Multiple sclerosis (MS) is a chronic, progressive and unpredictable disease of the central nervous system. In MS, various loss of strength, balance and gait disturbances arise in the central nervous system due to sensory and/or motor neuron degeneration. These disorders lead to limitations in individual activities and participation. Fatigue is as reported one of the most common first three symptoms among patients with MS and affects up to 80% of the patients. Fatigue is defined as the lack of physical and/or mental energy. Sometimes fatigue can reduce the quality of life by leaving other disorders behind. The most important effect of fatigue is that individuals reduce their physical activity levels. This can lead to the inactivity-related secondary problems being added to the findings of the disease. So the physical capacities of individuals may gradually decrease. In the literature, there are many studies showing that the level of physical activity of individuals with MS is lower than in healthy individuals. When the investigators analyze the studies that investigate the relation between fatigue and physical activity levels, it is seen that there is the single study about this subject in the literature. As a result, additional studies are needed to investigate the level of physical activity and the factors affecting it in individuals with MS. Therefore, the investigators planned this study to investigate the relationship between fatigue and physical activity levels in patients with MS.
According to sample size calculation 37 diagnosed Multiple Sclerosis patients and 37 healthy individuals will be included.The demographic characteristics of the participants initially will be taken and Expanded Disability Status Scale score of those of MS will be recorded. Then, fatigue severity and perception, physical activity level, balance, peripheral muscle strength, functional mobility, functional exercise capacity will be evaluated. Primary outcomes are fatigue and physical activity level; secondary outcomes are balance, peripheral muscle strength, functional mobility, functional exercise capacity.
Study Type
OBSERVATIONAL
Enrollment
70
Gazi University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation
Ankara, Turkey (Türkiye)
Fatigue severity
Fatigue Severity Scale
Time frame: Five minutes
Fatigue
Fatigue Impact Scale
Time frame: Eight minutes
Physical activity behavior
Evaluated using an ActiGraph (GT3X+)
Time frame: Three days
Physical activity
International Physical Activity Questionnaire
Time frame: Five minutes
Functional exercise capacity
Evaluated using 6-minute walking test
Time frame: Fifteen minutes
Balance
Evaluated using Bio Sway \[(BSS) Biodex Inc.,Shirley, New York\]
Time frame: Fifteen minutes
Functional Mobility
Evaluated using Time and Go test
Time frame: Two minutes
Muscle strength
Evaluated using digital hand dynamometer
Time frame: Fifteen minutes
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