Multiple Sclerosis (MS) is inflammatory, demyelinating and autoimmune disease of the central nervous system. It is usually seen with relapses and genetic and environmental factors play a role in the etiology. Neurological symptoms seen in MS restrict the patient's daily activity and social role participation. Mobility problems and fatigue are the most important reasons of role limitations and decreased quality of life. The importance of exercise training in disease management has been emphasized in recent years. However, few studies have investigated the effects of task-oriented trainings on symptoms of the disease. The aim of this sudy is to investigate the effects of task-oriented training additional to combined exercise training on functional capacity, mobility, balance, fatigue and quality of life in patients with MS.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
34
Aerobic training with cycle ergometer %60-80 of maximal Heart Rate, submaximal level, strengthening of the major muscles of upper and lower extremities
Functional reaching, walking on different obstacles and floor,sitting and standing on different levels and surface,walking around obstacle, climbing stairs with different height and surface
Functional capacity
Change from baseline functional capacity with six minute walking test
Time frame: 6 weeks
dynamic gait skills
Change from baseline functional mobility with dynamic gait index
Time frame: 6 weeks
limitation of gait
Change from baseline functional mobility with MS walking scale-12
Time frame: 6 weeks
dynamic balance and fall risk
Change from baseline functional mobility with timed up and go test
Time frame: 6 weeks
sitatic balance
Change from baseline balance with functional reach test
Time frame: 6 weeks
dynamic balance
Change from baseline balance with berg balance scale
Time frame: 6 weeks
severity of fatigue
Change from baseline fatigue with fatigue severity scale
Time frame: 6 weeks
impact of fatigue
Change from baseline fatigue with fatigue impact scale
Time frame: 6 weeks
Quality of life
Change from baseline quality of life with MS quality of life instrument-54
Time frame: 6 weeks
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