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Sponsor: Inonu University
Conditions: Multiple Sclerosis, Balance Impairment, Gait Disorders, Fatigue, Multiple Sclerosis Bening, Multiple Sclerosis Relapsing Remitting
Interventions: Virtual Reality Training Group, Task-Oriented Training Group, Conventional Training Group
Countries: Turkey (Türkiye)
Introduction: Multiple sclerosis (MS) is a chronic disease of the central nervous system. Task-focused training is an approach that relies on multiple repetitions of motor performance. Virtual reality is a technology that combines computer graphics to create a realistic world that responds to the user's responses. Purpose: The study was planned to observe the effect of virtual reality training on balance, walking and fatigue and to compare it with task-oriented training. Materials and Methods: The study, designed as a randomized controlled study, will include individuals with multiple sclerosis between the ages of 20-65. The population of the study consists of individuals with MS at Elazig Private Ada Special Education and Rehabilitation Center. Individuals who agree to participate in the study and meet the inclusion criteria will be selected by trying to reach the entire relevant population and will be divided into three groups using the sealed envelope method. Individuals will be evaluated before treatment and at the 8th week after treatment. One of the experimental groups will receive task-oriented training in the clinic 3 days a week, 40 minutes a day for 8 weeks, virtual reality training will be applied to the other, and conventional training will be applied to the control group. Expanded disability status scale to evaluate physical disability; balance assessment berg balance scale; gait assessment rivermead visual gait assessment scale; Fatigue assessment will be evaluated using the fatigue severity scale. Result: The effects of task-oriented and virtual reality training groups on balance, walking and fatigue will be interpreted by comparing the evaluation results before and after the treatment program. Unique Value: The study will contribute to the literature as it is the first study comparing the superiority of virtual reality training over task-oriented education in individuals with multiple sclerosis and the superiority of virtual reality training and task-oriented education over conventional education. In addition, it will contribute to the literature as it is the first study to observe the effects of task-oriented training and virtual reality training on balance, walking and fatigue in individuals with multiple sclerosis.
Sex: ALL
Age: 20 Years to 65 Years
Healthy volunteers: No
Study type: INTERVENTIONAL
Inclusion Criteria: * Individuals with benign type, relapsing remitting type multiple sclerosis. * Individuals between the ages of 20-65. * Being between levels 0-5 according to EDSS. * Participating in the study voluntarily. Exclusion Criteria: * Having an acute MS attack, * Participants have an orthopedic or systemic problem that would prevent them from continuing to exercise, * Another known neuromuscular disease other than MS, * Having high-level spasticity (Modified Ashworth Scale score of 3 or 4) in the lower extremity, * Individuals with cardiopulmonary problems that prevent them from exercising.
- Malatya, Central, Turkey (Türkiye)