Current Exercise Approaches in Patients With Multiple Sclerosis

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-01

Study Completion Date

2023-04-30

Brief Summary

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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.

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Detailed Description

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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.

Conditions

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Multiple Sclerosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Cawthorne-Cooksey

These exercises, which are designed to reduce vertigo, stabilize the gaze and improve balance by stimulating or operating the vestibular system during daily activities, consist of a series of eye, head, trunk and balance movements that provoke vestibular symptoms and whose difficulty increases. The degree of difficulty of the exercises was increased with the improvement of the patient. Head and trunk movements while sitting, standing and walking were added to the exercises that initially started with simple eye-head movements in bed.

Group Type EXPERIMENTAL

Cawthorne-Cooksey Exercises

Intervention Type OTHER

A- Head and Eye Movements While Lying and Sitting:

1. While keeping your head still, look up and then down again.
2. Look from side to side while keeping your head still.
3. Extend your hand at arm's length, draw your fingers towards your nose while focusing your eyes on your fingers.
4. With eyes open, slowly turn your head from side to side.
5. Turn your head from side to side quickly.
6. With eyes open, slowly move your head up and down.
7. Move your head up and down quickly.
8. Repeat items 4,5,6 and 7 with your eyes closed.

B-Head and Body Movements While Sitting:

1. 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.
2. 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.

Mechanical Hippotherapy

Before being taken to the device, the patients were informed about the working principle of the device, the exercises to be performed on the device, and that the exercise would be terminated in case of a possible health problem. After being placed on the device, the patient was given time until the initial balance was achieved. When the patient felt ready, a 15-minute hippotherapy session was applied at the 5th level of the 20-stage speed level by the physiotherapist.

Group Type EXPERIMENTAL

Mechanical Hippotherapy Exercises

Intervention Type OTHER

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.

Interventions

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Cawthorne-Cooksey Exercises

A- Head and Eye Movements While Lying and Sitting:

1. While keeping your head still, look up and then down again.
2. Look from side to side while keeping your head still.
3. Extend your hand at arm's length, draw your fingers towards your nose while focusing your eyes on your fingers.
4. With eyes open, slowly turn your head from side to side.
5. Turn your head from side to side quickly.
6. With eyes open, slowly move your head up and down.
7. Move your head up and down quickly.
8. Repeat items 4,5,6 and 7 with your eyes closed.

B-Head and Body Movements While Sitting:

1. 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.
2. 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.

Intervention Type OTHER

Mechanical Hippotherapy Exercises

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.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Being cooperative and oriented,
* Being 25 - 64 years
* Having a definite diagnosis of MS,
* Being able to sit dependent/independently and stand supported/unsupported,
* Not having an attack in the last 1 month or not currently in the attack period,
* Volunteering to participate in the study.

Exclusion Criteria

* Having another neurological disease or musculoskeletal system problems in addition to the diagnosis of MS,
* Being on cortisone treatment in the last 1 month or still ongoing,
* Having a mental, cardiovascular, pulmonary or orthopedic disease that will prevent exercise.

Minimum Eligible Age

25 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No