Comparison of the Effects of Vestibular Exercise and Cervical Stabilization Exercise Training on Balance and Gait in Multiple Sclerosis Patients
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 36
- 试验地点
- 1
- 主要终点
- Dinamic Balance
研究概览
简要总结
The population of this research consists of individuals between the ages of 18-65 with MS disease. MS patients to be included in the study will be directed by the Neurology outpatient clinic of Sanko University Hospital. All volunteers who agreed to participate in this randomized controlled pretest-posttest design study and met the sample criteria will be included in the study.Individuals who agree to participate will be divided into three groups by simple random method and closed envelope method. Vestibular exercise training group will be formed as Group 1 and Cervical stabilization exercise training group as Group 2, control group, and Group 3 as control group.Functional reach test, tandem stand test, 25 step walking test scale form, Multiple Sclerosis Quality of Life Scale form ( MSQOL-54),Fatigue Impact Scale,Beck depression inventory, MS walking scale (msys-12), dizziness disability inventory, four step square test, timed sit and stand test
, 2 minutes walking test be performed before and after treatment,
详细描述
Group 1: Vestibular exercise training will be given in addition to conventional treatment (including TENS, electrical stimulation and normal joint range of motion exercises) for 12 weeks. Cawthorne-Cooksey Exercises will be given as a treatment protocol for vestibular exercise training.
Group 2 :Cervical stabilization exercise training will be given in addition to conventional treatment (including Tens, electrical stimulation and normal range of motion exercises) for 12 weeks. Cervical stabilization training improves the sense of cervical proprioception as well as strength and endurance, thereby reducing joint position sense error. Cervical stabilization exercises and training, consisting of 3 stages with increasing difficulty level, will be applied.
Group3: Classical balance exercise training will be given to the control group in addition to conventional treatment (including Tens, electrical stimulation and normal range of motion exercises) for 12 weeks. These exercises were selected among the exercises routinely used in balance rehabilitation in the literature and clinic.
Balance exercise program: walking on tiptoe and heel, walking straight and diagonally on the line, standing on a balance board, supine/prone rolling on the rehabilitation ball, pelvis control in the sagittal and frontal planes on the rehabilitation ball, prone balance on the rehabilitation ball, walking on mats of different softness , was created from side walking exercises.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •be diagnosed with MS
- •Not having received physiotherapy-oriented treatment in the last 1 year
- •not have had an attack in the last 1 month and not be in the attack period
排除标准
- •having systemic diseases such as hypertension, heart disease, diabetes mellitus, hyperlipidemia, malignancy
- •individuals whose ambulation is not independent
- •Those who have undergone any surgery in the last 6 months
研究组 & 干预措施
Vestibular Exercises
Cawthorne-Cooksey Exercises applied to 1st group for 3 days/week for 12 weeks
干预措施: Exercises (Other)
Cervical Stabilization Exercises
cervical stabilization Exercises applied to 1st group for 3 days/week for 12 weeks
干预措施: Exercises (Other)
Balance Exercises
classical balance Exercises applied to 1st group for 3 days/week for 12 weeks
干预措施: Exercises (Other)
结局指标
主要结局
Dinamic Balance
时间窗: 12 weeks
tandem stance test
Dizziness
时间窗: 12 weeks
dizziness disability inventory
Postural swing
时间窗: 12 weeks
GYKO
Walkiing difficulty
时间窗: 12 Weeks
Multiple Sclerosis Walking Scale-12 (MSYS-12)
Static Balance
时间窗: 12 weeks
functional reach test
Gait speed
时间窗: 12 weeks
25-step walking test
Endurance
时间窗: 12 weeks
2-minute walk test
Coordination
时间窗: 12 weeks
timed sit and stand test
次要结局
- MSQ54 İnventory(12 weeks)
- Depression(12 weeks)
- Fatigue(12 weeks)
研究者
Hakan Polat
Director
Sanko University