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Sponsor: Hacettepe University
Conditions: Multiple Sclerosis, Ataxia
Interventions: paraspinal vibration, gastrosoleus muscle complex vibration, Control Exercise
Countries: Turkey (Türkiye)
The aim of this study is to investigate the effects of local vibration application applied to different regions on postural control in addition to spinal stabilization training in ataxic multiple sclerosis (MS) patients. The study was planned as a single-blind, randomized controlled trial. The patients included in the study will be divided into 3 groups by the closed-envelope randomization method. Each treatment will be 8 weeks, 3 days a week. The control group will be given 40 minutes of lumbar spinal stabilization exercises. Paraspinal vibration group; In addition to 40 minutes of lumbar spinal stabilization exercises, LV will be applied to the paraspinal muscles for 10 minutes. LV application will be applied to the cervical paraspinal muscles for 5 minutes and to the lumbar paraspinal muscles for 5 minutes, bilaterally, sequentially. Gastrosoleus vibration group; In addition to 40 minutes of lumbar spinal stabilization exercises, LV will be applied to the gastrosoleus muscle complex for 10 minutes. LV application will be applied bilaterally, sequentially (5 minutes on the right and left). Assessments will be made by a blind assessor. In assessments; demographic information, Expanded Disability Status Scale (EDSS) /Extended Disability Status Scale (disease stage), International Cooperative Ataxia Rating Scale (ataxia severity), Berg Balance Scale (performance-based balance), Trunk Impairment Scale (trunk control), Neurocom Balance Master Static Posturography (limits of stability and postural sway), OptoGait (gait analysis), lumbopelvic muscle endurance tests will be used.
Sex: ALL
Age: 18 Years to 50 Years
Healthy volunteers: No
Study type: INTERVENTIONAL
Inclusion Criteria: * Being between the ages of 18-50 * Having been diagnosed with MS by a neurologist * EDSS score between 3-5 * EDSS pyramidal system score of 3 or less * Not using corticosteroids and/or stopping at least 3 months before starting the study Exclusion Criteria: * Having a history of attacks in the last 3 months * Having orthopedic or systemic problems * Presence of peripheral vestibular complaints * Participating in another exercise program in the last 6 months * Being mentally affected (Mini-Mental Test Score \< 24) * Severe spasticity (MAS\>3) * Refusal to participate in the study
- Ankara, Turkey (Türkiye)