Shahid Beheshti University of Medical Sciences The Scientific Journal of Rehabilitation Medicine 2251-8401 14 3 2025 07 23 Effect of Auditory-Motor and Cognitive Exercises on the Spatial Gait Parameters of Women With MS in Tehran City, Iran Effect of Auditory-Motor and Cognitive Exercises on the Spatial Gait Parameters of Women With MS in Tehran City, Iran 464 479 1101818 10.32598/SJRM.14.3.3350 FA Zahra Abolhasani Department of Motor Behavior, Faculty of Sport Sciences, Alzahra University, Tehran, Iran. 0000-0001-7750-5739 Parisa Hejazi Dinan Department of Motor Behavior, Faculty of Sport Sciences, Alzahra University, Tehran, Iran. 0000-0001-5743-2566 Parvaneh Shamsipour Department of Motor Behavior, Faculty of Sport Sciences, Alzahra University, Tehran, Iran. 0000-0001-7750-5734 Mahtab Heydari Department of Motor Behavior, Faculty of Sport Sciences, Kharazmi University, Tehran, Iran. 0009-0008-3031-4883 Journal Article 2025 04 05 <strong>Background and Aims</strong> Gait disturbance is a common problem faced by people with multiple sclerosis (MS). Non-pharmacological strategies are especially important in addressing the issues caused by MS disability. The present study aimed to examine the impact of auditory and cognitive-motor training on spatial gait indices in women with MS.<br /><strong>Methods</strong> The present study was quasi-experimental with a pretest-posttest design. The statistical population consisted of women with MS in Tehran City, Iran. The statistical sample included 30 women with MS aged 40 to 55 years. They were purposively selected based on inclusion criteria. After completing the comprehensive disability severity questionnaire and the brief cognitive status assessment test, they were randomly assigned to two groups. Each group underwent either rhythmic auditory-motor training (15 people) or cognitive rehabilitation training (15 people) for 8 weeks, with three 60-minute sessions per week. Gait kinematics were recorded in the pretest and posttest to assess walking speed, step length, and stride rate.<br /><strong>Results</strong> The results of repeated measures analysis of variance showed a significant difference in walking speed, stride length, and cadence length in the posttest in both the auditory-motor rhythmic training and cognitive rehabilitation training groups (P<0.05). Auditory-motor rhythmic training led to a greater improvement in increasing spatiotemporal gait parameters compared to cognitive rehabilitation training in women with MS.<br /><strong>Conclusion</strong> The results of the repeated measures analysis of variance test showed a significant difference in the variables of walking speed, step length, and step rate in the posttest of both groups of rhythmic auditory-motor training and cognitive rehabilitation training (P<0.05). Rhythmic auditory-motor training resulted in greater improvement in spatial-temporal indices compared to rehabilitation training in women with MS. <strong>Background and Aims</strong> Gait disturbance is a common problem faced by people with multiple sclerosis (MS). Non-pharmacological strategies are especially important in addressing the issues caused by MS disability. The present study aimed to examine the impact of auditory and cognitive-motor training on spatial gait indices in women with MS.<br /><strong>Methods</strong> The present study was quasi-experimental with a pretest-posttest design. The statistical population consisted of women with MS in Tehran City, Iran. The statistical sample included 30 women with MS aged 40 to 55 years. They were purposively selected based on inclusion criteria. After completing the comprehensive disability severity questionnaire and the brief cognitive status assessment test, they were randomly assigned to two groups. Each group underwent either rhythmic auditory-motor training (15 people) or cognitive rehabilitation training (15 people) for 8 weeks, with three 60-minute sessions per week. Gait kinematics were recorded in the pretest and posttest to assess walking speed, step length, and stride rate.<br /><strong>Results</strong> The results of repeated measures analysis of variance showed a significant difference in walking speed, stride length, and cadence length in the posttest in both the auditory-motor rhythmic training and cognitive rehabilitation training groups (P<0.05). Auditory-motor rhythmic training led to a greater improvement in increasing spatiotemporal gait parameters compared to cognitive rehabilitation training in women with MS.<br /><strong>Conclusion</strong> The results of the repeated measures analysis of variance test showed a significant difference in the variables of walking speed, step length, and step rate in the posttest of both groups of rhythmic auditory-motor training and cognitive rehabilitation training (P<0.05). Rhythmic auditory-motor training resulted in greater improvement in spatial-temporal indices compared to rehabilitation training in women with MS. https://medrehab.sbmu.ac.ir/article_1101818_42d743bbee3444819373effc9f2b00b1.pdf