Clinical trial NCT05409599: The Effects of Vestibular Exercise and Cervical Stabilization Exercise Training on Balance and Gait in MS Patients
Official title: Comparison of the Effects of Vestibular Exercise and Cervical Stabilization Exercise Training on Balance and Gait in Multiple Sclerosis Patients
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Multiple Sclerosis
Vestibular
Exercises
Keywords: Multiple Sclerosis
vestibular exercises
cervical stabilization
gait
Lead sponsor: Sanko University
Sponsor class: OTHER
First posted: 2022-06-08
Enrollment: 36
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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,

Detailed description: 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.

Eligibility criteria: Inclusion Criteria:

* 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

Exclusion Criteria:

* 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

Primary outcomes:
measure: Static Balance
timeFrame: 12 weeks
measure: Gait speed
timeFrame: 12 weeks
measure: Dizziness
timeFrame: 12 weeks
measure: Dinamic Balance
timeFrame: 12 weeks
measure: Dinamic Balance
timeFrame: 12 weeks
measure: Endurance
timeFrame: 12 weeks
measure: Coordination
timeFrame: 12 weeks
measure: Postural swing
timeFrame: 12 weeks
measure: Walkiing difficulty
timeFrame: 12 Weeks
Secondary outcomes:
measure: Fatigue
timeFrame: 12 weeks
measure: Depression
timeFrame: 12 weeks
measure: MSQ54 İnventory
timeFrame: 12 weeks
Other outcomes:
Locations:
city: Gaziantep
country: Turkey
facility: Sanko University
state: Şehitkamil
Study officials:
affiliation: Sanko University
name: hakan Polat
role: STUDY_DIRECTOR
References: