Multiple Sclerosis
Conditions
Brief summary
There are studies in the literature evaluating the effects of acupressure application in MS patients. In a study; it was shown that acupressure application reduced pain and fatigue. In a study; acupressure was found to reduce fatigue and depression scores. In a study; acupressure was found to improve the patient's physical and cognitive functions and quality of life. In a study; acupressure was found to have positive effects on reducing fatigue in MS patients. In a study acupressure application was found to have significant effects in reducing fatigue. There are no studies evaluating the combined effects of acupressure on fatigue, pain, sleep quality, and quality of life parameters in MS patients. This study is planned to determine the effects of acupressure on fatigue, pain, sleep quality, and quality of life in MS patients.
Interventions
examining pain, fatigue, sleep, and quality of life
Sponsors
Study design
Eligibility
Inclusion criteria
* At least 6 months of confirmed MS diagnosis * With RRMS * Aged 18 years or older * With a pain score of VAS≥3 * Not having used pain medication in the last 8 hours prior to the acupressure session * With a Fatigue Severity Scale score of 4 or higher * Without a diagnosis of cancer * Without diabetes * No neurological disease other than MS * Not receiving any other complementary treatment * Non-smoker * Literate and able to communicate * No deformity or lesion in the areas where acupressure will be applied * No mental problems that could prevent cooperation with the acupressure application * Not taking sedative medication * With stable vital signs * Without heart disease * Not pregnant * Residing in Şanlıurfa * Patients who are willing to participate in the study
Exclusion criteria
* Patients who did not attend at least 4 sessions * Patients who wish to withdraw from the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fatigue Severity Scale (FSS) | Baseline, at the end of the 3rd week, and at the end of the 6th week. | The FSS is a 9-item scale used to assess the impact of fatigue on daily activities. Each item is rated on a 7-point Likert scale ranging from 1 to 7. The total score is the average of the 9 items. Scores range from 1 to 7, where higher scores indicate greater fatigue severity (worse outcome). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale (VAS) for Pain | Baseline, at the end of the 3rd week, and at the end of the 6th week. | The Visual Analog Scale (VAS) is used to measure the intensity of pain. It consists of a 10-cm horizontal line where 0 indicates "no pain" and 10 indicates "unbearable pain." Participants mark the point that represents their current pain level. Higher scores represent increased pain intensity (worse outcome). |
| Pittsburgh Sleep Quality Index (PSQI) | Baseline, at the end of the 3rd week, and at the end of the 6th week. | The PSQI is used to evaluate sleep quality over the past month. It consists of 19 individual items generating seven component scores. The total score ranges from 0 to 21. A higher total score indicates poorer sleep quality (worse outcome). |
| Multiple Sclerosis Quality of Life-54 (MSQOL-54) | Baseline, at the end of the 3rd week, and at the end of the 6th week. | The MSQOL-54 is a multidimensional health-related quality of life measure. It provides two main summary scores: Physical Health and Mental Health. Scores for each subscale are transformed to a 0-100 scale. For these subscales, higher scores indicate a better quality of life (better outcome). |
Countries
Turkey (Türkiye)