Effects of Combined Exercises on Postural Control With and Without Dual Task in Patients With Multiple Sclerosis
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Multiple Sclerosis
- Sponsor
- Dokuz Eylul University
- Enrollment
- 13
- Locations
- 1
- Primary Endpoint
- Change in limits of stability parameter with Biodex Balance System
- Last Updated
- 7 years ago
Overview
Brief Summary
Multiple sclerosis is a progressive neurological disease that associated with demyelinization and axonal damage. Decreased postural control is one of the initial symptom of disease. Improving postural control in people with neurological impairment is a common goal of physiotherapy. Doing exercises in water or land are examples for effective solutions. Pilates and aquaplyometric exercises are some of these approaches.
Performing daily activities at the same time requires dual tasking or multi tasking. Dual tasking is frequently impaired in MS. The aim of the study was to determine effect of combined Pilates and Aquaplyometric exercises on postural control with or without dual task in patients with multiple sclerosis.
Detailed Description
MS patients with decreased postural control will be enrolled eight-week, 45 minutes combined Pilates and aquaplyometric exercise programme. Postural control, hand dexterity and other functional parameteres will assess besaline and at the eighth week of exercise programme by the physiotherapist. Postural control will evaluate with and without dual task.
Investigators
Melda Soysal Tomruk
Principal investigator
Dokuz Eylul University
Eligibility Criteria
Inclusion Criteria
- •being over 18 years old
- •ability to walk independently or with single walking aid
- •having stable symptoms
Exclusion Criteria
- •being acute or unstable phase of disease
- •having EDSS score\>6
- •insuitable for the pool (incontinance, dermatological disease etc.)
Outcomes
Primary Outcomes
Change in limits of stability parameter with Biodex Balance System
Time Frame: Baseline and 8 weeks
measured with Biodex Balance System (BBS; SD 12.1"Display 115 VAC). Patients were asked to stand on the rigid surface with barefoot and eyes open during measuring limits of stability. During each test trial, patients must shift their weight to move the cursor from the center target to a blinking target and back as quickly and with as little deviation as possible. The same process is repeated for each of the nine targets. Targets on the screen blink in random order. The tests repeated three times with 30 second resting time between trials. Patients' performance is evaluated from a total score of 100 where the higher score represents better trunk control.
Change in limits of stability parameter with cognitive task by Biodex Balance System
Time Frame: Baseline and 8 weeks
Patients are asked to perform previously explained test protocol while maintaining balance they need to count down three-by-three from a randomly selected two-digit number. . Patients' performance is evaluated from a total score of 100 where the higher score represents better trunk control.
Secondary Outcomes
- Change in 5-Repetititon Sit-To-Stand Test(Baseline and 8 weeks)
- Change in timed up and go test(Baseline and 8 weeks)
- Handgrip strength test(Baseline and 8 weeks)
- Change in timed 25 step walking test(Baseline and 8 weeks)
- Change in Nine hole peg Test(Baseline and 8 weeks)