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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
68
Study group : In addition to home program spinal stabilization exercises
Home exercise program
6 Minutes Walk Test
Maximum Walking Distance in 6 Minutes
Time frame: Change from Baseline 6 Minutes Walking Distance at 6 weeks.
Modified Borg Scale
Evaluating fatigue between the scores of 0 and 10. "0" means no fatigue at all. "10" means maximal fatigue.
Time frame: Change from Baseline Fatigue Score at 6 weeks.
Plantar Pressure Distribution
Peak pressure values of 10 subregions under the foot
Time frame: Change from baseline peak pressure and contact area values at 6 weeks
Plantar Pressure Distribution
Contact area values of 10 subregions under the foot
Time frame: Change from baseline peak pressure and contact area values at 6 weeks
Multiple Sclerosis Quality of Life Scale
Quality of life assessment with 54 questions about mental and physical health in daily life activities.
Time frame: Change from baseline mental and physical quality of life scores at 6 weeks
Muscle strength with hand held dynamometer
Hip Flexors Muscle Strength
Time frame: Change from baseline muscle strength at 6 weeks
Muscle strength with hand held dynamometer
Hip Abductors Muscle Strength
Time frame: Change from baseline muscle strength at 6 weeks
Muscle strength with hand held dynamometer
Knee Flexors Muscle Strength
Time frame: Change from baseline muscle strength at 6 weeks
Muscle strength with hand held dynamometer
Knee Extensors Muscle Strength
Time frame: Change from baseline muscle strength at 6 weeks
Muscle strength with hand held dynamometer
Ankle Dorsiflexors Muscle Strength
Time frame: Change from baseline muscle strength at 6 weeks
MiniBESTest
Static and dynamic balance evaluation. This test includes 14 items and maximum score is 28. 28 points means best balance status.
Time frame: Change from baseline MiniBESTest scores at 6 weeks
Dynamic Gait Index
Dynamic balance evaluation especially walking balance. This test includes 8 items and maximum score is 24. Maximum score means best dynamic balance status.
Time frame: Change from baseline Dynamic Gait Index scores at 6 weeks
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