Effect of Cervical Mobilization on Balance and Plantar Pressure Distribution in Multiple Sclerosis

NCT ID: NCT04543448

Last Updated: 2021-01-22

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 12 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-10-02
• Study Completion Date: 2020-08-20

Brief Summary

MS patients were randomly divided into traditional therapy and traditional therapy + cervical mobilization groups. While muscle strengthening, stretching, balance and coordination exercises were given to the traditional group, cervical mobilization was applied in addition to these in cervical group. Patients received treatments twice a week for 4 weeks. The effect of the applied treatment on the tonus and plantar pressure distribution was analyzed. Treatments were interrupted for 4 weeks and the groups continued with the treatment they did not receive (crossover design). The group that received traditional treatment in the first period completed traditional + cervical mobilization, and the other group with traditional + cervical mobilization traditionally completed the treatment.

Detailed Description

Cervical region is rich in terms of muscle spindle and reseptors. When this region is touched by physiotherapists, muscle spindles is activited. The cervical region is parasympathetic area have common relaxed effect. Thus this part can be benefit to improvement of balance. As improve balance, the plantar pressure distribution of patients may change.

Conditions

Multiple Sclerosis; Muscle Spasticity; Pressure Area; Cervical Region Disorder Nos

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: CROSSOVER
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Traditional Rehabilitation

Traditional Rehabilitation program was included strengthening exercises for the muscles needed, balance and coordination exercises according to the individual's level, stretching for the lower limbs in all individuals. Indıvıduals participated in 2 training sessions per week for 4 weeks. Each training session consisted of a 5-minute non-balance coordination exercise, a 30-minute balance and coordination exercise, a 10-minute stretching and strengthing.

Group Type: OTHER

Traditional Rehabilitation for multiple sclerosis

Intervention Type: OTHER

Traditional rehabilitation program include strengthening exercises for the muscles needed, balance and coordination exercises according to the individual's level, stretching for the lower limbs.

Cervical Mobilization

Cervical Mobilization program, cervical mobilization techniques were applied to the patients for 30 minutes in addition to the traditional program. Cervical mobilization includes suboccipital relaxing techniques, myofascial muscle relaxing techniques for Levator scapula, trapezius, scalenes muscles. These techniques were applied bilaterally.

Group Type: EXPERIMENTAL

Cervical mobilization for multiple sclerosis

Intervention Type: OTHER

Cervical mobilization program include myofascial relaxation techniques and mobilization to cervical spine in addition to traditional program.

Interventions

Traditional Rehabilitation for multiple sclerosis

Traditional rehabilitation program include strengthening exercises for the muscles needed, balance and coordination exercises according to the individual's level, stretching for the lower limbs.

Intervention Type: OTHER

Cervical mobilization for multiple sclerosis

Cervical mobilization program include myofascial relaxation techniques and mobilization to cervical spine in addition to traditional program.

Intervention Type: OTHER

Other Intervention Names

traditional rehabilitation; traditional rehabilitation+ cervical mobilization

Eligibility Criteria

Inclusion Criteria

• Expanded Disability Status Scale (EDSS) score was between 2-5,
• According to the modified Ashworth Scale, spasticity is between 1 and 3,
• EDSS Cerebellar System Sub-Scale, Functional System Score ˃1,
• medical condition is stable and no medication changes were made in the last month,
• Vertebro-basillar test negative,
• Not have any other neurological disorder and orthopedic problem to prevent participation in this study
• A score of at least 24 from the Mini Mental Test,

Exclusion Criteria

• presence of psychiatric or severe cognitive dysfunction,
• pregnancy,
• Having a neurological disease other than MS,

• having had an attack in the last 3 months,
• Botulinum toxin application within the last 6 months,
• participating in physiotherapy program in the last 6 months

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Hasan Kalyoncu University

OTHER

Sponsor Role: lead

Responsible Party

Tuba Maden

Principal Investigator, clinical research

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

KEZBAN BAYRAMLAR, Prof. Dr.

Role: STUDY_DIRECTOR

Hasan Kalyoncu University

Locations

Hasan Kalyoncu University

Gaziantep, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

2019/0107

Identifier Type: -

Identifier Source: org_study_id