Multiple Sclerosis
Conditions
Keywords
Multiple Sclerosis, Motor Imagery, Action Observation, Walking, Fatigue, Trunk Control
Brief summary
It was planned to examine the effects of motor imagery and action observation applied in addition to standard rehabilitation in people with multiple sclerosis on walking, fatigue, and trunk control.
Interventions
Individuals included in this group will receive 20 minutes of motor imagery training in addition to 40 minutes of standard rehabilitation.
Individuals included in this group will receive 20 minutes of action observation training in addition to 40 minutes of standard rehabilitation.
40 minutes of standard rehabilitation.
Sponsors
Study design
Eligibility
Inclusion criteria
* Being between the ages of 18-65 * A definitive diagnosis of MS by a neurologist according to the 2017 McDonald Criteria * Expanded Disability Status Scale (EDSS) score of 4.0 and below (it is determined routinely by the physician during the examination) * Not having an attack in the last 3 months * A minimum score of 4 in each motor imagery ability (internal visual imagery, external visual imagery, and kinesthetic imagery) on the Movement Imagery Questionnaire-3 (MIQ-3)
Exclusion criteria
* cognitive impairment, defined as a Mini-Mental State Examination (MMSE) score of less than 24 * Having another musculoskeletal, cardiovascular, pulmonary, metabolic, or neurological disease severe enough to preclude participation in the study. * Having severe vision and hearing problems
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 6 Min Walking Test | 6 week | It will be used to measure walking distance. Before the test is administered, individuals will be given the necessary information and will be asked to walk as fast as possible on a 30-meter track for 6 minutes. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Timed Up and Go Test | 6 week | It will be used to evaluate the dynamic balance of individuals while walking. Individuals will be asked to stand up from the chair they are sitting on without support and walk a distance of 3 meters, then return from the designated area and sit on the chair without support. |
| Multiple Sclerosis Walking Scale-12 | 6 week | It is a scale used to measure perceived walking ability. The lowest possible total score on the scale is 12, while the highest is 60. An increase in the total score indicates a negative impact on walking ability. |
| RehaGait® (Hasomed, Magdeburg, Germany) Gait Analysis | 6 week | The device gives about the time-distance characteristics and kinematic data of the gait. |
| Fatigue Severity Scale | 6 week | It is a scale that evaluates the extent to which fatigue affects the daily functions of MS patients. The lowest score that can be obtained from the scale is 7, while the highest score is 63. It is accepted that the severity of fatigue increases as the total score increases. |
| Trunk Impairment Scale | 6 week | Trunk control was assessed using the Trunk Impairment Scale (TIS), which consists of three subscales: static sitting balance, dynamic sitting balance, and coordination. The lowest possible total score on the scale is 0, while the highest is 23. An increase in the total score indicates increased trunk control. |
Countries
Turkey (Türkiye)