Investigation of the Effects of Local Vibration Applied to Different Regions and Spinal Stabilization Exercises

Expanded Disability Status Scale

Being between Expanded Disability Status Scale 3-5 and having a pyramidal system score below 3 are among the inclusion criteria. At the beginning of the study, all patients will be evaluated for Expanded Disability Status Scale, and patients who do not meet the criteria will not be included in the study.An increase in the score indicates an increase in the severity of the disease.

Time frame: Assessment will be done before treatment starts ( on average 15 minutes takes).

International Cooperative Ataxia Rating Scale

It will be used to evaluate the severity of ataxia. International Cooperative Ataxia Rating Scale consists of 4 sub-titles: posture and gait disorders, kinetic functions, speech disorders and oculomotor disorders. The score range is in the range of 0-100, with an increase in the score indicating increased disease severity.

Time frame: Change from International Cooperative Ataxia Rating Scale at 8 weeks (each assessment on average 20 minutes takes).

Berg Balance Scale

BBS is a scale that evaluates performance-based balance and scores the performance of 14 different tasks from 0 (not applicable) to 4 (normal performance). In this scale, which is evaluated over 56 points; scores between 0-20 indicate balance disorder, between 21-40 the balance is acceptable, and scores between 41-56 indicate good balance.

Time frame: Change from Berg Balance Scale at 8 weeks (each assessment on average 20 minutes takes).

Trunk Impairment Scale

The Trunk Impairment Scale, which will be used to evaluate trunk control, has a total of 17 items, of which 3 are static balance, 10 are dynamic balance, and 4 are the coordination ability of the stabilizer muscles. The total score of 0-23 points is recorded. A high score indicates good trunk control.

Time frame: Change from Trunk Impairment Scale at 8 weeks (each assessment on average 10 minutes takes).

Limits of Stability and Postural Sways

It will be evaluated with Neurocom Balance Master Static Posturography. During the test, the patient is asked to stand on the platform without shoes and socks. The upper extremities are asked to be on the side of the trunk without support and to look forward. Limits of stability are evaluated with eyes open on a firm surface. While the feet are on the force platform, the foot contact is maintained and the person is asked to go in 8 directions (forward, right-forward, right, right-back, back, left-back, left, left-forward) without losing balance. The test is finished when all directions are completed. Postural sway is evaluated in 4 situations; eyes open-firm surface, eyes closed-firm surface, eyes open-foam surface, eyes closed-foam surface. The person is asked to be as stable as possible.

Time frame: Change from limits of stability and postural sways at 8 weeks (each assessment on average 15 minutesutes takes).

Gait Analysis

OptoGait Gait Device (Microgate, Bolzano, Italy).Timing, size, and distance are detected and time-distance characteristics are calculated automatically when patients pass between 2 bars positioned on either side of the treadmill. During the test, the patient is asked to get on the treadmill. Then the patient is asked to adjust the speed of the treadmill according to himself (at the speed he feels comfortable) and walk for 1 minute. When the patient walks on the treadmill, objective data about the time-distance characteristics of his gait are obtained. Gait velocity will be recorded in meters/second. Cadence will be recorded in steps/minute.The stride length will be recorded in centimeters.The stance phase and swing phase will be recorded in percent (%).

Time frame: Change from gait 8 weeks (each assessment on average 5 minutes takes).

Prone Bridge Test

Test will be used to evaluate the endurance of lumbopelvic muscles.The patients placed elbows and forearms below their shoulders, straightened the legs. Next, they kept their forearms and toes on the floor, lifted hips, and maintained this straight position as long as possible.

Time frame: Change from lumbopelvic muscle endurance at 8 weeks . In the test, how many seconds they stop is tested.

Lateral Bridge Test

Test will be used to evaluate the endurance of lumbopelvic muscles. The patients lay on their left / right sides with support from the forearm with elbows below the shoulders and extended their legs straight. Then the patients lifted their hip from the floor. The test was terminated when the side bridge position deteriorated or the hip fell.

Time frame: Change from lumbopelvic muscle endurance at 8 weeks . In the test, how many seconds they stop is tested.

Sorensen Test (Trunk Extensor Test)

Test will be used to evaluate the endurance of lumbopelvic muscles. The patients lied down on a treatment table, aligning their anterior superior iliac spine with the edge of the table, which allowed the upper body to be planked out over the edge. An assessor fixed the patients' pelvis, hip, and knees to the treatment table. The body and the upper extremities were supported using a chair. Next, the chair was removed, and the patients maintained the horizontal body position as long as possible with their arms crossed position on the chest.

Time frame: Change from lumbopelvic muscle endurance at 8 weeks . In the test, how many seconds they stop is tested.

Trunk Flexors Test

Test will be used to evaluate the endurance of lumbopelvic muscles. The patients were in a sit-up position while their trunks were supported at the angle of 60 degrees from the floor. They flexed knees and hips at 90 degrees and crossed arms over the chest. Then, the support of the trunk was removed, and the patients maintained this position as long as possible.

Time frame: Change from lumbopelvic muscle endurance at 8 weeks . In the test, how many seconds they stop is tested.