test(TUG). To analyze the data, the method of analysis of covariance with spss-26 software was used. Results: The result shows that there neurofeedback and transcranial electrical stimulation have an effect on static and dynamic balance and improve balance among patients with MS(p<0/05) and these two treatment methods have a significant difference in improving static and dynamic balance(p≤0.05). the performance of the neurofeedback group was better than the transcranial stimulation group. Conclusion: Considering the greater effect of neurofeedback exercises along with Frankel exercises on the static and dynamic balance of patients with MS, it can be said that performing neurofeedback exercises along with balance exercises can be a more effective strategy for improving static and dynamic balance.