Gait Disorders, Neurologic, Multiple Sclerosis
Conditions
Keywords
Multiple Sclerosis, Gait, Spinal Stabilization Exercises, Plantar Pressure Distribution, Rehabilitation
Brief summary
Gait and mobility are among the functions frequently affected in Multiple Sclerosis (MS) and have a negative impact on quality of life. Strength losses in lower limb muscles, ataxia, sensory problems and fatigue are the most important reasons of walking problems in patients with MS. In addition to loss of strength and tonus problems, especially biomechanical disorders can be seen on foot and this problem affects gatin and balance negatively. The stabilizing muscles, defined as the core region and enveloping the body like a corset, are active in the context of postural preparation prior to lower extremity movements and stabilize for the limb movements to be performed. The aim of this study was to investigate the effects of spinal stabilization exercises on walking performance, fatigue, plantar pressure distribution, balance, muscle strength and quality of life in patients with Multiple Sclerosis.
Interventions
OTHERPhysiotherapy - Study group
Study group : In addition to home program spinal stabilization exercises
OTHERPhysiotherapy - control group
Home exercise program
Sponsors
Hacettepe University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Randomized Controlled Trial
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Older than 18 years old * EDSS score is between 3-5,5 * Patients who did not take corticosteroid therapy within three months * Patients who get at least 24 points from the Mini Mental Test were included in the study.
Exclusion criteria
* Patients who had an acute MS attack or had an attack within the last three months. * An orthopedic or systemic problem that would prevent participation in exercises * Patients who were using walking orthoses or walking aids were not included in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 6 Minutes Walk Test | Change from Baseline 6 Minutes Walking Distance at 6 weeks. | Maximum Walking Distance in 6 Minutes |
| Modified Borg Scale | Change from Baseline Fatigue Score at 6 weeks. | Evaluating fatigue between the scores of 0 and 10. 0 means no fatigue at all. 10 means maximal fatigue. |
| Plantar Pressure Distribution | Change from baseline peak pressure and contact area values at 6 weeks | Peak pressure values of 10 subregions under the foot |
| Multiple Sclerosis Quality of Life Scale | Change from baseline mental and physical quality of life scores at 6 weeks | Quality of life assessment with 54 questions about mental and physical health in daily life activities. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| MiniBESTest | Change from baseline MiniBESTest scores at 6 weeks | Static and dynamic balance evaluation. This test includes 14 items and maximum score is 28. 28 points means best balance status. |
| Dynamic Gait Index | Change from baseline Dynamic Gait Index scores at 6 weeks | Dynamic balance evaluation especially walking balance. This test includes 8 items and maximum score is 24. Maximum score means best dynamic balance status. |
| Muscle strength with hand held dynamometer | Change from baseline muscle strength at 6 weeks | Hip Flexors Muscle Strength |
Outcome results
None listed