Current Exercise Approaches in Patients With Multiple Sclerosis
Condition: Multiple Sclerosis
MeSH terms: Multiple Sclerosis; Sclerosis
Study type: Interventional

Summary: 
      This study was conducted to examine the effects of exercises performed with mechanical
      hippotherapy device and Cawthorne-Cooksey exercises on balance, dizziness, fatigue and
      quality of life in patients with Multiple Sclerosis.
    

Detailed description: 
      The research is a quantitative study, and it is in the form of randomized controlled type
      research, one of the experimental research types. In order to provide a homogeneous
      distribution, the patients were divided into two different exercise groups using the
      double-blind method from the minimization method.

      The sample of the study consisted of definitively diagnosed multiple sclerosis (MS) patients
      who volunteered to participate in the study. Patients who voluntarily agreed to participate
      in the study; While they were informed about the aims of the study, the duration of the
      study, the evaluation methods and the applications to be made, the informed consent form was
      signed by these patients and their consent was obtained. The study sample was divided into
      two groups by randomization method. The first group was given 35 minutes of traditional
      physical therapy program and 15 minutes of exercises with a mechanical hippotherapy device,
      while the second group was given 15 minutes of Cawthorne-Cooksey exercises in addition to the
      35-minute traditional physical therapy program. Both exercise groups were given a 50-minute
      physical therapy program. Patients diagnosed with Multiple Sclerosis in the study; It was
      classified according to the Expanded Disability Status Scale Score. Tinetti Balance Rating
      Scale was used to assess balance. The Dizziness Disability Inventory was used to assess
      dizziness, the Fatigue Severity Scale and the Fatigue Impact Scale to assess fatigue, and the
      Ferrans & Powers Quality of Life Index MS Adaptation to assess quality of life.
    

Intervention name(s): Cawthorne-Cooksey Exercises; Mechanical Hippotherapy Exercises
Intervention type(s): Other; Other
Intervention description(s): A- Head and Eye Movements While Lying and Sitting:
While keeping your head still, look up and then down again.
Look from side to side while keeping your head still.
Extend your hand at arm's length, draw your fingers towards your nose while focusing your eyes on your fingers.
With eyes open, slowly turn your head from side to side.
Turn your head from side to side quickly.
With eyes open, slowly move your head up and down.
Move your head up and down quickly.
Repeat items 4,5,6 and 7 with your eyes closed.
B-Head and Body Movements While Sitting:
Place an object on the floor in front of your feet, reach out to pick it up, then upright return to your position. Looking down while picking up the item, then Remind you to look up when trying to fix it.
Lean forward and move the object forward and back under your knees. C- Standing Exercises
1-Get from a sitting position to a standing position and sit down again. 2-Repeat this with your eyes closed.; From the patient on the mechanical hippotherapy device;
Maintaining trunk balance while raising both hands above head,
Maintaining trunk balance while opening the arms next to the trunk,
Maintaining trunk balance while extending the arms back and forth with successive movements,
Maintaining trunk balance with hands clasped behind the waist,
The arms are open to both sides, while transferring the weight ball from one hand to the other, it is requested to maintain the body balance.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Dizziness; Cawthorne-Cooksey; Hippotherapy simulator; Balance; Multiple sclerosis